Dr. Manoj Dongare

Dr. Manoj Dongare is one of the most experienced cancer specialists in PCMC, Pune, with over 16 years of expertise in surgical oncology. He has successfully performed 2000+ cancer surgeries, 600 liver transplants, and 300 pancreatic resections. Trained at Tata Memorial Hospital, Mumbai, and currently serving as Assistant Professor & Consultant at Dr. DY Patil Hospital, he specializes in breast, GI, oral, gynecological, and liver cancers. His patient-focused care, surgical excellence, and dedication to cancer awareness make him a trusted name in oncology across Pune.

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🌿 71 साल की उम्र में लिवर कैंसर को मात — डॉ. मनोज डोंगरे सर ने सफल शस्त्रक्रिया से दी नई जिंदगी!

71 साल की उम्र में लिवर कैंसर का पता चला... पूरा परिवार टूट गया... लगा अब क्या होगा...

पर सही वक्त पर सही डॉक्टर से मिले — डॉ. मनोज डोंगरे सर से!

और आज वो बुजुर्ग खुशी से जिंदगी जी रहे हैं! 🙏

मरीज की स्थिति क्या थी?

उम्र — 71 साल पेट में दर्द और थकान की शिकायत जांच में पता चला — लिवर में कैंसर है

CT Scan और MRI में दिखा —

लिवर में बड़ा ट्यूमर  

ट्यूमर की स्थिति अत्यंत जटिल थी

मरीज की उम्र को देखते हुए ऑपरेशन बेहद चुनौतीपूर्ण था

घरवालों के मन में सवाल थे —

क्या इस उम्र में ऑपरेशन होगा?

क्या दोबारा सामान्य जिंदगी मिलेगी?

क्या कैंसर पर जीत संभव है?

जवाब मिला — हाँ, बिल्कुल संभव है!

ऑपरेशन से पहले की तैयारी

डॉ. मनोज डोंगरे सर ने ऑपरेशन से पहले पूरी सावधानी बरती।

प्री-ऑपरेटिव जांच में शामिल थे —

✔️ CT Scan और MRI से ट्यूमर की सटीक स्थिति जानी

✔️ PET Scan से कैंसर फैला तो नहीं — यह सुनिश्चित किया

✔️ लिवर की कार्यक्षमता की जांच की

✔️ मरीज की उम्र और शरीर की क्षमता का पूरा आकलन किया

✔️ मल्टीडिसिप्लिनरी टीम के साथ सर्जरी की योजना बनाई

यह तैयारी इसलिए जरूरी थी क्योंकि 71 साल की उम्र में लिवर सर्जरी करना एक बड़ी जिम्मेदारी थी।

शस्त्रक्रिया — कदम दर कदम

डॉ. मनोज डोंगरे सर ने अत्यंत सावधानी और सटीकता के साथ लिवर रिसेक्शन (Liver Resection) की शस्त्रक्रिया की।

सर्जरी के मुख्य चरण —

पेट की जांच — ट्यूमर की सही स्थिति और फैलाव का आकलन किया

लिवर की रक्त आपूर्ति नियंत्रित की — सर्जरी के दौरान रक्तस्राव को रोकने के लिए

ट्यूमर वाले लिवर के हिस्से को अलग किया — बाकी स्वस्थ लिवर को पूरी तरह सुरक्षित रखते हुए

सटीक रिसेक्शन — कैंसर को पूरी तरह निकाला, साफ मार्जिन सुनिश्चित किए

बाकी लिवर की रक्त आपूर्ति सुरक्षित रखी — ताकि लिवर सामान्य रूप से काम करता रहे

ड्रेनेज ट्यूब लगाई — ऑपरेशन के बाद किसी भी लीक को रोकने के लिए

सफल समापन — पूरी सर्जरी बिना किसी बड़ी जटिलता के पूरी हुई

सबसे बड़ी चुनौती थी — 71 साल के मरीज में पर्याप्त स्वस्थ लिवर बचाना ताकि ऑपरेशन के बाद लिवर सामान्य रूप से काम कर सके। और डॉ. मनोज डोंगरे सर ने यह कर दिखाया! 💪

ऑपरेशन के बाद की स्थिति

सर्जरी के बाद मरीज की बारीकी से निगरानी की गई।

रिकवरी कैसी रही —

✔️ कोई बड़ी जटिलता नहीं आई

✔️ Bile Leak नहीं हुआ

✔️ धीरे-धीरे डाइट शुरू हुई

✔️ लिवर की कार्यक्षमता सामान्य रही

✔️ मरीज कुछ दिनों में घर जाने के लिए तैयार हो गए! 🎉

आज मरीज कैसे हैं?

😊 खुशी से जिंदगी जी रहे हैं

💪 रोजमर्रा की जिंदगी पूरी तरह सामान्य

🙏 पूरा परिवार संतुष्ट और आभारी है

71 साल की उम्र में लिवर कैंसर को मात देना — यह साबित करता है कि सही वक्त पर सही इलाज हो तो उम्र कभी रुकावट नहीं बनती!

डॉ. मनोज डोंगरे सर के शब्दों में —

"बड़ी बीमारी हो तो भी सही इलाज, अनुभवी विशेषज्ञ और सकारात्मक सोच से उम्मीद की किरण हमेशा रहती है। लिवर कैंसर में देरी सबसे बड़ा दुश्मन है — जितनी जल्दी निदान, उतना बेहतर परिणाम।"

लिवर कैंसर के लक्षण नजरअंदाज मत करें!

🔴 पेट के दाहिनी तरफ दर्द या भारीपन

🔴 अचानक वजन कम होना

🔴 त्वचा या आंखें पीली होना (Jaundice)

🔴 भूख बिल्कुल न लगना

🔴 बहुत ज्यादा थकान और कमजोरी

ये लक्षण दिखें तो तुरंत विशेषज्ञ से मिलें!

अगर आपको या आपके किसी प्रियजन को लिवर से जुड़ी कोई भी समस्या है — देरी मत करें!

📍 Cloverleaf Speciality Clinic | वाकड, पुणे-PCMC 🏥 D.Y. Patil Medical College, Hospital and Research Centre | पिंपरी, पुणे 🌐 www.livertransplantpune.in 📞 कॉल करें: [phone] 🗓️ आज ही अपॉइंटमेंट बुक करें!

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Surgical Management of Pancreatic Cancer with Portal Vein Involvement — A Case by Dr. Manoj Dongare

How a Complex Whipple's Procedure with Portal Vein Involvement Was Successfully Performed in Pune

Pancreatic cancer involving major blood vessels is considered one of the most technically demanding surgical challenges in HPB surgery. When a 60-year-old gentleman was diagnosed with pancreatic cancer involving the portal vein and abutting the Superior Mesenteric Artery (SMA), most surgeons would consider it extremely high risk. Dr. Manoj Dongare, a leading HPB and Liver Transplant Surgeon, took on this challenge and delivered a successful outcome.

The Patient and His Complaint

A 60-year-old male presented with persistent pain in the abdomen. A CT scan of the abdomen revealed a serious finding:

A tumour in the pancreas involving the portal vein

The tumour was abutting the Superior Mesenteric Artery (SMA) — one of the most critical blood vessels supplying the intestines

The case was referred to Dr. Manoj Dongare specifically for portal vein resection — given his expertise as an HPB and Liver Transplant Surgeon

Confirming the Diagnosis

Before planning surgery, Dr. Manoj Dongare performed:

EUS (Endoscopic Ultrasound) with biopsy — to obtain tissue from the pancreatic tumour

Biopsy result — confirmed pancreatic cancer

Full pre-operative staging and surgical planning completed

The Surgery — A Technically Demanding Whipple's Procedure

Dr. Manoj Dongare performed a Whipple's Procedure (Pancreaticoduodenectomy) using a highly specialised surgical approach.

