A team of doctors at Jaipur’s Sawai Man Singh (SMS) Hospital has successfully completed a complex 28.6-kg tumour removal surgery involving a 59-year-old woman. The patient had been living with a progressively growing abdominal tumour for nearly three years before undergoing the high-risk procedure.
The tumour was identified as a retroperitoneal sarcoma, a type of tumour that develops in the retroperitoneum, the area behind the abdominal cavity. Its enormous size and location had made surgery difficult, and the woman had reportedly visited several places seeking treatment.
As the tumour continued to grow, she experienced increasing difficulty walking and moving. She eventually reached SMS Hospital, where investigations revealed that the mass weighed more than 28 kg.
Tumour attached to vital organs
After consultation with the hospital’s cancer department, doctors decided to proceed with surgery. The procedure was led by Dr Jeevan Kankaria, senior professor in the Department of General Surgery.
The operation presented several challenges because of the tumour’s position. The ureter was located in front of the mass, requiring careful separation to prevent damage. The tumour was also attached to parts of the intestine, liver, pancreas, urinary bladder and major blood vessels.
Doctors carefully separated the mass from the surrounding organs and blood vessels before removing it. The entire operation took approximately three hours.
Patient stable after surgery
Following the procedure, the woman was shifted to the ICU for close monitoring. Her condition remained stable and her recovery was described as satisfactory before she was moved to the ward.
The surgery was performed free of cost under the Rajasthan Government Health Scheme (RGHS).
The surgical and anaesthesia teams included multiple doctors and nursing staff who participated in the complex procedure.
The case highlights the challenges doctors can face when large abdominal tumours remain undiagnosed or untreated for extended periods. In this instance, a multidisciplinary medical team was able to remove the massive tumour while protecting several vital organs and blood vessels.






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