GĐXH - According to doctors, with this new method, the doctor only needs to make a small incision in the eyebrow arch, insert an endoscope to support the light source, observe the lesion and perform surgery to accurately remove the tumor.
On March 4, Viet Duc Friendship Hospital informed that recently, doctors here have successfully implemented endoscopic surgery through a small incision on the eyebrow to remove tumors in the anterior layer of the skull base for 2 patients.
Accordingly, both patients had tumors located right on the roof of the eye socket. One patient had a tumor measuring 1.8cm in diameter and the other had a tumor of nearly 3cm. Both surgeries were successful, and the patients recovered well.
Associate Professor, Dr. Dong Van He - Deputy Director of Viet Duc Friendship Hospital, President of the Vietnam and ASEAN Neurosurgery Association said that this technique belongs to the state-level research topic on minimally invasive neurosurgery, approved by the Ministry of Science and Technology, with the goal of improving treatment methods, minimizing invasion and risks for patients. This is also the first technique to be successfully performed in Vietnam.
Doctor examines patient after surgery. Photo: BVCC.
According to Associate Professor Dong Van He, in the past, to intervene in skull base lesions, doctors often had to expand the skull and use a microscope. Some cases of mid-level lesions could be accessed endoscopically through the nose, but this method was not feasible for tumors in difficult-to-reach locations.
Now, with the new method, the doctor only needs to make a small incision in the eyebrow arch, insert an endoscope to support the light source, observe the lesion and perform surgery to accurately remove the tumor.
Associate Professor He added that since 2005, Viet Duc Friendship Hospital has applied this technique but used a microscope. Only recently have doctors experimented with combining endoscopy in some stages. This time, the entire surgical process was performed by endoscopy.
This technique has many outstanding advantages such as:
- The endoscope directly approaches the lesion with flexible viewing angles (0 degrees, 30 degrees, 45 degrees), helping the surgeon clearly observe the entire lesion without much impact on the brain parenchyma.
- Minimize the risk of complications and damage to important nerves such as the optic nerve and olfactory nerve.
- No need to expand brain tissue, reducing the rate of damage to healthy tissue.
- The endoscopic light system helps surgeons observe better than traditional microscopes, allowing for accurate assessment of the boundary between tumor and healthy tissue.
- Faster recovery time, patients can be discharged early and return to normal life in a short time.
With the initial success of this technique, this will be a new direction in minimally invasive neurosurgery, opening up more opportunities for safer and more effective treatment for patients in Vietnam.
Source: https://giadinh.suckhoedoisong.vn/lan-dau-tien-tai-viet-nam-phau-thuat-noi-soi-tren-cung-may-cat-bo-khoi-u-tang-truoc-nen-so-172250304142117742.htm
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