Step-by-step surgical highlights:

SMA First Approach — Instead of the conventional approach, Dr. Manoj Dongare used the SMA first technique — exposing and completely baring the Superior Mesenteric Artery first to ensure clear surgical margins and safe dissection around the most critical vessel

Complete removal of the Uncinate Process — The uncinate process of the pancreas, which was closely involved with the SMA, was completely excised

Portal vein management — The tumour's involvement with the portal vein was carefully addressed with precise dissection

Pancreatic duct reconstruction — The pancreatic duct was extremely small and could not initially be cannulated even with a 24-gauge cannula. Dr. Manoj Dongare serially dilated the duct step by step until adequate size was achieved

Duct-to-mucosa Pancreaticojejunostomy (PJ) — A precise connection was created between the tiny pancreatic duct and the small intestine — one of the most technically demanding steps in the entire procedure

Post-Operative Recovery

Following this complex surgery, the patient's recovery was smooth:

✔️ No major post-operative complications

✔️ No pancreatic leak — despite the tiny duct reconstruction

✔️ Patient was discharged on Postoperative Day 12

✔️ Patient doing well on follow-up

Key Takeaways from This Case

Pancreatic cancer involving the portal vein is not always inoperable — the right surgeon with vascular expertise can still achieve a curative resection

SMA first approach is a specialised technique that improves safety and surgical margins in complex pancreatic cancer cases

Tiny pancreatic ducts require innovative intraoperative solutions — serial dilation and precise duct-to-mucosa anastomosis

EUS with biopsy is essential for confirming pancreatic cancer before surgery

Early referral to an experienced HPB surgeon significantly improves outcomes

If you or a loved one has been diagnosed with pancreatic cancer involving major vessels, do not lose hope. Consult an expert today.

📍 Cloverleaf Speciality Clinic | Wakad, Pune-PCMC 🏥 D.Y. Patil Medical College, Hospital and Research Centre | Pimpri, Pune 🌐 www.livertransplantpune.in 📞 Call Us: [phone] 🗓️ Book An Appointment →

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Choosing the Right Cancer Surgeon for Lung Cancer Treatment in Pune

Choosing the Right Cancer Surgeon for Lung Cancer Treatment in Pune

A lung cancer diagnosis can feel overwhelming for patients and their families. One of the most important decisions during this journey is choosing the right cancer surgeon. The expertise of the surgeon directly affects treatment success, recovery, and long-term outcomes. When looking for the best lung cancer treatment in Pune, patients should focus on experience, advanced surgical skills, and compassionate care.

According to lung cancer surgeon Dr. Manoj Dongare, early diagnosis and timely surgery can significantly improve survival rates in lung cancer patients.

Why Choosing the Right Cancer Surgeon Matters

Lung cancer treatment is complex and often requires surgery, chemotherapy, radiation therapy, or targeted therapy. A highly experienced cancer specialist understands how to create a personalised treatment plan based on the stage and type of cancer.

The right surgeon helps with:

Accurate diagnosis and staging

Selecting the best treatment option

Safe and advanced surgical techniques

Faster recovery and post-operative support

Choosing the best oncosurgeon in Pune can make a major difference in both treatment outcomes and patient confidence.

Qualities to Look for in a Lung Cancer Surgeon

1. Experience in Lung Cancer Surgery

Always choose a surgeon with expertise in thoracic and lung cancer surgeries. An experienced specialist can handle both routine and complex cancer cases with greater precision.

2. Advanced Surgical Techniques

Modern techniques such as minimally invasive or thoracoscopic surgery reduce pain, blood loss, and recovery time. Patients seeking lung cancer treatment in Pune increasingly prefer surgeons who offer advanced surgical options.

3. Multidisciplinary Approach

A good cancer specialist works closely with radiologists, medical oncologists, and pulmonologists to ensure complete cancer care.

4. Patient-Focused Care

Patients should feel comfortable discussing symptoms, fears, and treatment options. Emotional support and clear communication are equally important during cancer treatment.

When Is Surgery Recommended for Lung Cancer?

Surgery is often advised when:

The cancer is detected early

The tumour is localised in the lung

Cancer has not spread extensively

The patient is fit for surgery

In these situations, lung cancer surgeon Dr. Manoj Dongare carefully evaluates scans and reports before recommending the best surgical approach.

Role of Cloverleaf Speciality Clinic in Cancer Care

At Cloverleaf Speciality Clinic, patients receive comprehensive cancer evaluation and personalised treatment plans. The clinic focuses on advanced cancer care, ethical treatment practices, and long-term patient support.

From diagnosis to recovery, the team ensures patients receive quality care in a comfortable environment.

Benefits of Early Surgical Intervention

When lung cancer is treated early:

Survival chances improve significantly

Tumours can often be removed completely

Complications are reduced

Recovery becomes smoother

This is why consulting the best oncosurgeon in Pune at the earliest signs of symptoms is highly recommended.

Why Patients Trust Dr. Manoj Dongare

Dr. Manoj Dongare is widely recognised for his expertise in cancer surgeries and patient-centred care. As an experienced lung cancer surgeon Dr. Manoj Dongare focuses on accurate diagnosis, advanced treatment planning, and safe surgical outcomes.

Patients searching for reliable lung cancer treatment in Pune often choose him because of his ethical approach, surgical expertise, and commitment to personalised care.

Conclusion

Choosing the right surgeon is one of the most important steps in lung cancer treatment. Experience, technology, and compassionate care all play a key role in achieving the best results. If you or your loved one is looking for trusted lung cancer treatment in Pune, consult an experienced cancer specialist like Dr. Manoj Dongare at Cloverleaf Speciality Clinic for expert guidance and advanced care.

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When Is Surgery Needed for Lung Cancer? A Cancer Surgeon Explains

When Is Surgery Needed for Lung Cancer? A Cancer Surgeon Explains

Lung cancer is one of the most serious cancers affecting both smokers and non-smokers today. Early diagnosis and proper treatment planning are very important for improving survival. Many patients often ask whether surgery is necessary for lung cancer and when it becomes the best treatment option. According to lung cancer surgeon Dr. Manoj Dongare, surgery plays a major role in curing lung cancer when the disease is detected at an early stage.

At Cloverleaf Speciality Clinic, patients receive personalised cancer care with advanced surgical and treatment options.

What Is Lung Cancer?

Lung cancer develops when abnormal cells in the lungs grow uncontrollably. It can spread to nearby tissues and other organs if not treated on time. Common symptoms include:

Persistent cough

Chest pain

Shortness of breath

Coughing blood

Sudden weight loss

Repeated chest infections

People experiencing these symptoms should immediately consult a cancer specialist for proper evaluation.

When Is Surgery Recommended for Lung Cancer?

Surgery is usually recommended when:

The cancer is detected in an early stage

The tumour is confined to the lung

Cancer has not spread extensively

The patient is medically fit for surgery

According to best oncosurgeon in Pune, early-stage lung cancer offers the best chance for successful surgical treatment.

Types of Lung Cancer Surgery

Depending on the size and location of the tumour, different procedures may be performed:

1. Lobectomy

Removal of one lobe of the lung. This is the most common surgery for lung cancer.

2. Segmentectomy or Wedge Resection

Only a small cancerous portion of the lung is removed. This is considered for smaller tumours or patients with limited lung function.

3. Pneumonectomy

Removal of the entire lung when the tumour is extensive.

4. Minimally Invasive Lung Surgery

Advanced laparoscopic or thoracoscopic techniques help reduce pain and speed up recovery.

Patients seeking lung cancer treatment in Pune are increasingly choosing minimally invasive approaches because of shorter hospital stays and faster healing.

Who May Not Be Suitable for Surgery?

Not every patient with lung cancer requires surgery. If cancer has spread to distant organs or the patient has poor lung function, chemotherapy, radiation therapy, immunotherapy, or targeted therapy may be better options.

A skilled cancer specialist carefully evaluates scans, biopsy reports, and overall health before making treatment decisions.

Benefits of Early Surgical Treatment

When surgery is done at the right time:

Cancer can be removed completely

Survival rates improve significantly

Symptoms reduce

Quality of life becomes better

This is why timely consultation with lung cancer surgeon Dr. Manoj Dongare is very important.

Recovery After Lung Cancer Surgery

Recovery depends on the type of surgery performed. Most patients are advised:

Breathing exercises

Early walking and physiotherapy

Nutritious diet

Regular follow-ups

At Cloverleaf Speciality Clinic, patients receive complete post-operative support and personalised recovery guidance.

Why Choose Dr. Manoj Dongare for Lung Cancer Surgery?

Dr. Manoj Dongare is recognised as a trusted best oncosurgeon in Pune with extensive experience in cancer surgeries. His patient-focused approach, advanced surgical expertise, and commitment to ethical treatment make him a preferred choice for patients seeking lung cancer treatment in Pune.

As an experienced cancer specialist, he ensures that every patient receives accurate diagnosis, advanced treatment planning, and compassionate care.

Conclusion

Surgery is one of the most effective treatments for lung cancer when diagnosed early. The right treatment at the right time can save lives and improve long-term outcomes. If you or your loved one experiences symptoms of lung cancer, do not delay consultation. Expert evaluation by lung cancer surgeon Dr. Manoj Dongare at Cloverleaf Speciality Clinic can help you choose the best treatment plan with confidence.

