úoHdfõ ÈhqKqj ksid ñksid wur”h jkafka hehs tla ngysr úoHd{hl= mejiqfõ oekg Y;j¾I follg muK fmr§h'ñksia isrer ;=< we;sjk ms<sldjka kj ffjoH ;dlaIK WmlrK Wmfhda.S lr.ksñka frda.S ;;a;ajhka y÷kdf.k tu.ska mKk, ksreoaO jk frda.shdg h<s mKk, ,nd fok ffjoHjreka foújreka f,i kï l<o ksjerÈh'
tjeks ñksia foújreka l< ydialul f;dr;=re wmg jd¾;d jkafka .ïmy uQ,sl frdayf,ks'tu frdayf,a m%:ujrg miq.shod b;d iQlaIu f,i frda.sfhl=f.a .,kd<fha ;snQ ms<sldjla bj;a lsÍu;a ;j;a frda.shl=f.a .=o ud¾.fha ;snQ ms<sldjla bj;a lsÍfï b;d wiSre ie;alï folla id¾:lj ksu lr tu frda.Skag Ôj;aùfï jdikdj h<s Wod lr §ug .ïmy uQ,sl frdayf,a m%Odk Y,H ffjoH tï'Ô't,a' ùrj¾Ok uy;d m%uqL ffjoH lKavdhu iu;a ù we;'
fuu ie;alï folgu Ndckh jQfha b;d jhia.; ldka;djka fofokl=h'fuu ie;alï foflys jeo.;alu jkafka frda.Skaf.a isrer mq¿,a lemqïj,g Ndckh fkdfldg YÍrfha ia:dk lsysmhl fikaá ógrhl muK iq¿ isÿre isÿ fldg bka YÍr wNHka;rhg iQlaIu leurdjla we;=¿ lsÍuhs'
bka miq isrer wNHka;rfha ;snQ ms<sld ia:dk y÷kdf.k isref¾ l< ;j;a tjeks isÿre ;=<ska fjku ishqï WmlrK hjd ;srhl igyka jk tu leurd rEm ksÍlaIKh lrñka ms<sld fldgia bj;a lsÍu fuu ie;alï foflau isÿ jQ l¾;jHhkah' meh kjhl ld,hla ;=< isÿ l< fuu ie;alï folu id¾:l lr .ekSu i|yd úfYaI{ Y,H ffjoH ùrj¾Ok uy;d ks¾úkaok úfYaI{ ffjoH ifrdacd O¾uisßj¾Ok uy;añh we;=¿ ffjoH ks,laIs iqnisxy" mS'tia' O¾uisß" tka'ta'tka'tia' fyaupkao%" kqjka chùr" Ô'tï'tka' wdkkao iy wð;a Èidkdhl hk uy;au uy;aókaf.a fkdu| iyh ,eì we;'
YÍrfha Wria l=yrfha fn,a, wdikakfha isg wdudYh olajd úysfok .,kd<fha wdudYhg wdikakfhka jQ ms<sldj bj;a lsÍu mshjr ;=klska wjika lsÍug ffjoHjrekag yels ù we;' idudkH fujeks ie;alula i|yd YÍrfha Wria l=yrh;a Wor l=yrh;a újD; lsÍu isÿ flfrhs'
tfia lsÍfuka frda.shdg úúO ixl+,;dj,g uQK mEug isÿfõ' tu ksid fuu ie;alu b;d wiSre .Kfha ie;alula nj ffjoHjrhd jgyd f.k we;'
ie;alug Ndckh jk frda.shdf.a YÍr Yla;sh jhi ms<sn|j ie,ls,su;a jQ úfYaI{ Y,H ffjoH ùrj¾Ok uy;d kS¾Kdh lr we;af;a fuhg ffjoH úoHdfõ ye¢kafjk l%ufõo folla wkq.ukh lsÍuh'
fuys ffjoH kduh jkafka minimally access combined Thoracoscopic laparoscopic 3 stage ~ƒ Oesoaphagectomy for oesophageal coemoma hkqfjks'
ta wkqj ffjoHjrhd ;SrKh lrkq ,enqfõ fuu ie;alu leurd Wmfhda.S lr.ksñka isÿ lsÍuhs'
fuu ie;alfï§ ffjoHjrhdf.a m<uq mshjr jQfha isref¾ fikaá ógrhl muK isÿrlska isrer ;=<g tu ie;alï leurdj we;=¿ lsÍuhs' bka ,o rEm rduq ;=<ska ms<sld fmfoi y÷kdf.k Wria fldgfia ;j;a isÿrla ;=<ska úfYaIs; ie;alï WmlrKhla u.ska .,kd<fha Wi fldgiska ms<sldj we;s fldgi fjka lsÍuhs'
