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| About ALSU |
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Apollo
Liver Surgery Unit (ALSU)
deals with complex gastrointestinal surgery. Surgical Gastroenterology
was coming in to its own in various teaching hospitals all over India
in the late eighties. The first to be established in North India was
the Unit of Gastrointestinal Surgery in All India Institute of Medical
Sciences under Professor S. Nundy in 1985. This unit has its roots
from this institution.
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This
unit now has an outstanding reputation for all aspects of liver
surgery. Complex liver resection can be carried with a mortality and
morbidity comparable to the best centers in the world. There is also
can an active interventional radiology setup that deals with chemoembolization,
radiofrequency ablation and percutaneous alcohol injection into tumour
tissue.
This centre is very active in liver
transplantation and is equipped for both cadaveric and living
related transplant. It has to its credit first successful reduced
liver transplant from an adult cadaveric liver to a paediatric recipient.
Pancreatic surgery is also carried
out in great numbers and possibly we have one of the largest series
of pancreaticoduodenectomy operation for cancers of the periampullary
region. The unit has treated patients from all over India as well
as patients from Middle East, Africa and South East Asia. Apart from
malignancies this unit has considerable skills in dealing with surgical
management of all aspects of pancreatitis. Its faculty consists of
nationally and internationally known consultants.
This unit has a reputation for shunt surgery for
patients who have bled from varices. In situations where the liver
is not diseased, then shunt surgery is quite an appropriate form of
treatment. Often because of blockage of hepatic veins mesocaval shunts
can reverse the damage to liver.
This unit is a referral centre for patients
who have been operated elsewhere and has developed a complication.
One such common condition is intestinal fistula and these have been
managed very successfully here. A paper from our unit was awarded
the best paper in one of the recent Indian Society of Gastroenterology
meetings. The unit has a very active Stoma Clinic, which deals with
wound care in intestinal fistulae.
Colorectal
cancer is another active area of our unit and there is a major
emphasis on sphincter saving surgery either using staplers or by intersphincteric
resection. Ulcerative colitis generally can be treated by medicine
but surgery has a major role in certain situation. The entire diseased
colon is removed and the end of small intestine folded on itself and
joined to create a pouch, which is then joined to the anus so that
the patient can pass stool normally.
The unit has skilled consultants who are
backed by a huge team of experienced registrars, theatre personnel
and equipment such as ultrasonic aspirator, argon beam coagulator
and thromboelastograph which all helps in conducting major surgery.
The Unit of Surgical Gastroenterology and Liver transplantation has
a proven track record of dealing with complex gastrointestinal cases
and is at the forefront of clinical medicine and liver surgery in
India.
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