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Surgical Management of Retroperitoneal Cystic Lesion in a Solitary Kidney Patient — A Case by Dr. Manoj Dongare

How a Rare Adrenal Tumour Was Successfully Removed While Saving the Only Remaining Kidney in Pune

Imagine having only one kidney — and then developing a tumour right next to it. For a 64-year-old lady, this was a terrifying reality. What made her case even more complex was that the tumour turned out to be a rare variant of pheochromocytoma — a diagnosis that was only confirmed after surgery. This is the story of how Dr. Manoj Dongare successfully navigated one of the most challenging surgical scenarios in HPB and oncological surgery.

The Patient and Her Medical History

A 64-year-old female patient presented with pain in her left flank. Her medical history added significant complexity to the case:

She had undergone a right nephrectomy (removal of the right kidney) 10 years ago for pyonephrosis — a severe kidney infection

This meant she was now living with a solitary left kidney — her only functioning kidney

Any damage to this kidney during surgery would mean permanent kidney failure and lifelong dialysis

The patient was referred to Dr. Manoj Dongare at D.Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune and Cloverleaf Speciality Clinic, Wakad, Pune-PCMC — given the extreme complexity of the case.

Diagnosis — A Puzzling CT Scan Finding

A CT scan revealed a concerning finding:

A cystic lesion in the retroperitoneum — the space behind the abdominal organs

The lesion was abutting the tail of the pancreas

It was adherent to the left renal vein — the main vein draining the only remaining kidney

Two possible diagnoses were considered:

Cystic neoplasm of the pancreas

Adrenal tumour

The proximity of the tumour to the left renal vein made surgery extremely high risk — one wrong move could damage the kidney's blood supply irreversibly.

Pre-Operative Workup — Ruling Out a Functional Tumour

Before proceeding with surgery, Dr. Manoj Dongare ordered a critical pre-operative investigation:

Metanephrine level tests — to check whether the tumour was a functional pheochromocytoma (a type of adrenal tumour that produces hormones causing dangerous spikes in blood pressure during surgery)

Result — Metanephrine levels were normal — ruling out a functional tumour and making surgery safer to proceed

This careful pre-operative planning is what distinguishes expert surgical care from routine management.

The Surgery — Precision at Its Best

The surgery performed by Dr. Manoj Dongare was technically one of the most demanding procedures in surgical oncology.

Step-by-step surgical approach:

Release of adhesions — Scar tissue from the previous right nephrectomy surgery was carefully dissected and released

Identification of the cystic lesion — The tumour was found arising from the adrenal gland and firmly adherent to the left renal vein

Meticulous dissection off the renal vein — The tumour was carefully separated from the renal vein without damaging it

Tying off large branches — All large blood vessel branches supplying the tumour from the renal vessels were carefully tied off

Complete tumour removal — The cystic lesion was fully excised

Kidney preservation — The solitary left kidney was completely saved with its blood supply intact

The surgical challenge here was immense — operating in a field with previous adhesions, next to the only functioning kidney, with a tumour stuck to the main renal vein.

Post-Operative Recovery and Final Diagnosis

The patient's recovery was smooth and uneventful:

✔️ No complications after surgery

✔️ Kidney function preserved — no dialysis required

✔️ Discharged in stable and good condition

Histopathology Report (HPR) revealed: The lesion was confirmed as an oncocytic variant of pheochromocytoma — a rare and unusual type of adrenal tumour that had presented as a cystic lesion, making pre-operative diagnosis extremely difficult.

Key Takeaways from This Case

This remarkable case managed by Dr. Manoj Dongare teaches us several important lessons:

Solitary kidney patients require a surgeon with exceptional vascular and oncological expertise

Pre-operative metanephrine testing is essential before operating on any suspected adrenal tumour

Retroperitoneal tumours near major vessels require careful pre-surgical planning and expert dissection

Previous surgical adhesions add significant complexity — experience matters enormously

Oncocytic pheochromocytoma is a rare diagnosis that can mimic pancreatic or adrenal cysts on imaging

Kidney preservation in a solitary kidney patient is the highest surgical priority

Why Choose Dr. Manoj Dongare for Complex Surgical Cases?

Dr. Manoj Dongare is a highly experienced HPB Surgeon and cancer specialist with expertise in complex retroperitoneal, adrenal, pancreatic, and vascular surgeries. He practises at D.Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune and Cloverleaf Speciality Clinic, Wakad, Pune-PCMC.

His expertise includes:

Complex retroperitoneal tumour surgery

Adrenal tumour removal with vessel preservation

Solitary kidney cases requiring vascular expertise

HPB and pancreatic surgeries

Rare and unusual oncological presentations

If you or a loved one has been diagnosed with a retroperitoneal tumour, adrenal mass, or any complex abdominal condition, do not delay seeking expert care.

📍 Cloverleaf Speciality Clinic | Wakad, Pune-PCMC 🏥 D.Y. Patil Medical College, Hospital and Research Centre | Pimpri, Pune 🌐 www.livertransplantpune.in 📞 Call Us: [phone] 🗓️ Book An Appointment →

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https://www.livertransplantpune.in/service/lung-cancer-treatment-in-pune/

Lung Cancer Treatment in Pune | Lung Cancer Surgeon in Pune | Dr. Manoj Dongare

Looking for advanced lung cancer treatment in Pune? Dr. Manoj Dongare is an experienced lung cancer surgeon in Pune with 16+ years of expertise in surgical oncology. He offers personalised treatment plans, minimally invasive lung cancer surgery, and comprehensive cancer care for better recovery and outcomes. With modern technology, accurate diagnosis, and compassionate support, patients receive trusted and effective lung cancer treatment in Pune.

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Emergency Pancreatic Surgery: A 5-Year-Old’s Story of Survival

A Bicycle Accident, a Life-Threatening Pancreatic Injury, and a Miraculous Recovery in Pune

A simple bicycle ride almost turned into a tragedy for a 5-year-old boy from Pimpri-Chinchwad. When the bicycle handlebar struck his upper abdomen with full force, it caused a severe internal pancreatic injury that required immediate emergency surgery. Thanks to the swift and expert intervention of Dr. Manoj Dongare, one of the best oncologists in Pune and a leading Pancreatic Cancer Surgeon, the child is today completely healthy and back to his normal life.

How Did the Accident Happen?

The young boy was riding his bicycle near his home when he lost balance and fell forward. The bicycle handlebar hit his upper abdomen with tremendous force, causing:

A deep visible wound on the abdomen

Severe internal injury to the pancreas

Internal bleeding and leakage of digestive enzymes into the abdomen

Immediate signs of internal distress and severe pain

His family rushed him to the hospital in a critical condition. Time was running out.

Immediate Diagnosis — Every Minute Counted

On arrival, Dr. Manoj Dongare at D.Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune immediately assessed the child.

Findings on examination:

Deep external wound on the abdomen

Urgent imaging revealed severe laceration of the pancreas

Active internal bleeding confirmed

Digestive enzyme leakage detected — a life-threatening complication

Why is pancreatic injury so dangerous?

The pancreas produces powerful digestive enzymes. When the pancreas is injured, these enzymes leak out and begin digesting the surrounding organs — causing rapid deterioration. Without immediate surgery, this can lead to organ failure, severe infection, and death.

Dr. Manoj Dongare made the decision for emergency surgery within one hour of admission — a call that saved this child's life.

The Emergency Surgery — Step by Step

Dr. Manoj Dongare performed a highly complex emergency pancreatic surgery requiring extreme precision and focus.

Surgical steps performed:

Abdominal exploration — Full assessment of damage to the pancreas and surrounding organs

Controlling internal bleeding — First and most critical priority

Pancreatic repair — Deep tear in the pancreas carefully identified and cleaned

Removal of leaked fluids — Digestive enzymes and blood cleared from the abdominal cavity

Delicate suturing — Precise stitching to repair the pancreatic tissue

Drainage placement — Special tubes placed to prevent post-operative fluid collection

Wound closure — External wound carefully cleaned and closed

The entire surgery took several hours. The focus throughout was on preserving maximum pancreatic tissue to protect the child's long-term digestive health and quality of life.

Post-Operative Recovery — A Brave Little Fighter

After surgery, the boy was monitored closely in the ICU under the care of Dr. Manoj Dongare and his team.

Post-operative care included:

Child-safe pain management medications

Regular monitoring of drainage tubes for any leaks

Gradual introduction of liquid diet

High-grade antibiotics to prevent infection

Close observation of pancreatic function

Within a few days, the boy was sitting up and talking to his parents — showing remarkable strength and resilience.

