Brain tumor surgery after 8 months of delay

Ho Chi Minh City Mr. Loc, 74 years old, has a 5 cm brain tumor but for 8 months he still did not dare to have surgery due to fear of complications. This time, the doctor was guided by an AI robot to safely remove the tumor.

On October 21, Master, Doctor, Specialist II Chu Tan Si, Head of the Department of Neurosurgery , Center for Neuroscience, Tam Anh General Hospital, Ho Chi Minh City, said that Mr. Nguyen Dang Loc (Hanoi) sent his medical record online to ask the doctor to assess his condition, and a day later came to the clinic with a mild headache and no weakness in his limbs.

The results of the DTI (neuronal fiber tractography) MRI showed that the patient's brain had an intra-axial tumor in the right occipital lobe. According to Dr. Tan Si, this was a low-grade astrocytoma belonging to the glioma group. The nerve fiber bundles were pushed to one side, surrounding the tumor.

The family said that 8 months ago, Mr. Loc was picking up food when he suddenly became motionless for about a minute but then could not remember what had happened. Doctors at a hospital in Hanoi diagnosed him with a brain tumor in a dangerous area, although he did not have any symptoms of headache or weakness. The doctor advised surgery, but the patient was at risk of complications.

This time, Dr. Tan Si assessed that if left untreated, the tumor would grow larger and larger, occupying space in the brain and weakening the patient's health, making surgery more difficult. If the tumor was removed using traditional techniques, the patient could face the risk of complications such as bleeding, cerebrospinal fluid leakage, paralysis, etc. After consultation, the doctors recommended robotic surgery using artificial intelligence (AI) for Mr. Loc.

Surgeons remove a patient's brain tumor. Photo: Provided by the hospital

Dr. Tan Si and the surgical team simulated the procedure in advance on the specialized software of the Modus V Synaptive brain surgery robot using artificial intelligence (AI). The location of the skull opening and the approach to the tumor were chosen in the grooves of the cerebral cortex, without damaging the adjacent nerve conduction bundles.

In the actual surgery, the team followed the simulated surgical path with the support of the AI-based Neuro-Navigation system to approach the loose and bleeding tumor. The doctor dissected it, used the Cusa ultrasound machine to break it down and completely aspirate the tumor.

Two days after surgery, Mr. Loc was healthier, could walk normally and was discharged from the hospital a week later.

Mr. Loc thanked Dr. Tan Si and assigned the surgical team. Photo: Provided by the hospital

Dr. Tan Si said that traditional surgical methods (microsurgery, open surgery) only help doctors mark the coordinates of the tumor according to navigation instructions. With robotic brain tumor surgery, doctors are supported with DTI images of nerve fiber bundles around the tumor. This helps determine a safe approach to the tumor, without damaging the nerve fiber bundles around the tumor and healthy brain tissue, maximally preserving the patient's neurological functions.

Mr. Minh

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