Shamammet Gulhanov went to a hospital in Turkmenistan with abdominal pain. Gulhanov, 60, who came to Turkey for treatment after being diagnosed with cancer, is an instructor of general surgery at Istanbul’s Cerrahpaşa University Medical School, head of the liver transplant unit, and president of the World Society of Surgery, Gastro- enterology and oncology prof. dr. He applied to Ender Dulundu. It was determined that the tumor in the head of his pancreas had spread to the liver. Prof. Dr. Dulundu formulated a treatment plan for the patient’s recovery and Gulhanov underwent two surgeries six weeks apart. In the first operation, which lasted 8 hours, the tumor in the head of the pancreas was first removed and then the part with the least tumor in the liver was removed. After 6 weeks of waiting, the liver was given the chance to regenerate itself. Then the patient was taken to another operation that lasted 4 hours. A successful outcome was achieved with the removal of other tumors remaining in the liver and the treatment carried out in major centers around the world. Shamammet Gulhanov regained his health thanks to the treatment, one of the few examples in the world.
“All of these tumor areas had to be removed in order for this patient to benefit from the surgery.”
Describing the treatment process of the patient from Turkmenistan, Prof. Dr. Ender Dulundu said, “Pancreatic cancer is one of the cancers whose incidence is increasing nowadays. Unfortunately, the treatment is a patient group that most of the patients are faced with advanced stage cancer as it’s about the treatment phase. Along with neuroendocrine tumors, if surgery can be done, patients benefit greatly from this. Our patient was a patient with pancreatic neuroendocrine cancer in the head of the pancreas. in these patients, operations called ‘whipple’ were performed by elevating the pancreas to the head, and patients would benefit from this. Our patient’s disability was also: “He had widespread metastases throughout the liver, both right and left side of his liver. All of these tumor areas had to be removed in order for this patient to benefit from the surgery.”
“We applied a surgical method that is very rare in the world and is performed in advanced centers”
Claiming that they are using a surgical method that is very rare in the world and performed in advanced centers, Prof. Dr. Dulundu said: “When we calculated the tumors that we would remove from the liver in the preoperative planning, we saw that the remaining liver was very inadequate.In a normal person, even if we took the remaining 40 to 30 percent of the liver, this may be sufficient for itself, but in our patient, much smaller liver tissue was left.So we have a surgical method applied which is very rare in the world and is performed in advanced centers.In the first operation we performed whipple surgery by removing the tumor in the head of the pancreas.Again in the same session we removed the metastases on the left side of the For example, in the first operation we preserved as much of the patient’s liver tissue as possible and at that point part of the liver was removed.We waited for the patient to recover by tying off the vein using the method we call portal vein embolization. After this surgery, we endured a 6-week waiting period. During the waiting period, we waited for the area of the liver occupied by tumors to shrink and the area where we removed the tumors to grow. At the end of this period, the rest of the liver had indeed enlarged and become sufficient for our patient. In the second stage, after removing the tumor area, we performed a surgical procedure without any tumor in the patient. We call this operation two-stage operation. Although it is a technique that is usually only performed on liver tumors, we applied it to our patient who also had a tumor in the pancreas. In this sense, we have performed one of the rare operations. Looking specifically at our patient, everything went well. We have no problem. He will probably be fired next week. Of course, such operations have a high complication rate and even a high risk of losing the patient. For this reason, it is appropriate to perform these operations in advanced centers and by people knowledgeable in this subject.
“I came from Turkmenistan because I have cancer”
Shamammet Gulhanov, who came to Turkey for treatment and followed the doctor-approved diet list, said, “I am 60 years old. I came from Turkmenistan because I have cancer. My teacher Ender performed a major surgery. I am very grateful. My first surgery lasted 8 hours. The second surgery lasted 4 hours. Lasted. I feel good. I’m happy, I beat cancer. It passed and it’s gone. Take it easy with my teacher Ender. I weighed 93 kilos before the operation “I weighed 77 kilos after the first operation. I am 70 kilos after the second surgery. I drank water for 7 days before surgery. I was on a diet. No problems happened,” he said.