Final Outcome — Completely Healthy Today

The results of this emergency intervention were outstanding:

✔️ Child is completely safe and healthy

✔️ Digestion fully normal and stable

✔️ Surgical wound healed perfectly

✔️ Back to his normal routine and daily activities

✔️ No long-term complications

Important Message from Dr. Manoj Dongare

"In paediatric trauma, every minute counts. A handlebar injury might look like a simple bruise from the outside, but it can cause serious internal damage. Parents should never ignore a hard hit to the stomach area. Quick diagnosis and immediate surgery saved this child's life."

— Dr. Manoj Dongare, Pancreatic Cancer Surgeon and Best Oncologist in Pune

Key Takeaways for Parents — Never Ignore These Signs After a Stomach Injury

If your child suffers a hard blow to the abdomen, watch for:

Severe or worsening abdominal pain

Vomiting that does not stop

Rigid or swollen belly

Pale skin, weakness, or fainting

Child refusing to eat or drink

Rush to the nearest hospital immediately — do not wait.

Why Choose Dr. Manoj Dongare for Emergency and Complex Surgical Cases?

Dr. Manoj Dongare is a highly experienced Pancreatic Cancer Surgeon and best oncologist in Pune with expertise in emergency abdominal surgeries, complex pancreatic procedures, and HPB surgeries. He practises at D.Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune and Cloverleaf Speciality Clinic, Wakad, Pune-PCMC — making advanced surgical care accessible to families across Pune and Pimpri-Chinchwad.

For medical emergencies or expert surgical consultation, do not delay.

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Surgical Management of Biliary Cystadenoma with Liver Abscess — A Case by Dr. Manoj Dongare

How Recurrent Liver Abscesses Over 2 Years Were Finally Resolved with Expert Liver Surgery in Pune

When a patient suffers from recurrent liver abscesses for two long years without a clear diagnosis, it takes a sharp clinical eye and expert surgical intervention to find the real cause and treat it permanently. This is exactly what Dr. Manoj Dongare, one of the best oncologists in Pune and a leading Bile Duct Cancer Surgeon, achieved for a 40-year-old gentleman whose underlying biliary cystadenoma had gone undetected for years.

The Patient and His Medical History

A 40-year-old male patient presented with a troubling history of recurrent multiple liver abscesses in the right lobe of the liver for the past 2 years. Despite repeated treatments, the abscesses kept coming back — a clear sign that something deeper was causing the problem.

MRI of the liver revealed the root cause:

A biliary cystadenoma — a tumour of the bile duct — located in Segment V of the liver

This tumour had been silently causing repeated infections and abscess formation in the surrounding liver tissue

The patient was referred to Dr. Manoj Dongare, a highly experienced HPB Surgeon and Bile Duct Cancer Surgeon practising at D.Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune and Cloverleaf Speciality Clinic, Wakad, Pune-PCMC.

What is a Biliary Cystadenoma?

A biliary cystadenoma is a rare, benign but potentially dangerous tumour that arises from the bile duct lining inside the liver. It is a slow-growing tumour that can:

Cause recurrent liver infections and abscesses

Grow silently for years without obvious symptoms

Transform into cancer (cystadenocarcinoma) if left untreated

Be easily missed on routine ultrasound — requiring MRI for accurate diagnosis

In this patient's case, the biliary cystadenoma in Segment V had been the hidden cause behind two years of repeated liver abscesses — a diagnosis that was only confirmed after detailed MRI imaging.

The Surgery — Extended Right Hepatectomy with Segment Preservation

Dr. Manoj Dongare performed a carefully planned liver resection to completely remove the tumour along with the affected liver segments.

Step-by-step surgical approach:

Pre-operative planning — Detailed assessment of liver segments to plan precise resection

Resection of Segments IVB, V, and VI — Complete removal of all affected liver tissue containing the tumour and abscess

Preservation of the pedicle to Segments VII and VIII — Critically important step to maintain blood supply and bile drainage to the remaining liver

Extended right hepatectomy — Successfully completed while retaining adequate functional liver volume

Confirmation of no bile leak — Ensuring complete integrity of the biliary system after resection

The key surgical achievement here was removing the diseased segments completely while preserving the vascular and biliary pedicle to Segments VII and VIII — a technically demanding step that ensured the remaining liver functioned normally after surgery.

Post-Operative Recovery — Smooth and Uneventful

Following the expert surgery by Dr. Manoj Dongare, the patient's recovery was excellent:

No bile leak — a common and serious complication after liver resection, successfully avoided

No major post-operative complications

Patient was discharged on Day 9 in good and stable condition

Recurrent liver abscesses — which had troubled the patient for 2 full years — were completely resolved

Key Takeaways from This Case

This case successfully managed by Dr. Manoj Dongare carries important messages for patients:

Recurrent liver abscesses that keep coming back are a warning sign — the underlying cause must be investigated thoroughly

MRI is superior to ultrasound in detecting bile duct tumours like biliary cystadenoma

Biliary cystadenoma must be surgically removed — it does not resolve on its own and carries a risk of turning cancerous

HPB Surgery expertise is essential for liver resections involving multiple segments and vessel preservation

Early referral to the best oncologist in Pune with HPB expertise can prevent years of unnecessary suffering

If you or a loved one is suffering from recurrent liver abscesses or has been diagnosed with a bile duct tumour, do not delay seeking expert surgical care.

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Surgical Management of Parotid Adenoma in a Young Patient 

How a 17-Year-Old Girl's Parotid Tumour Was Successfully Removed Without Any Facial Nerve Damage in Pune

A swelling near the ear in a young teenager may seem harmless at first glance — but when it turns out to be a parotid adenoma sitting right next to the facial nerve, the stakes become extremely high. This is the story of how Dr. Manoj Dongare successfully operated on a 17-year-old girl, removing the tumour completely while preserving her facial nerve and saving her from permanent facial disfigurement.

The Patient and Her Complaint

A 17-year-old girl presented with a swelling in front of her left ear — a common location for parotid gland tumours. Though the swelling appeared on the outside, the investigations told a more serious story.

Diagnostic findings:

Needle biopsy — Confirmed the presence of a parotid adenoma (a benign tumour of the parotid salivary gland)

MRI scan — Revealed the tumour was abutting the facial nerve — the nerve responsible for all facial movements and expressions

This finding made the surgery extremely delicate and high-risk, particularly because:

Any damage to the facial nerve could cause permanent facial paralysis.

The patient was only 17 years old — facial disfigurement at such a young age would have a profound and lasting impact on her life

The tumour's proximity to the nerve left very little margin for error

The patient was referred to Dr. Manoj Dongare at D.Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune, given his expertise in complex head and neck surgeries requiring meticulous nerve preservation.

Understanding the Risk — Why Was This Surgery So Challenging?

What is the Facial Nerve?

The facial nerve (cranial nerve VII) controls all the muscles of facial expression — smiling, blinking, frowning, and speaking. It runs directly through the parotid gland, branching out like a tree inside the gland tissue.

Why is parotid surgery near the facial nerve so risky?

The nerve branches are extremely thin and delicate

The tumour was directly touching the nerve, making separation very difficult

Even minor trauma to the nerve during surgery can cause temporary or permanent facial weakness or paralysis

In a 17-year-old girl, the consequences of facial nerve damage would be lifelong

This is why the case was referred to Dr. Manoj Dongare, a surgeon with the precision and expertise required for such a demanding procedure.

The Surgery — Superficial Parotidectomy with Facial Nerve Preservation

Dr. Manoj Dongare performed a superficial parotidectomy — surgical removal of the superficial lobe of the parotid gland containing the tumour.

Step-by-step surgical approach:

Careful incision in front of and below the ear to access the parotid gland

Identification of the facial nerve trunk — the main nerve before it branches

Meticulous dissection along each branch of the facial nerve — separating the tumour from the nerve with extreme care

Complete removal of the parotid adenoma — ensuring no tumour was left behind

Confirmation of all facial nerve branches — verifying every branch was intact before closing

Wound closure with attention to cosmetic outcome — especially important for a young patient

The key to success in this surgery was the patience and precision with which Dr. Manoj Dongare dissected the tumour away from each delicate branch of the facial nerve.