miqj fojk mshjr jYfhka Wor l=yrfha isÿre lsÍulska ie;alï leurdj hjd Worfha fjk;a isÿrla ;=<ska ie;alï WmlrKh hjd wdudYh wdikakfha ms<sld fldgi lmd bj;a lsÍuhs'tu ie;alfï f;jk mshjr ù we;af;a Wria l=yrfha f., wdikakfha lemqï isÿrlska ishqï WmlrKhla hjd bj;a l< ms<sld fldgia YÍr wNHka;rfhka bj;g .ekSuhs'miqj tu WmlrKh u.skau wdudYfha b;sßfldgila .,kd<fha f., wdikakfha fldgi;a tlg noaO lsÍu isÿ lrhs'
ta whqßka frda.shdf.a .,kd<fha jQ ms<sldj fufia b;d wiSre ie;alñka bj;g .ekSu id¾:lj ksud úh'mshú weiska tl t,af,a oDYHudk fkdjQjo isrer ;=<g hejQ ta ishqï leurdfjka ,efnk o¾Yk muKla Wmfhda.S lr .ksñka tjeks ie;alula lsÍu b;d ishqïj m%fõYfuka l< hq;= l%shdjls' th b;du;a ixlS¾K l%shdj,shls' fï i|yd ffjoHjrekag meh 6la muK mQ¾K udkisl tald.%;djfhka lghq;= lsÍug isÿ fõ'fuys ;j;a ydialula jkafka fu;rï Ndr¥r ie;alula jqjo frda.shdf.a isrerg fh§ug isÿù we;af;a ndysr ueyqï 6la muKla ùuhs'
ie;alñka wk;=rej frda.shd Èk 5la oeä i;aldr tallfha /|ùfuka miq ndysr jdÜgqjl Èk 6la m%;sldr ,nd§fuka wk;=r jQ iïmQ¾K iqjh ,nd frday,ska msg;aj f.dia we;'
fuu ie;alfï§ ks¾úkao" ffjoH úfYaI{ ifrdacd O¾uisßj¾Ok uy;añh mjikafka b;d ixfõ§ l;djls'fujeks ie;alul§ ks¾úkaok ffjoHjrhdg we;af;a iqúi,a ld¾hNdrhls' frda.shdf.a wdYajdi m%Yajdih b;d fyd| uÜgulska mj;ajdf.k hdu tu ffjoHjrhdf.a iqúfYaI ld¾hNdrhhs'tfy;a fuu frda.shdf.a ie;alu i|yd Wria l=yrfha isÿrlska we;=¿ l< leurdfjka ,o PdhdrEm u.ska o¾Ykh ù we;af;a frda.shdf.a tla fmKye,a,l l%shdj,sh muKls'tksid tu ffjoHjrhd frda.shdf.a tla fmKye,a,la muKla l%shd;aul lr wfkla fmKye,af, l%shdj,sh kj;d frda.shdf.a Yajik l%shdj,sh ukdj mj;ajdf.k hdug lghq;= lr we;'
;j;a frda.S ldka;djlf.a .=o ud¾.fha ie;aluo isÿ lr we;af;a isrer ;=<g hejQ tu ie;alï leurdj Wmfhda.S lr .ksñks'
tu frda.shdf.ao Wor fmfoi újr fkdfldg iq¿ lemqï isÿre ;=<ska ie;alï WmlrK hjd meh 3 l muK ld,hla ;=< tu ie;alu ksu lsÍug tu ffjoHjreka iu;a ù we;'fuu ie;alug Ndckh jQ ldka;djo 73 úhe;s uyÆ ldka;djls' weho ie;alfuka wk;=rej ukd iqjh ,nd frday,ska msg;aj f.dia we;'
fujeks ie;alï i|yd ffjoHjrekag jeä ld,iSudjla Y,Hd.drj, udkisl tald.%;djfhka lghq;= l< hq;=j we;'fï jkúg;a .ïmy frdayf,a fujeks wiSre ie;alï rdYshla tys úfYaI{ ffjoH tï'Ô't,a' ùrj¾Ok uy;d we;=¿ ffjoH uඬq,a, isÿ lrñka isá;s'fujeks úl%uhka ;=<ska Ôú;h;a urKh;a w;r isák Ôú; /ilg Ôú; ,nd §u tu ffjoHjreka w;ska ffrk uyÛq mskaluls'
