New Delhi: A 2.5-kg adrenal tumour measuring 24cm has been successfully removed from a patient at Sir Ganga Ram Hospital in a complex surgery that involved separating the giant mass from vital abdominal organs and managing major blood-pressure fluctuations during the procedure.The tumour had occupied a substantial part of the patient’s abdominal cavity and was closely surrounding organs and blood vessels. Its enormous size had distorted the normal anatomy, increasing the risk of injury to nearby structures and significant blood loss during surgery.The operation was led by Dr Ashwin Mallya, uro oncologist and robotic surgeon, with Dr Suresh Singhvi, senior gastro and liver surgeon. The team dissected the tumour away from the pancreas, spleen and colon before removing it completely.The size and location of the tumour posed particular challenges because large adrenal masses can lie close to major blood vessels and vital organs. Detailed imaging, pre-operative planning and coordinated management were therefore required before surgery.Another major challenge was controlling the patient’s blood pressure during the operation. Large adrenal tumours can be associated with significant fluctuations in blood pressure, requiring careful anaesthetic management. Dr Nitin Sethi led the anaesthetic management, while Dr Setu Gupta, endocrinologist, helped stabilise the patient before surgery.Dr Mallya said the tumour’s size, altered anatomy and proximity to vital structures made the procedure particularly challenging and required meticulous planning and careful dissection.Dr Sudhir Chadha, chairperson, department of urology, Sir Ganga Ram Hospital, said giant adrenal tumours are rare and can present significant technical challenges. The surgery involved coordination among urology, gastro and liver surgery, endocrinology and anaesthesia teams. Such large and complex tumours may require close collaboration between surgeons, anaesthetists, radiologists, intensivists and other specialists to minimise complications and ensure safe removal.The patient has since been discharged and will require regular follow-up and monitoring, said doctors.