Post-Operative Outcome — A Perfect Result

The results of the surgery were outstanding:

No facial paralysis — all branches of the facial nerve were completely preserved

Complete tumour removal — the parotid adenoma was fully excised

No facial disfigurement — the young patient's appearance was fully maintained

Smooth recovery — the patient recovered well without any major complications

For a 17-year-old girl, waking up after surgery with full facial movement and no visible disfigurement was the best possible outcome — and a life-changing result.

Key Takeaways from This Case

This case, successfully managed by Dr. Manoj Dongare, teaches us several important lessons:

A swelling near the ear should never be ignored — it could be a parotid gland tumour requiring expert evaluation

MRI is essential for parotid tumours to understand the relationship with the facial nerve before surgery

Parotid surgery near the facial nerve must only be performed by an experienced surgeon with specific expertise in nerve preservation

Young patients deserve especially careful surgical planning to protect their long-term quality of life

Early diagnosis and referral to the right specialist lead to the best outcomes

Warning Signs of Parotid Gland Tumours

Watch out for these symptoms and consult a specialist immediately:

A painless or painful swelling in front of or below the ear

Numbness or weakness in any part of the face

Difficulty opening the mouth or swallowing

A swelling that is gradually increasing in size

Why Choose Dr. Manoj Dongare for Complex Surgical Cases?

Dr. Manoj Dongare is a highly experienced surgical specialist with expertise across HPB surgery, cancer surgery, and complex head and neck procedures. He practises at D.Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune, offering world-class surgical care with a patient-first approach.

If you or a loved one has been diagnosed with a parotid tumour or any complex surgical condition, do not delay seeking expert care.

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Successful Management of Pancreatic Tumour with Portal Vein Involvement — A Case by Dr. Manoj Dongare

How a Complex Pancreatic Tumour Nearly Invading the Portal Vein Was Successfully Treated in Pune

When a pancreatic tumour grows close to or involves major blood vessels, surgery becomes extremely high risk — and only a handful of specialists in India have the expertise to handle such cases. This is the story of a 45-year-old lady whose complex pancreatic tumour was successfully managed by Dr. Manoj Dongare, one of the best HPB Surgeons and best Pancreatic Surgeons in Pune.

The Patient and Her Complaint

A 45-year-old lady presented with persistent pain in the abdomen. Initial investigations including USG and CT scan revealed a serious finding:

A large tumour in the neck of the pancreas

The tumour was almost invading the portal vein — the major blood vessel supplying the liver

Surgery was deemed very high risk due to vascular involvement

There was a clinical dilemma — should this be treated with a Whipple's Procedure or a Distal Pancreatectomy?

Given the complexity and the possibility of requiring portal vein resection, the patient was referred to Dr. Manoj Dongare, a highly experienced HPB and Liver Transplant Surgeon practising at D.Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune and Cloverleaf Speciality Clinic, Wakad, Pune-PCMC.

The Surgical Challenge — Why Was This Case So Difficult?

The pancreas sits deep in the abdomen, surrounded by major blood vessels. When a tumour grows at the neck of the pancreas, it sits right next to the portal vein and superior mesenteric vein — vessels that cannot simply be cut without serious consequences.

Key challenges in this case:

Tumour location at the neck of the pancreas — a technically demanding area

Near invasion of the portal vein — risking massive bleeding

Uncertainty about the right surgical approach — Whipple's vs distal pancreatectomy

Need for a surgeon experienced in both pancreatic tumour removal surgery in Pune and vascular reconstruction

The Surgery — Subtotal Pancreatectomy with Splenectomy

After careful pre-operative planning, Dr. Manoj Dongare and his team proceeded with surgery. Here is what was done step by step:

Careful exploration of the abdomen to assess the full extent of the tumour

Meticulous dissection of the portal vessels away from the tumour — avoiding the need for portal vein resection

Successful separation of the tumour from the portal vein — a technically demanding and critical step

Subtotal pancreatectomy — removal of the majority of the pancreas including the tumour

Splenectomy — removal of the spleen, which shares blood supply with the pancreatic tail

The decision to perform a subtotal pancreatectomy with splenectomy rather than a Whipple's procedure was a key intraoperative judgement call — one that reflects the deep surgical expertise of Dr. Manoj Dongare as the best Pancreatic Surgeon in the region.

Post-Operative Recovery — Smooth and Complication-Free

The patient's post-operative course was remarkably smooth:

No major complications following surgery

Gradual recovery with careful monitoring

The patient was very satisfied with the treatment and outcome

Discharged in good condition

This excellent outcome in such a high-risk case reflects the value of choosing the right specialist for pancreatic tumour removal surgery in Pune.

Key Takeaways from This Case

Pancreatic tumours near the portal vein require a specialist with vascular expertise — not just a general surgeon

Proper pre-operative planning and intraoperative decision-making are critical in complex pancreatic surgeries

Subtotal pancreatectomy can be a better option than Whipple's procedure in selected cases

Multidisciplinary and HPB expertise significantly improves outcomes in vascular-involvement cases

Early referral to the best HPB Surgeon can make the difference between a successful outcome and a life-threatening complication

Why Choose Dr. Manoj Dongare for Pancreatic Tumour Surgery?

Dr. Manoj Dongare is one of the most trusted names for pancreatic tumour removal surgery in Pune. As the best HPB Surgeon and best Pancreatic Surgeon, he brings exceptional expertise in complex pancreatic, liver, and biliary surgeries. He practises at D.Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune and Cloverleaf Speciality Clinic, Wakad, Pune-PCMC.

If you or a loved one has been diagnosed with a pancreatic tumour or any complex abdominal condition, do not delay seeking expert care.

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Surgical Management of Pancreatic Pseudocyst Following Acute Pancreatitis — A Case by Dr. Manoj Dongare

How an 8 cm Pancreatic Pseudocyst Was Successfully Treated with Cystogastrostomy in Pune

Pancreatitis is a painful and potentially serious condition — and when it leads to complications like a pancreatic pseudocyst, timely and expert management becomes absolutely critical. This is the story of a 35-year-old gentleman whose acute pancreatitis led to a large pseudocyst, and how Dr. Manoj Dongare successfully treated it with a well-planned surgical procedure.

The Patient and His Presenting Complaint

A 35-year-old male patient with a history of chronic alcohol consumption presented with severe abdominal pain. After thorough clinical evaluation and imaging, he was diagnosed with acute pancreatitis with fluid collection around the pancreas.

Alcohol-related pancreatitis is one of the most common causes of acute pancreatitis in India, particularly in young and middle-aged men. The pancreas becomes severely inflamed, and in many cases, fluid begins to collect around it — which can later develop into a pseudocyst if not managed properly.

The patient was referred to Dr. Manoj Dongare, one of the best HPB Surgeons and best Pancreatic Surgeons practising at D.Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune and Cloverleaf Speciality Clinic, Wakad, Pune-PCMC.

Initial Management — Conservative Approach First

Not every case of pancreatitis requires immediate surgery. In this case, Dr. Manoj Dongare followed the correct and evidence-based approach of conservative management first.

Initial conservative treatment included:

Complete bowel rest and nil by mouth

Intravenous fluids and nutritional support

Pain management and monitoring

Close observation for signs of complications

This careful, non-surgical approach in the acute phase is standard practice and gives the pancreas time to settle down before any intervention is considered.

Follow-Up Imaging — The Pseudocyst is Discovered

Six weeks after the initial episode of pancreatitis, the patient underwent follow-up imaging as planned.

What the imaging revealed:

An 8 cm pancreatic pseudocyst — a large, fluid-filled sac that had formed adjacent to the pancreas

The pseudocyst had not resolved on its own despite conservative management

What is a Pancreatic Pseudocyst?

A pancreatic pseudocyst is a collection of fluid that forms after an episode of pancreatitis. Unlike a true cyst, it does not have a proper lining. It develops when the pancreatic ducts are disrupted and pancreatic fluid leaks out and collects in a enclosed space.

When does a pseudocyst need treatment?

When it is large (generally more than 6 cm)

When it causes symptoms like pain, nausea, or vomiting

When it does not resolve on its own after several weeks

When there is a risk of infection or rupture

In this patient's case, the 8 cm size and persistent symptoms clearly indicated that surgical intervention was necessary.

The Surgery — Cystogastrostomy

Dr. Manoj Dongare performed a Cystogastrostomy — a well-established and highly effective surgical procedure for draining pancreatic pseudocysts.

What is Cystogastrostomy?

Cystogastrostomy is a surgical procedure in which the pancreatic pseudocyst is connected directly to the stomach. This creates an internal drainage pathway, allowing the fluid inside the pseudocyst to drain naturally into the stomach and pass out of the body through the digestive system.

