Dr. Jagdishwar's blog

#1roboticsurgery

GAJA’S Robotic Esophagectomy- 10 step technique , made simple, standardised and reproducible-Evolved from Open and Thoracoscopic experience-Dr.Jagdishwar Goud Gajagowni-Apollo Hyderabad

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GAJA’S TECHNIQUE OF ROBOTIC ESOPHAGECTOMY consists of 10 steps done sequentially and carefully Having did M.Ch from Kidwai Memorial Institute of Oncology in 1999, I was exposed to Esophageal cancer surgery. What I realised there is Kidwai stated Trans Hiatal Esophagectomy,I had analysed 256 cases and observed that Surgeons were adapting and evolving in order … Read more

IF REAL VALUE TO PATIENT IS SHOWN- OUR MADNESS IN PURSUIT OF ADVANCED TECHNOLOGY WILL BE ACCEPTED EVEN IF ITS UNHEARD OF, DIFFICULT TO ADAPT OR IT’S EXPENSIVE- WE JUST HAD ONE GOAL-DEVELOP ROBOTIC CANCER SURGERY . WE STARTED WITH THE FIRST CASE IN TELUGU STATES AND CROSSED 4,000 CASES THIS YEAR. Today it’s accepted and one can see now launch of 9 robots in Hyderabad. Dr.Jagdishwar Goud Gajagowni, American Oncology Institute(THE FIRST 4th generation DaVinci X ROBOT IN TELUGU STATES)

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WE WERE CALLED MAD TO PURSUE ROBOTIC SURGERY WHICH WAS NEVER THERE IN TELANGANA 12 YEARS AGO. BUT IT’S BEING ACCEPTED NOW WITH VALUE BEING SHOWN IN MANY CANCERS. MANY SAID THEY WONT BUY NEW ROBOT AS ITS TOO EXPENSIVE, IT TOOK ALMOST A DECADE TO ACCEPT BECASUE OF BENFITS ESPECIALLY IN CANCER Futuristic thinking … Read more

ROBOTIC PORTS PLACED PROPERLY IS THE SECRET OF SUCCESS OF THE ROBOTIC ASSISTED SURGERY -FIRST INDEPENDANT TEAM WHICH DESIGNED REPRODUCIBLE PORTS FOR ESOPHAGECTOMY, SINGLE DOCKING LAR -RECTAL CANCER & UNIPORTAL RATS- LUNG CANCER- DR.JAGDISHWAR GOUD GAJAGOWNI

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Four factors contribute to the success of the robotic assisted surgery 1. Anatomy and awareness of the site to be operated 2.Planning the procedure after understanding it 3.Surgical skills of the surgeon 4. Most important-proper patient positioning and port placements. The purpose of patient positioning and port placements are maintaining the safety of the patient, … Read more

LOW RECTAL CANCER – Robotic or TaTME – Dr. Jagdishwar Goud Gajagowni – roboticsurgeryindia.in

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TRANS ANAL TME (TaTME) await more data and till then continue Robotic assisted Surgery Ta TME approach was supposed to be the next miracle surgery for rectal cancers. But we always felt that it has very very selective indications and needs proper training. We did 12 cases for post RT and post Surgery recurrences and … Read more

ROBOTIC RECTAL CANCER SURGERY- ROBOTIC SURGERY INDIA – APOLLO CANCER CENTRE HYDERABAD DE. JAGDISHWAR GOUD GAJAGOWNI -PORTS MODIFIED, SINGLE DOCKING, A SIMPLE, STANDARDISED TECHNIQUE

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https://www.roboticsurgeryindia.in/ Feel proud to be working at Apollo Hospitals, one of India’s leading healthcare institutions. Honorable Chairman is a visionary leader in the field of healthcare and has played a significant role in shaping the medical landscape in India. Under his leadership, Apollo Hospitals has grown into a network of hospitals, clinics, and diagnostic centers, … Read more

URATS- UNIPORTAL ROBOTIC ASSISTED THORACOSCOPIC SURGERY-A new innovative minimally invasive approach to Lung Cancer, Thymomas ,Dr. Jagdishwar Goud Gajagowni,Apollo hospitals Hyderabad

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Uniportal Robotic Assisted Thoracoscopic Surgery is being standardised at our center and we found it better tolerated especially so in high risk lung cancer cases. The video shows the technique where we use the camera in the center port than laterally. URATS has the advantage of easy conversion in an emergency, can shuffle ports at … Read more

#1roboticsurgery Robotic Right Hemithyroidectomy for a mediastinal right Thyroid lobe adenoma-Dr.Jagdishwar Goud Gajagowni at American Oncology Institute

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Mediastinal Thyroid adenomas can be of two types. One with a nodule from cervical Thyroid , gets enlarged and protrudes into superior mediastinum. This can be sometimes dissect out from the neck and sometimes may require thoracic approach. Second it can be an adenoma from Thyroid totally situated in the superior mediastinum. The second anatomical … Read more

#1roboticsurgery -Trans Oral Robotic Surgery (TORS)-Dr.Jagdishwar Goud Gajagowni at American Oncology Institute

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TORS has been made easy with the 4th generation DaVinci Robot available at American Oncology Institute, the one and the only one in the Telugu states. Because of slim , smooth 8 mm instruments and with the help of a special FK retractor, we can excise small lesion in deep areas like larynx, oro pharynx, … Read more