At the 2023 Scientific Conference on "Application of artificial intelligence in medicine" held on May 28 at Tam Anh General Hospital, Ho Chi Minh City, experts and doctors in the field of neurosurgery - cranial nerves 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.
Tam Anh Hospital is the first medical facility in Vietnam to apply the Modus V Synaptive artificial intelligence robot in brain tumor surgery, cerebral hemorrhage and dangerous neurological and cranial diseases. Currently, there are 10 countries in the world applying this robot (mostly European and American countries).
Robot specializes in treating difficult brain tumor cases
At the conference, experts and neurosurgeons from Tam Anh General Hospital, Ho Chi Minh City reported typical brain tumor surgeries performed by the Modus V Synaptive robot. Among them, there was a case reported and published in the prestigious American Medical Journal Medicine.
Four years ago, patient Phung Kim Minh (born in 1952 in Hanoi) was diagnosed with a grade 4 neuroma of the fifth nerve. The tumor was large, spread out, located in an extremely dangerous functional area and pressed on the brain stem structure. Many major hospitals in Hanoi refused to operate due to the potential risk of paralysis of nerves IX, X, XI, XII... if operated on using traditional methods. The consequences could cause the patient to lose the ability to be independent, choke when eating and drinking, get pneumonia, infection and shock, and even lead to death.
After 4 years of living with the tumor, the patient had brain surgery performed by Dr. Chu Tan Si and his team using the Modus V Synaptive robot. “This is a challenging and stressful case. The patient has a very large tumor in a dangerous location,” the doctor said.
Thanks to the robot, the surgery was simulated on the computer in advance, helping the doctor proactively choose the path to the tumor so as not to damage the nerve fibers. The official surgery on the robot took place a day later. The patient was operated on in a side-lying position, with one arm hanging under the operating table and an electrode placed to control the VII nerve. Thanks to that, after the surgery, the patient did not suffer from facial paralysis on one side.
The surgery lasted 4 hours. The doctor removed the entire tumor and released the compression. The patient was fully awake, the dizziness was significantly reduced, and he was able to walk after a night of intensive care. The patient recovered quickly thanks to the robot's guidance and monitoring, which did not damage nerve fibers or healthy brain tissue during the surgery, and there were no postoperative complications. Exactly one week after the surgery, the patient was discharged and flew back to Hanoi.
Dr. Chu Tan Si and his colleagues also used the smart robot Modus V Synaptive to operate on a 6 x 5 cm brain tumor, the size of a duck egg, for a 22-year-old girl from An Giang who had been completely paralyzed for 6 months before surgery. The female patient later recovered well and was able to walk. In April, the team operated on a 21-year-old male student in Ho Chi Minh City who had a cavernous hemangioma that compressed and ruptured a blood vessel in the brain, causing complications of hemorrhage and epilepsy.
Another surgery using the Modus V Synaptive robot was also performed on a 26-year-old man in Ho Chi Minh City with a brain tumor located deep in the left ventricle. The tumor was friable, fragile, and prone to bleeding, with many sources of nourishment, especially deep in the brain, causing damage, blocking the flow of cerebrospinal fluid, and increasing intracranial pressure. The surgery lasted 2 hours, the doctor removed the tumor and re-perfused the patient's cerebrospinal fluid. After surgery, the patient's symptoms of weakness and headache decreased. After 3-4 days, the patient was able to walk and was discharged on the 5th day.
Revolution of Neurosurgery in Vietnam
At the workshop, leading experts and doctors in the field of neurosurgery - cranial surgery assessed the appearance of the Modus V Synaptive brain surgery robot as a revolution in brain surgery in Vietnam.
Neuro-cranial diseases such as brain tumors, meningiomas, pituitary tumors, cerebral hemorrhage, cerebral edema, etc. are among the most dangerous diseases due to their serious impact on the patient's health. Surgical treatment of these diseases poses many great challenges to world medicine in terms of effectiveness, while also requiring minimizing postoperative sequelae. Because the brain and central nervous system control almost all functions of the body from walking, language, vision to thinking, reasoning, memory, etc.
Previously, conventional brain surgery methods such as Navigation positioning systems, microsurgery glasses, etc. could not see nerve fiber bundles before or during surgery. This led to the risk of violating, cutting them off, or damaging surrounding healthy brain tissue. As a result, the patient could suffer severe sequelae. Robots applying sophisticated artificial intelligence can overcome these limitations, providing optimal treatment results with outstanding advantages that conventional brain surgery methods do not have.
The new generation robot allows surgeons to observe the entire space and brain structure to clearly see nerve fiber bundles, healthy brain tissue around the tumor... on the same 3D image before, during and after surgery. This helps doctors to make a comprehensive assessment and choose the most effective and safest approach to the tumor.
With specialized software, doctors can perform 3D simulation surgery before the official surgery, proactively choose the location to open the skull, choose the surgical path to effectively approach the tumor or pathological area, minimizing damage to nerve fiber bundles and affecting healthy brain tissue. These are differences that no brain surgery machine can do.
The robot monitors the entire surgical process, warning with light signals if the access path and instruments tend to deviate, and also allows the doctor to query existing MRI, CT, CTA, DSA data... for reference right on the screen, instead of having to access the data again on multiple devices. From there, the doctor can make timely decisions.
Robots are highly effective, helping patients recover quickly, with treatment costs dozens of times more economical than brain tumor surgery with the same technology abroad. “Thanks to the Modus V Synaptive brain surgery robot, a neurosurgeon with 30 years of experience like me can see nerve fiber bundles during the surgery to avoid damage,” said Dr. Chu Tan Si.
In particular, this AI-based robot is also highly effective in performing surgery on difficult neurological and cranial diseases, located deep in the brain or near important brain structures. This is something that conventional surgical methods find difficult or impossible to approach due to the high risk of complications./.
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