Step-by-step surgical process:

Patient preparation and anaesthesia — The patient was prepared for general anaesthesia

Surgical access — The abdomen was opened to access the pseudocyst

Identification of the pseudocyst — The 8 cm cyst was identified adjacent to the posterior wall of the stomach

Creation of the cystogastrostomy — An opening was created between the pseudocyst and the stomach wall, allowing internal drainage.

Closure and completion — The surgical site was closed carefully after confirming adequate drainage

This procedure effectively eliminates the pseudocyst by using the body's own digestive system as a natural drainage route — avoiding the need for repeated external drainage or more complex surgery.

Post-Operative Recovery — Smooth and Straightforward

Following the surgery by Dr. Manoj Dongare, the patient's recovery was excellent.

Post-operative course:

Day 1–4 — Patient monitored closely; pain well controlled

Day 5–6 — Gradual introduction of oral diet; patient tolerating well

Day 7 — Patient discharged in good condition

Follow-up — Patient is currently doing well with no complications

Being discharged on Postoperative Day 7 after a cystogastrostomy is an excellent outcome and reflects the high standard of surgical care provided.

If you or a loved one has been diagnosed with pancreatitis, pancreatic pseudocyst, or any complex pancreatic condition, do not delay seeking expert care.

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Surgical Management of Renal Cancer with IVC Thrombus — A Complex Case by Dr. Manoj Dongare

How a 35-Year-Old Patient with Advanced Kidney Cancer and IVC Thrombus Was Successfully Treated in Pune

Fear can sometimes be the biggest obstacle to timely medical treatment. This is the story of a young 35-year-old gentleman who delayed his kidney cancer surgery for three years — and how expert surgical intervention by Dr. Manoj Dongare ultimately saved his life despite the enormous complexity of the case.

The Patient and His Story

Three years before presenting to us, this 35-year-old male patient was already diagnosed with a left renal mass — a growth on his left kidney. Unfortunately, out of fear, he chose not to undergo surgery at that time.

Three years later, he developed severe pain in the left flank. When he finally came forward for treatment, investigations painted a much more serious picture than before.

CT scan findings revealed:

A huge renal cancer involving the left kidney

The tumour had extended into the left renal vein.

The cancer thrombus (blood clot containing cancer cells) had grown into the Inferior Vena Cava (IVC) — the largest vein in the body — just below the opening of the hepatic veins.

The mass was stuck to the psoas muscle and involved the left mesocolon.

The patient was referred to Dr. Manoj Dongare, a renowned surgical oncologist and best cancer specialist practising at D.Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune and Cloverleaf Speciality Clinic, Wakad, Pune-PCMC.

PET Scan Result: No evidence of distant metastasis — the disease was still localised, giving a chance for curative surgery.

Understanding the Complexity — What is IVC Thrombus in Renal Cancer?

When kidney cancer grows, it can sometimes extend into the renal vein and travel upward into the IVC — the major vein that carries blood from the lower body back to the heart. This is called an IVC thrombus.

Why is this dangerous?

The thrombus can break off and travel to the lungs, causing a life-threatening pulmonary embolism

Surgery becomes extremely complex as it involves the major blood vessels of the body

Multiple organs may need to be managed or removed simultaneously

This type of surgery requires not just a skilled cancer surgeon but a specialist with deep expertise in vascular and hepatobiliary surgery — exactly the kind of expertise Dr. Manoj Dongare brings to every case.

The Surgery — A Multi-Step, High-Precision Procedure

The surgical team, led by Dr. Manoj Dongare, performed one of the most technically demanding operations in surgical oncology. Here is a step-by-step account of what was done:

Exploration of the abdomen — The surgical team assessed the full extent of the tumour, confirming it was stuck to the psoas muscle and involved the left mesocolon

Mobilisation of the right lobe of the liver — To gain access to the IVC and the hepatic veins

Mobilisation of the caudate lobe off the IVC — A delicate step requiring precise dissection near the liver

Looping of the intrahepatic IVC and the IVC just below the hepatic veins — To control blood flow and safely open the vein

Looping of the left and right renal veins — To isolate the renal circulation

Tying of the adrenal and lumbar veins — To prevent bleeding during IVC opening

Opening of the IVC and delivery of the thrombus — The cancer thrombus was carefully extracted from inside the vein

Left nephrectomy — Complete removal of the cancerous left kidney

Colon resection with primary anastomosis — Since the tumour had involved the left colon, that portion of the colon had to be sacrificed, and the two ends rejoined in a single operation

Each of these steps carried significant risk, and the successful completion of all of them in a single surgery reflects the exceptional skill and preparation of Dr. Manoj Dongare and his team.

Post-Operative Recovery

The post-operative period was closely monitored. The patient experienced ileus — a temporary paralysis of the bowel — which is a known complication after such extensive abdominal surgery involving the colon.

Recovery timeline:

Day 1–7 — Patient managed with supportive care for post-operative ileus

Day 7 onwards — Bowel function gradually recovered

Discharged in stable condition after full recovery

Despite the complexity of the surgery and the post-operative challenge, the patient made a full recovery — a testament to both surgical expertise and dedicated post-operative care.

Why Choose Dr. Manoj Dongare for Complex Cancer Surgery?

Dr. Manoj Dongare is a highly experienced surgical oncologist and the best kidney cancer specialist with expertise in complex HPB, vascular, and cancer surgeries. He practises at D.Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune and Cloverleaf Speciality Clinic, Wakad, Pune-PCMC.

His expertise includes:

Renal cancer surgery with IVC thrombus

Complex liver, pancreas, and biliary surgeries

Multi-organ resections for advanced cancers

Minimally invasive and open surgical approaches

Comprehensive pre-operative planning and post-operative care

If you or a loved one has been diagnosed with kidney cancer, renal vein involvement, or IVC thrombus, do not wait. Early consultation with an expert can save your life.

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Whipple's Procedure for Pancreatic Cancer — A Successful Case by Dr. Manoj Dongare

How a 60-Year-Old Patient with Pancreatic Cancer Was Successfully Treated with a Whipple's Procedure in Pune

Pancreatic cancer is one of the most challenging cancers to diagnose and treat. When a 60-year-old gentleman walked in with jaundice, a series of careful investigations led to a timely diagnosis — and a life-saving surgery. This is the story of how expert surgical care by Dr. Manoj Dongare made all the difference.

The Patient and the Presenting Complaint

A 60-year-old male patient presented with jaundice — a yellowing of the skin and eyes, which is often the first visible sign of a tumour in the head of the pancreas. Jaundice in such cases occurs because the tumour blocks the bile duct, preventing bile from draining normally.

Initial investigations revealed a localised tumour in the head of the pancreas — a finding that required immediate expert evaluation by a specialist.

The patient was then referred to Dr. Manoj Dongare, a highly skilled HPB Surgeon and Pancreatic Cancer Surgeon practising at D.Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune and Cloverleaf Speciality Clinic, Wakad, Pune-PCMC.

Step-by-Step Diagnosis — No Stone Left Unturned

Dr. Manoj Dongare followed a thorough and systematic diagnostic approach before planning the surgery.

Here is how the diagnosis was confirmed:

Clinical Evaluation — Detailed history and examination of the patient's condition

Imaging Studies — CT and MRI scans confirmed a localised tumour in the head of the pancreas

EUS with Biopsy (Endoscopic Ultrasound) — A minimally invasive procedure that allowed direct visualisation of the pancreatic tumour and tissue sampling

Biopsy Result — Confirmed adenocarcinoma of the pancreas (pancreatic cancer)

PET Scan — Showed no evidence of metastasis anywhere else in the body

This thorough pre-operative workup confirmed that the cancer was localised and operable — giving the patient the best possible chance of a curative surgery.

The Surgery — Whipple's Procedure (Pancreaticoduodenectomy)

The patient underwent a Whipple's Procedure, also known as Pancreaticoduodenectomy — one of the most complex and demanding surgeries in abdominal surgery.

What is a Whipple's Procedure?

A Whipple's procedure involves the removal of:

The head of the pancreas

The duodenum (first part of the small intestine)

The gallbladder

Part of the bile duct

Sometimes, part of the stomach

After removal, the remaining pancreas, bile duct, and stomach are carefully reconnected to restore normal digestive function.

Why is this surgery so complex?

It involves multiple organs simultaneously

Reconstruction requires precise connections between delicate structures

Risk of post-operative complications like pancreatic leak or biliary leak is significant

It demands an experienced Pancreatic Cancer Surgeon with dedicated HPB expertise

Post-Operative Recovery — A Smooth and Uneventful Course

Thanks to the surgical precision of Dr. Manoj Dongare and his team, the post-operative course was remarkably smooth.

