Advanced Minimally Invasive Surgery for Hepatic Flexure Colon Cancer at Bombay Gastro & Cancer Institute, Bathinda
A 70-year-old male presented with abdominal pain, progressive constipation, abdominal distension, and features suggestive of partial large bowel obstruction for nearly three months.
Further evaluation with imaging and colonoscopy revealed a malignant growth at the hepatic flexure of the colon, producing progressive narrowing of the bowel lumen and causing partial intestinal obstruction.
Following complete staging and preoperative assessment, the patient was planned for definitive curative surgery.
Advanced Laparoscopic Surgical Management
The patient underwent a Laparoscopic Extended Right Hemicolectomy, performed by Dr. Raman Garg, Consultant Surgical Gastroenterologist, Advanced GI, Laparoscopic & HPB Surgeon at Bombay Gastro & Cancer Institute, Bathinda.
The operation was carried out according to internationally accepted oncological principles and included:
- Complete laparoscopic mobilization of the right colon and hepatic flexure.
- High ligation of the supplying blood vessels.
- En-bloc removal of the tumour-bearing colon with adequate surgical margins.
- Standard oncological lymph node dissection.
- Specimen retrieval through a small 6 cm mini-laparotomy.
- Primary ileocolic anastomosis to restore bowel continuity.
The minimally invasive approach avoided a large abdominal incision while maintaining the same oncological standards as open surgery.
Postoperative Recovery
The patient recovered smoothly after surgery.
- Early mobilization.
- Early resumption of oral diet.
- Minimal postoperative pain.
- No major postoperative complications.
- Discharged in satisfactory condition on the 5th postoperative day.
Why This Case Is Important
Cancer of the hepatic flexure of the colon is relatively uncommon and often presents at a later stage because symptoms may remain mild until intestinal obstruction develops.
A laparoscopic extended right hemicolectomy is a technically demanding procedure requiring precise dissection around major blood vessels, complete cancer clearance, and adequate lymph node removal while preserving surrounding vital structures.
This case highlights Dr. Raman Garg's expertise in advanced minimally invasive colorectal cancer surgery, offering patients the benefits of smaller incisions, less postoperative pain, faster recovery, shorter hospital stay, and excellent oncological outcomes.
Advanced Colon Cancer Surgery by Dr. Raman Garg
Dr. Raman Garg is a leading Surgical Gastroenterologist in Bathinda, with expertise in the surgical management of colon cancer, rectal cancer, stomach cancer, liver diseases, gallbladder disorders, pancreatic diseases, intestinal obstruction, inflammatory bowel disease, gastrointestinal cancers, hernias, and other complex gastrointestinal conditions.
He performs advanced laparoscopic colorectal surgery, gastrointestinal cancer surgery, hepatopancreatobiliary (HPB) surgery, emergency abdominal surgery, and minimally invasive procedures using evidence-based surgical techniques.
Patients from Bathinda, Punjab, Haryana, Rajasthan, and neighbouring regions seek treatment from Dr. Raman Garg for both benign and malignant gastrointestinal diseases.
Patient: 70-year-old Male
Diagnosis: Hepatic Flexure Colon Cancer with Partial Large Bowel Obstruction
Procedure Performed: Laparoscopic Extended Right Hemicolectomy, Standard Oncological Lymph Node Dissection, Specimen Retrieval through a 6 cm Mini-Laparotomy, and Primary Ileocolic Anastomosis
Operating Surgeon: Dr. Raman Garg, Surgical Gastroenterologist, Advanced GI, Laparoscopic & HPB Surgeon, Bombay Gastro & Cancer Institute, Bathinda
Outcome: Successful minimally invasive cancer surgery with an uneventful postoperative recovery and discharge on the 5th postoperative day.
About Dr. Raman Garg
Dr. Raman Garg is a Consultant Surgical Gastroenterologist, Advanced GI, Laparoscopic and HPB Surgeon at Bombay Gastro & Cancer Institute, Bathinda. He specializes in gastrointestinal cancer surgery, liver, pancreas and bile duct surgery, colorectal surgery, hernia surgery, upper GI surgery, emergency abdominal surgery, and advanced minimally invasive procedures.
Patient identity has been withheld to maintain confidentiality. This case is shared for educational purposes with appropriate consent and privacy safeguards.
