Complex Liver Cancer Surgery in a 75-Year-Old Patient: A Success Story

Finding a cure for cancer in elderly patients is often a major challenge. When a 75-year-old grandfather was diagnosed with a large liver tumor, many hospitals turned him away due to his age and the complexity of the case. However, the expertise of Dr. Manoj Dongare in liver tumour removal surgery changed everything. This case study details how a “high-risk” patient successfully beat cancer.

The patient is a 75-year-old man with a history of a disciplined lifestyle. Despite his age, he was relatively active. His health issues began with mild discomfort and a heavy feeling in his upper abdomen. Being a senior citizen, his family was worried about how his body would react to any major medical intervention.

After several check-ups and blood tests, an ultrasound was performed. The results were shocking. A large tumor was growing in the middle of his liver. Further CT scans and MRI reports confirmed it was a primary liver cancer. The family was devastated, as the patient was already 75 years old.

The case was highly complex for two main reasons:

• Advanced Age: At 75, the heart, lungs, and kidneys have limited reserve capacity, making general anesthesia risky.
• Central Location: The tumor was sitting right in the middle of the liver, very close to the major blood vessels (Vena Cava and Portal Vein). A small mistake could lead to fatal bleeding.

The family visited several multi-specialty hospitals in Pune and Mumbai. Most doctors and Cancer specialists gave the same opinion:

• “The patient is too old for surgery.”
• “The tumor is in a dangerous location; surgery is not possible.”
• “We can only offer palliative care (medicines to reduce pain).”

The family almost lost hope until they heard about a specialized Oncologist in Pune known for handling “inoperable” cases.

The family reached out to Dr. Manoj. Unlike previous consultations, the approach here was focused on “how we can do it” rather than “why we cannot.”

Dr. Manoj Dongare performed a detailed review of the patient’s reports. He looked at the liver’s remaining healthy volume and the patient’s overall fitness. He explained to the family that while the risk was high, the tumor could be removed safely using advanced HPB cancer Operation techniques. His confidence and clear communication gave the family the strength to move forward with the Tumours operation.

A successful surgery on a 75-year-old requires a “war-room” style plan. Dr. Manoj Dongare organized a multi-disciplinary meeting with cardiologists and anesthetists.

The Decision-Making Process included:

• Volumetry Study: Using software to calculate exactly how much liver would remain after removing the tumor.
• Pre-habilitation: The patient was started on deep breathing exercises and a high-protein diet for 5 days to prepare his body.
• Risk Mitigation: Planning for advanced “Cell Saver” technology to recycle the patient’s own blood if needed during surgery.
• ICU Readiness: Ensuring a dedicated cardiac-monitored ICU bed was ready for post-op care.

The surgery was a masterpiece of HPB cancer Operation (Hepato-Pancreato-Biliary). Dr. Manoj Dongare, acting as the lead Liver cancer surgeon, performed a complex central hepatectomy.

Detailed Surgical Steps:

• Gaining Access: A specialized “J-shaped” incision was made to get the best view of the liver.
• Vascular Isolation: Manoj carefully separated the major veins and arteries from the tumor. This is the most difficult part, as any tear can cause massive bleeding.
• The “Pringle Maneuver”: The doctor used a technique to temporarily stop blood flow to the liver for short intervals, allowing him to cut through the liver tissue clearly.
• Tumour Extraction: Using an ultrasonic dissector (CUSA), the tumor was separated from the healthy liver tissue. The tumor was removed in one piece with a “clean margin.”
• Biliary Repair: Since the tumor was in the center, the bile ducts were carefully checked and reinforced to prevent any bile leaks after surgery.
• Hemostasis: Every tiny bleeding point was sealed using advanced bipolar and argon beam technology.

For a 75-year-old, the first 48 hours are critical. Under the guidance of Dr. Manoj Dongare, the recovery was surprisingly smooth.

• Day 1-2: The patient was in the ICU. He was kept on minimal pain medication and was sitting up in bed within 24 hours.
• Day 3-5: He was moved to a private room. He started walking with support and began a light liquid diet. Manoj visited him daily to monitor his progress.
• Day 6-7: The patient started eating solid Indian food (Moong Dal Khichdi) and was walking independently in the corridor.
• Physiotherapy: Daily chest physiotherapy ensured that the patient’s lungs remained clear, preventing pneumonia—a common risk in elderly patients.

This case proves that with the right Oncologist in Pune, even the most difficult cancer cases can have a positive outcome. Dr. Manoj is a highly skilled Liver cancer surgeon who specializes in complex Tumours operation and HPB cancer Operation. For senior patients, the right surgical approach makes all the difference between a life of pain and a healthy recovery.

If you or a loved one is told that a tumor is “inoperable” due to age or location, do not lose hope. Consult a Cancer specialist who has the experience to handle complex cases.

Visit for Expert Consultation: Dr. Manoj – Cancer & Liver Specialist