This event has made Vietnam one of 10 countries in the world applying this Robot (mostly European and American countries), which was just announced and reported at the 2023 Scientific Conference on the topic "Application of artificial intelligence in medicine " on May 28 at Tam Anh General Hospital, Ho Chi Minh City.
Meritorious Doctor, Master, Specialist Doctor 2 Chu Tan Si - Head of Neurosurgery Department, Neurology Center, Tam Anh General Hospital, Ho Chi Minh City, known as the "golden hand" in neurosurgery - cranial nerves and his colleagues are the only team in Vietnam with expertise and experience in operating and mastering this Robot technology.
The first new generation smart brain surgery robot in Vietnam. Photo: Tam Anh General Hospital
Robot specializes in treating difficult brain tumor cases
At the workshop, experts and neurosurgeons from Tam Anh General Hospital, Ho Chi Minh City reported typical brain tumor surgeries performed by the Modus V Synaptive Robot, including cases 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, compressing the brain stem structure. Many large hospitals in Hanoi refused to operate, due to the potential risk of paralysis of the IX, X, XI, XII nerves... 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 possibly 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 is carrying a very large tumor in a dangerous location,” Dr. Chu Tan Si commented.
Thanks to the robot, the surgery was simulated on the computer in advance, helping the doctor proactively choose the path to the tumor without damaging 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, so that after surgery the patient did not suffer from facial paralysis on one side.
The surgery lasted 4 hours, the doctor removed the entire tumor, releasing the compression. The patient was completely 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 guiding and monitoring, which did not damage the nerve fibers and healthy brain tissue during the surgery, causing no postoperative complications. Exactly one week after the surgery, the patient was discharged and flew back to Hanoi.
Ms. Minh was happy to meet Dr. Chu Tan Si again at the Workshop announcing typical clinical cases of brain tumor surgery using the Modus V Synaptive robot. Photo: Tam Anh General Hospital
Dr. Chu Tan Si and his colleagues also used the smart robot Modus V Synaptive to operate on a 6x5cm 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 recovered well and was able to walk again. Last April, the team operated on a 21-year-old male student (HCMC) who had a cavernous hemangioma that compressed and ruptured a blood vessel in the brain, causing complications of bleeding and epilepsy.
Another surgery using the Modus V Synaptive Robot for a 26-year-old man (HCMC) with a brain tumor located deep in the left ventricle. The tumor is friable, fragile, and bleeds easily, has many sources of nourishment, and is located 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, tremors, and headaches decreased. After 3-4 days, the patient was able to walk and was discharged on the 5th day.
Dr. Chu Tan Si said that there have been about 20 typical brain tumor surgeries successfully performed by the Modus V Synaptive Robot at Tam Anh General Hospital in Ho Chi Minh City.
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Doctors performing brain surgery using the Modus V Synaptive robot
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 because they seriously affect the patient's health. Surgical treatment of these diseases poses many great challenges to world medicine in terms of effectiveness and the requirement to minimize postoperative complications, 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, leading to a high risk of violating, cutting them off, or damaging surrounding healthy brain tissue. The consequences could leave serious sequelae for the patient. Robots apply sophisticated artificial intelligence to help overcome these limitations. Compared with conventional brain surgery methods, Robots provide optimal treatment results with outstanding advantages that conventional brain surgery methods do not have.
Doctor Chu Tan Si and his team are performing a brain tumor surgery using Robot at Tam Anh Hospital. Photo: BVCC
The new generation robot allows surgeons to observe the entire space and brain organization, clearly see nerve fiber bundles, healthy brain tissue around the tumor... on the same 3D image before, during and after surgery, helping doctors to make a comprehensive assessment and choose the most effective and safest approach to the tumor. This is a difference that no other brain surgery machine can do.
With specialized software, doctors can perform 3D simulation surgery before the official surgery, proactively choose the location to open the skull, choose the effective surgical approach to the tumor or pathological area, minimizing damage to nerve fiber bundles and affecting healthy brain tissue. This uniqueness has not been achieved by any conventional brain surgery machine before.
The robot monitors the entire surgical process, warns with light signals if the access path and surgical instruments tend to deviate, and allows the doctor to query existing MRI, CT, CTA, DSA data... for reference right on the Robot screen without having to access the data again on many different devices. From there, the doctor can make timely decisions.
Robots are highly effective, patients recover quickly, and treatment costs are dozens of times more economical than brain tumor surgery abroad with the same technology.
“Thanks to the Modus V Synaptive Brain Surgery Robot, a neurosurgeon with 30 years of experience like me can see nerve fiber bundles during surgery to avoid damage,” said Meritorious Physician, Master, Specialist 2 Chu Tan Si.
In particular, this artificial intelligence-based robot is highly effective in performing surgery on difficult neurological and cranial diseases, located deep in the brain or near important brain structures that conventional surgical methods find difficult or impossible to access due to the high risk of complications.
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