Doctors at one of the hospitals in Delhi have successfully performed a highly complex modified Whipple procedure on a 65-year-old woman with bile duct cancer, despite the challenges posed by a previous major cancer surgery. The patient had undergone an Ivor Lewis esophagectomy six years earlier for esophageal cancer, making the anatomy significantly altered and the surgery particularly demanding. The procedure was completed without major complications, underscoring the growing expertise in advanced gastrointestinal cancer surgery in India.
The patient was diagnosed with a tumour in the lower common bile duct, an uncommon presentation made even more challenging by the absence of jaundice, which often aids early diagnosis. Surgical management was further complicated by her prior esophageal reconstruction, where the stomach had been repositioned into the chest to restore swallowing. The…