Recovery timeline of the patient:

Post-op Day 1–4 — Patient monitored closely in the surgical ward; no signs of pancreatic or biliary leak

Post-op Day 5 — Patient was started on oral diet and tolerated it well

Post-op Day 11 — Patient was discharged in stable condition with no major complications

This is an excellent outcome for a Whipple's procedure, which typically has a longer and more challenging recovery in cases managed at less specialised centres.

Key Takeaways from This Case

This case successfully managed by Dr. Manoj Dongare teaches us several important lessons:

Jaundice should never be ignored — it can be an early warning sign of pancreatic cancer

Early diagnosis and proper staging are the most critical factors in deciding if surgery is possible

EUS with biopsy is a vital tool for confirming pancreatic cancer before surgery

PET scan helps rule out spread of cancer to other parts of the body

Whipple's procedure, when performed by an experienced HPB surgeon, offers the best chance of cure for localised pancreatic cancer

Regular follow-up after surgery is essential to monitor for recurrence

Warning Signs of Pancreatic Cancer You Should Not Ignore

Many patients delay seeking help because early symptoms seem minor. Watch out for:

Yellowing of skin or eyes (Jaundice)

Unexplained weight loss

Pain in the upper abdomen or back

Loss of appetite

New onset of diabetes in older adults

Light-coloured stools or dark urine

If you or a family member experience any of these symptoms, consult a best liver cancer specialist or pancreatic surgeon without delay.

Why Choose Dr. Manoj Dongare for Pancreatic Cancer Treatment?

Dr. Manoj Dongare is a leading HPB Surgeon and Pancreatic Cancer Surgeon with extensive experience in complex hepatobiliary and pancreatic surgeries. He practises at D.Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune and Cloverleaf Speciality Clinic, Wakad, Pune-PCMC.

As one of the best liver cancer specialists in the region, Dr. Manoj Dongare offers:

Advanced surgical expertise in Whipple's procedure and complex HPB surgeries

Comprehensive pre-operative staging with EUS, PET scan, and imaging

Patient-centred, multidisciplinary care

Excellent post-operative outcomes with minimal complications

If you or a loved one has been diagnosed with pancreatic cancer and are looking for expert pancreatic cancer treatment in Pune, do not delay.

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Surgical Management of a Cystic Liver Lesion — A Case Study by Dr. Manoj Dongare

How a Complex 18 cm Liver Tumour Was Successfully Treated Without a Full Liver Removal

When a 36-year-old man walked into the clinic with persistent pain in his right upper abdomen, nobody expected what the scans would reveal — an 18 cm cystic lesion occupying almost the entire right lobe of the liver. This is the story of how careful diagnosis, expert surgical planning, and multidisciplinary teamwork led to a successful outcome.

The Patient and the Problem

A young, otherwise healthy gentleman presented with discomfort in the right side of his abdomen. CT and MRI scans told a concerning story:

An 18 cm cystic lesion in the right lobe of the liver

The lesion was extending into the left lateral segment

It was splaying the left hepatic veins

Both right and left hepatic veins were not clearly visible on imaging

Given the size and location of the lesion, the patient was referred to Dr. Manoj Dongare, a leading HPB Surgeon and best liver specialist practising at Cloverleaf Speciality Clinic, Pune-PCMC, for further evaluation and possible liver resection surgery.

Thorough Investigation Before Surgery

Rather than rushing into the operation theatre, Dr. Manoj Dongare followed a systematic, evidence-based approach to fully understand the nature of the lesion.

Investigations performed included:

PET Scan — Showed no evidence of disease anywhere else in the body

Tumour Markers — AFP, CEA, and CA 19.9 were all within normal limits

Provisional Diagnosis — Cystadenoma or Cystadenocarcinoma of the liver

This comprehensive pre-operative workup is what distinguishes expert HPB surgery from routine care. Knowing the lesion was localised gave the surgical team the confidence to proceed with curative intent.

The Surgery — Extended Right Hepatectomy with Precision

Dr. Manoj Dongare performed what is technically described as an almost extended right hepatectomy — one of the most complex liver surgeries in HPB surgical practice.

What made this surgery especially challenging:

The lesion was massive — 18 cm in size

It had encroached upon the left lateral segment

The hepatic veins were compressed and poorly visualised

Preserving enough healthy liver tissue was critical for patient survival

What the surgical team achieved:

Complete removal of the cystic lesion along with the right lobe

Preservation of the branches of the left hepatic vein — ensuring adequate blood drainage from the remaining liver

Clear surgical margins — meaning no tumour cells were left behind

This level of precision is what patients can expect when consulting a best liver specialist with dedicated HPB expertise.

The Surprise Finding — A Neuroendocrine Tumour

Post-operative histopathology (HPR) revealed something unexpected — the lesion was not a cystadenoma or carcinoma as initially suspected.

Final Diagnosis: Grade 2 Neuroendocrine Tumour (NET) of the liver

Neuroendocrine tumours presenting as large cystic lesions in the liver are rare. They can closely mimic other cystic liver lesions on imaging, which is why histopathology remains the gold standard for final diagnosis.

Post-operative steps taken by Dr. Manoj Dongare:

A DOTA scan was performed after surgery

Results confirmed no evidence of disease anywhere else in the body

Surgical margins were confirmed as free of tumour

This meant the patient had achieved a complete surgical cure — a remarkable outcome for such a complex case.

Key Takeaways from This Case

This case managed by Dr. Manoj Dongare at Cloverleaf Speciality Clinic offers several important lessons for patients and medical professionals alike:

Large liver lesions require expert evaluation — not all cystic liver masses are simple cysts

Pre-operative imaging and tumour markers are essential but may not always give a final diagnosis

PET and DOTA scans play a vital role in staging and post-operative surveillance

Liver-sparing surgery, when technically feasible, significantly improves recovery and quality of life

Multidisciplinary management — involving radiology, pathology, oncology, and surgery — is non-negotiable in complex liver cases

Regular follow-up is essential, especially for neuroendocrine tumours, which can recur

Why Consult Dr. Manoj Dongare for Liver Conditions?

Dr. Manoj Dongare is a highly experienced HPB Surgeon based in Pune-PCMC, specialising in complex liver, pancreas, and biliary surgeries. As the best liver specialist at Cloverleaf Speciality Clinic, he combines advanced surgical techniques with a patient-first approach.

Whether you are dealing with a liver cyst, liver tumour, or any complex hepatobiliary condition, early consultation with a dedicated specialist can make all the difference.

If you or a loved one has been diagnosed with a liver lesion, do not delay. Reach out to Dr. Manoj Dongare for a thorough evaluation and expert surgical opinion.

📞 Call Us: [phone] 🗓️ Book An Appointment →

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Partial Colectomy Explained by Dr. Manoj Dongare – Procedure, Recovery & Benefits

Partial Colectomy Explained by Dr. Manoj Dongare

A partial colectomy is a surgical procedure in which a portion of the colon (large intestine) is removed due to disease or damage. This surgery is commonly performed for colon cancer, severe infections, diverticulitis, or intestinal obstruction. According to Dr. Manoj Dongare, one of the Best oncologist in Pune, timely surgical intervention can significantly improve outcomes and quality of life.

What Is a Partial Colectomy?

In a partial colectomy, only the diseased segment of the colon is removed while preserving the healthy parts. The remaining ends of the intestine are then reconnected to restore normal bowel function. This procedure is often recommended when cancer or other serious conditions are limited to a specific section of the colon.

Patients diagnosed by a Colon Cancer doctor in Pune or a skilled colorectal cancer surgeon may be advised this surgery as part of their treatment plan.

When Is Partial Colectomy Needed?

A partial colectomy may be recommended in cases of:

Colon cancer

Large non-cancerous polyps

Diverticulitis complications

Intestinal blockage

Inflammatory bowel disease

When colon cancer is detected early, surgery performed by an experienced colorectal cancer surgeon offers excellent long-term survival outcomes.

How Is the Surgery Performed?

The procedure can be done through:

Open surgery – A larger incision is made in the abdomen.

Laparoscopic (minimally invasive) surgery – Smaller incisions with camera guidance for faster recovery.

At Cloverleaf Speciality Clinic Wakad, Pune, advanced surgical techniques are used to ensure precision, safety, and quicker healing.

What to Expect After Surgery

After a partial colectomy:

Hospital stay typically lasts 4–7 days.

Patients gradually resume a normal diet.

