One week after the surgery, Ms. Phung Kim Minh (born in 1952, Hanoi) was discharged from the hospital and returned home to live a normal life. From a life of depending on others due to weakness and difficulty in walking, she now travels regularly with her family. She is happy because the flight from Hanoi to Ho Chi Minh City to have a modern robotic neurosurgery team intervene was not in vain. "I feel like I have been reborn, living happily and healthily with my relatives and friends every day," Ms. Minh happily shared.
Dangers of surgery using old methods
Ms. Minh said that at first the tumor was small and then gradually grew into a giant tumor. The previous MRI results at hospitals outside Hanoi showed that the fourth ventricle was compressed from the right side, the tumor was 4.8 x 1.8 x 2.6 cm in size, with the possibility of internal bleeding and calcification. The lesion severely compressed the pons and middle cerebellar peduncle on the right side. Some nodular lesions in the white matter around the lateral ventricles on both sides were likely due to vascular causes. Doctors assessed that the tumor was large, had many lobes, and was not responsive to intervention, with a poor prognosis.
MRI image of Mrs. Minh's brain tumor
Mrs. Minh's husband - Associate Professor, Doctor, Senior Lecturer Dinh Ngoc Sy, former Director of the Central Lung Hospital; former Vice President of the Vietnam Medical Association - upon receiving the diagnosis of his wife's condition, he researched and asked many experts for advice on treatment methods. However, major hospitals in Hanoi could not accept surgery because the tumor was large, widespread, and located in an important functional area. With this tumor, if operated on using traditional methods, there would be many life-threatening risks, causing paralysis of cranial nerves 9, 10, 11, 12... with the risk of losing the ability to be independent, the patient would choke on food, get pneumonia, infection and shock, and possibly die.
In desperation, Mrs. Minh and her husband learned about the Modus V Synaptive, the most modern new generation brain surgery robot in Vietnam today. The patient's family contacted the excellent doctor, master, doctor CKII Chu Tan Si - currently Head of the Department of Neurosurgery, Neurology Center, Tam Anh General Hospital, Ho Chi Minh City and sent the MRI scan results from the hospitals where they had taken the scans before.
Remove the entire tumor, preserving every smallest nerve fiber bundle
From the MRI image sent by the patient's family, Dr. Chu Tan Si's surgical team determined that this was a large tumor located in the cerebellopontine angle, closely related to a 5th nerve tumor, grade 4 tumor, with compression on the brain stem structure. After consultation, Dr. Chu Tan Si determined that this was a challenging and stressful case, the patient was carrying a very large tumor in a dangerous position. Thanks to the modern Modus V Synaptive Robot system and the prognosis, the team decided to agree to operate on the patient.
Minh and her husband immediately bought plane tickets to go to the South for brain surgery. Two days later, the surgical team planned the surgery. First, there was a computer simulation surgery, choosing a path into the tumor that did not touch the nerve bundles and did not cause further damage to function. The next day, the doctors began the official surgery on the robot. The surgery was performed under anesthesia, in a side-lying position, with one arm hanging under the operating table, and an electrode placed to control the VII nerve, so that after the surgery, the patient did not suffer from facial paralysis on one side.
Doctor Chu Tan Si and his team are performing brain tumor surgery under the supervision of the Modus V Synaptive Robot. Photo: Tam Anh General Hospital
The surgery took place within 4 hours. Thanks to the new generation Modus V Synaptive Robot applying sophisticated artificial intelligence, the doctor has a comprehensive view of the space and brain organization, especially clearly seeing the nerve fiber bundles and healthy brain tissue around the tumor before, during and after surgery. From there, the doctor can make a comprehensive assessment and choose the most effective and safest approach to the tumor. Dr. Chu Tan Si added that the Modus V Synaptive Robot monitors the entire surgery, ensuring that the doctor adheres to the surgical path that has been pre-planned for the simulation surgery.
The surgery ended successfully, the doctor removed all the tumor, preserved the functions, and released the compression. One day after the surgery, Mrs. Minh was fully awake, the dizziness was significantly reduced, and she was able to walk. The patient was transferred to the inpatient area for care and monitoring. Exactly one week after the surgery, her health was stable, Mrs. Minh and her husband flew back to Hanoi.
The patient recovered quickly thanks to the robot's guidance and monitoring, which did not damage nerve fibers and healthy brain tissue during the surgery, causing no postoperative complications. A month later, the follow-up examination showed that the tumor had been completely removed and no gamma knife was required. With this resounding success, Dr. Chu Tan Si and his team published a report on the case in the American Medical Journal of Medicine.
Mrs. Minh is healthy and happy to meet Dr. Chu Tan Si again at the Workshop to announce the launch of the Brain Surgery Robot application.
Dr. Chu Tan Si added that Modus V Synaptive is a modern brain surgery robot in Vietnam, put into operation by Tam Anh General Hospital in Ho Chi Minh City. Currently, there are 10 countries in the world applying this Robot (mostly European and American countries).
At the Tam Anh 2023 Scientific Conference on "Application of artificial intelligence in medicine" held on May 28, leading experts and doctors in the field of neurosurgery - cranial surgery in Vietnam officially announced and reported on the application of the new generation brain surgery robot Modus V Synaptive with outstanding efficiency in brain tumor surgery, cerebral hemorrhage, neurological diseases, maximizing treatment effectiveness, preserving the highest functions for patients.
Source link
Comment (0)