Fortis Escorts, Okhla successfully performs India's First Successful Kidney Auto-Transplant for Bilateral Wilms Tumour in a Young Uzbek Boy

Fortis Escorts, Okhla successfully performs India's First Successful Kidney Auto-Transplant for Bilateral Wilms Tumour in a Young Uzbek Boy

In a ground-breaking medical achievement, Doctors at Fortis Escorts, Okhla, have successfully performed India's first treatment of Bilateral Wilms Tumour (nephroblastoma), a rare and complex form of paediatric kidney cancer in a 6-year-old boy from Uzbekistan.

The boy’s condition was critical, with tumours affecting both kidneys, endangering his life. Despite undergoing chemotherapy in his home country, his chances of survival remained uncertain, prompting his parents to seek advanced treatment options in India. The child was brought to Fortis Escorts, Okhla, where a skilled team of doctors, led by Dr Paresh Jain, Director of Urology & Kidney Transplant, performed a highly intricate kidney auto-transplant procedure. The surgery, which lasted eight hours, was successful, and the boy recovered swiftly without any complications, following post-surgery observation.

Upon the child’s admission to the hospital, a comprehensive assessment revealed the presence of tumours in both kidneys. However, the left kidney was significantly affected by cancer, making it unsuitable for complete tumour removal without risking damage to the kidney itself. Additionally, the cancer had caused enlargement of the lymph nodes, which are critical to the body’s immune system. To address this, the medical team decided to perform a laparoscopic right partial nephrectomy (Nephron-Sparing Surgery - NSS) to remove the affected portion of the right kidney in August 2024. During this procedure, the right-sided lymph nodes, as well as the enlarged left-sided lymph node, were carefully removed. A biopsy of the left kidney was also performed within the same laparoscopic session, effectively minimizing the need for multiple surgeries.

Following the surgery, the child underwent a prescribed course of chemotherapy in Uzbekistan and returned to Fortis Escorts Okhla for re-assessment in November of the previous year. A follow-up PET-CT scan showed no signs of cancer in the right kidney and significant regression of the tumor in the left kidney. Encouraged by these positive outcomes, the medical team proceeded with further treatment for the remaining tumor in the left kidney. However, during the second stage of surgery, it was discovered that the left kidney was surrounded by thickened tissues due to previous treatments and surgeries, making it extremely difficult to safely separate the tumor from the healthy kidney tissue.

Considering the complexity of the situation, the doctors decided to remove the kidney from the body (Auto Kidney Transplant) through a small lower abdominal incision. This approach allowed for safer and more precise tumor removal while minimizing the risk of spreading cancer cells. The kidney was meticulously dissected to remove the tumor, and the doctors skillfully reconstructed the blood vessels and urine drainage pathways. Once the kidney was free of cancer, it was successfully re-implanted (auto-transplanted) back into the child’s lower abdomen. Following the procedure, the child experienced a gradual and smooth recovery.

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