Bowel habits may temporarily change.

Full recovery may take a few weeks.

Regular follow-ups with a Colon Cancer doctor in Pune are important to monitor healing and prevent recurrence.

Role of Multidisciplinary Cancer Care

Cancer care often involves coordination among various specialists. Depending on the patient's condition, treatment planning may include consultation with:

A breast cancer doctor for patients with multiple cancer histories

An Oral Cancer doctor in Pune if additional oncology evaluation is required

A Bladder Cancer doctor in Pune in complex cancer cases

This comprehensive approach ensures complete and personalised care.

Why Choose Dr. Manoj Dongare?

Dr. Manoj Dongare, recognised as one of the Best oncologist in Pune, specialises in gastrointestinal and colorectal cancer surgeries. His patient-focused approach, combined with advanced surgical expertise, ensures safe procedures and improved recovery outcomes.

At Cleverleaf Speciality Clinic Wakad, Pune, patients receive comprehensive cancer evaluation, modern surgical care, and ongoing support throughout their treatment journey.

Conclusion

A partial colectomy is a highly effective treatment for colon cancer and other serious colon diseases when performed at the right time. Early diagnosis and expert surgical care are key to successful recovery. If you or your loved one has been advised colon surgery, consulting an experienced colorectal cancer surgeon like Dr. Manoj Dongare can help ensure the best possible outcome.

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What is a Bile Duct Obstruction? Symptoms, Causes, and Treatment – Dr Manoj Dongare

What is a Bile Duct Obstruction? Symptoms, Treatment, and Causes – Dr. Manoj Dongare

A bile duct obstruction is a serious medical condition that occurs when the bile ducts become blocked, preventing bile from flowing from the liver to the intestine. Bile plays a crucial role in digestion, especially in breaking down fats. When this flow is interrupted, it can lead to infection, liver damage, and other life-threatening complications.

According to Dr Manoj Dongare, an experienced HPB Surgeon and one of the Best oncologist in Pune, early diagnosis and timely treatment are essential to prevent long-term complications.

What Causes Bile Duct Obstruction?

Bile duct obstruction can occur due to several reasons, including:

Gallstones blocking the bile duct

Inflammation or infection

Scar tissue after surgery

Tumours in the pancreas or bile duct

Bile Duct Cancer

Cancer-related obstruction is particularly serious and requires evaluation by a skilled surgical oncologist. Conditions like pancreatic cancer or Bile Duct Cancer can compress or grow within the ducts, leading to blockage.

Symptoms of Bile Duct Obstruction

Common warning signs include:

Yellowing of the skin and eyes (jaundice)

Dark urine

Pale stools

Severe itching

Abdominal pain (especially in the upper right side)

Fever and chills in case of infection

If these symptoms appear suddenly, immediate medical attention is required.

How Is Bile Duct Obstruction Diagnosed?

Diagnosis usually involves:

Blood tests to check liver function

Ultrasound or CT scan

MRI or MRCP

Endoscopic procedures like ERCP

An experienced HPB Surgeon like Dr Manoj Dongare carefully evaluates imaging results to determine whether the obstruction is due to stones, inflammation, or cancer.

Treatment Options

Treatment depends on the underlying cause:

1. Endoscopic Removal of Blockage

If gallstones are the cause, they can often be removed using minimally invasive endoscopic techniques.

2. Stent Placement

For cancer-related blockages, a stent may be placed to keep the bile duct open and relieve jaundice.

3. Surgery

If a tumour is causing the obstruction, surgical removal may be required. This is especially important in cases of Bile Duct Cancer or pancreatic cancer. Surgery should be performed by an experienced specialist such as a Colon Cancer surgeon, breast cancer surgeon, or other organ-specific oncologist working within a multidisciplinary team.

Role of Multidisciplinary Cancer Care

Cancer-related bile duct obstruction often requires coordinated care. A patient may need evaluation from:

An Oral Cancer Surgeon in Pune if multiple primary cancers are suspected

A Bladder Cancer Specialist in Pune  in cases involving complex malignancies

A Colon Cancer surgeon if the disease has gastrointestinal involvement

A skilled breast cancer surgeon in comprehensive cancer centres where multiple oncology services are available

This team-based approach ensures complete and safe cancer care under expert supervision.

Why Early Consultation Matters

Delaying treatment can lead to severe infection (cholangitis), liver failure, or progression of cancer. Consulting the Best oncologist in Pune ensures accurate diagnosis and timely intervention.

Dr Manoj Dongare, a trusted HPB Surgeon, specialises in treating complex hepatobiliary conditions, including bile duct obstruction and Bile Duct Cancer, with advanced surgical techniques and patient-centred care.

Conclusion

Bile duct obstruction is a serious but treatable condition when detected early. Whether caused by gallstones, infection, or cancer, prompt evaluation and expert management are crucial. If you notice symptoms like jaundice or persistent abdominal pain, seek immediate medical advice. Under the guidance of Dr Manoj Dongare, patients receive comprehensive care aimed at safe recovery and long-term health.

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Laparoscopic Surgery in Pancreatic Cancer: A Minimally Invasive Treatment Option

Laparoscopic Surgery in Pancreatic Cancer

Pancreatic cancer is one of the most challenging cancers to treat due to its late detection and complex location. Over the years, surgical techniques have advanced significantly. One such advancement is laparoscopic surgery in pancreatic cancer, which offers selected patients a safer and less invasive treatment option with faster recovery.

Under the guidance of an experienced Pancreatic cancer surgeon like Dr Manoj Dongare, patients today can benefit from modern surgical approaches that focus on precision, safety, and improved quality of life.

What Is Laparoscopic Surgery in Pancreatic Cancer?

Laparoscopic surgery is a minimally invasive technique where cancer surgery is performed using small keyhole incisions and a camera-guided system. Instead of large cuts, specialised instruments are used to remove the tumour while preserving surrounding structures.

For pancreatic cancer, laparoscopic surgery may be used in:

Early-stage pancreatic tumours

Selected cases requiring distal pancreatectomy

Diagnostic and staging procedures

An experienced HPB Surgeon carefully evaluates whether a patient is suitable for this approach.

Benefits of Laparoscopic Pancreatic Cancer Surgery

Compared to open surgery, laparoscopic procedures offer several advantages:

Smaller incisions and minimal scarring

Less blood loss

Reduced post-operative pain

Faster recovery and shorter hospital stay

Quicker return to daily activities

These benefits make it an attractive option when performed by the Best oncologist Pune and a skilled pancreatic surgical team.

Who Can Undergo Laparoscopic Surgery for Pancreatic Cancer?

Not all patients are candidates for laparoscopic surgery. The decision depends on:

Size and location of the tumour

Whether cancer has spread to nearby blood vessels

Overall health of the patient

A thorough evaluation by Dr Manoj Dongare, a trusted Pancreatic cancer surgeon, ensures the safest and most effective treatment plan.

Role of an Expert Multidisciplinary Team

Pancreatic cancer treatment often requires collaboration across specialties. Along with an HPB expert, care may involve:

A Colon Cancer surgeon in Pune for complex GI involvement

A Bladder Cancer Surgeon in Pune when pelvic organs need assessment

Support from breast cancer specialists and medical oncologists in comprehensive cancer centres

Consultation with an Oral Cancer Surgeon in cases of multiple primary cancers

This team-based approach ensures holistic cancer care.

Recovery After Laparoscopic Pancreatic Surgery

Recovery is generally smoother than open surgery. Patients are encouraged to:

Start gentle movement early

Follow a structured diet plan

Attend regular follow-up visits

Most patients experience fewer complications when surgery is performed by a highly experienced HPB Surgeon using laparoscopic techniques.

Why Choose Dr Manoj Dongare for Pancreatic Cancer Surgery?

Dr Manoj Dongare is known for his expertise in complex gastrointestinal and pancreatic cancer surgeries. As a respected Pancreatic cancer surgeon and one of the leading cancer specialists, he combines advanced surgical skills with patient-focused care.

Patients seeking minimally invasive pancreatic cancer surgery benefit from his experience, careful case selection, and commitment to safe outcomes.

Conclusion

Laparoscopic surgery in pancreatic cancer represents a major step forward in cancer care. While it is not suitable for every patient, it offers excellent benefits when performed in the right cases by an expert team. Early diagnosis and consultation with an experienced surgeon can open doors to advanced, less invasive treatment options.

If you or your loved one is diagnosed with pancreatic cancer, timely evaluation by a skilled HPB Surgeon like Dr Manoj Dongare can make a meaningful difference.