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Brain tumor surgery, various methods and how to perform it
مقاله تخصصی

Brain tumor surgery, various methods and how to perform it

3 weeks ago
637 بازدید
Dr. Mehran Moradi

Dr. Mehran Moradi

Tehran

Neurosurgeon, spine, laser disc, brain and skull base endoscope

انواع جراحی تومور مغزی

جراحی تومور مغزی انواع روش‌ها و نحوه انجام آن

جراحی تومور مغزی یکی از روش‌های اصلی درمان برای برداشتن یا کاهش توده‌های غیر طبیعی مغز است که می‌تواند به کاهش علائم، جلوگیری از پیشرفت بیماری و بهبود عملکرد مغز کمک کند. Performing this surgery depends on factors such as the type of tumor, its location, and the general condition of the patient, and making a decision about it requires careful examination by specialist doctors. If you want to know how brain tumor surgery is performed, which people need it and what points should be observed after the operation, stay with us until the end of the article to learn more about this issue.

Summary

Surgical methodHow to performUse Main
CraniotomyRemoval of part of the skull bone for direct access to the tumorComplex or skull base tumors
MRI-guided laser ablativeMRI-guided laser tumor ablationMalignant tumors or Resistant
NeuroendoscopySurgery through a small hole in the skull or nose/mouthAccess to difficult parts of the brain
Tubular retractor systemTransplantation of brain tissue with small incision and computer navigationDeep brain tumors
Surgery Transsphenoidalfrom the nasal route without opening the skullpituitary gland tumors
shuntingcreating a path to drain excess fluidreducing intracranial pressure

What is meant by brain tumor surgery?

Brain tumor surgery is a procedure in which abnormal tissue or a brain tumor is removed to reduce pressure on the brain and preserve nerve function. This surgery is performed when a brain tumor causes symptoms such as headache, nausea, vision problems or muscle weakness, is growing, or requires sampling to accurately diagnose the type of tumor. be The method of surgery varies depending on the size, location of the tumor and the general condition of the patient and can be performed by open (craniotomy) or by minimally invasive techniques guided by imaging.

What is meant by brain tumor surgery?

Why is brain tumor surgery performed?

Brain tumor surgery is one of the important treatment methods for people who are facing symptoms caused by tumor growth. This surgery is performed with the aim of reducing the problems caused by tumor pressure and improving the functioning of the brain.

Reducing pressure on the brain

A brain tumor can put pressure on healthy brain tissues by growing and cause symptoms such as headache, nausea and vision problems. Surgery reduces this pressure by removing the tumor and provides conditions for normal brain function.

stopping or reducing tumor growth

In many cases, the goal of surgery is to stop the growth of the tumor or reduce its size. By removing the accessible part of the tumor, it can be prevented from spreading to other areas of the brain.

Improvement of neurological symptoms

Tumors may cause muscle weakness, slurred speech, or movement problems. By removing or reducing the tumor, many of these symptoms are reduced and the motor and cognitive abilities of the patient are improved.

Precise diagnosis of tumor type

Sometimes sampling is needed to determine the type of tumor and choose the appropriate treatment. Surgery provides the possibility of tissue collection for pathology tests and accurate determination of tumor type.

Preparation for Complementary Treatments

After surgery, the patient may need additional treatments such as radiotherapy or chemotherapy. Reducing the size of the tumor through surgery makes these treatments easier and increases their effectiveness.

If you are looking for expert advice or an appointment for brain tumor surgery, fill out the form below so that our medical team will contact you as soon as possible and provide the necessary guidance.

What methods are the alternatives to brain tumor surgery?

In some patients, according to the type of tumor, its location and the physical condition of the person, methods other than surgery can be used to replace brain tumor surgery. These methods may be used alone or in addition to surgery, and their choice depends on the best brain tumor surgeon expert opinion.

Radiotherapy

In this method, radiation is used to shrink the tumor or prevent its growth. Chemotherapy

Chemotherapy is performed using special drugs and its purpose is to destroy or control tumor cells. This method is mostly used for malignant or fast-growing tumors.

Radiosurgery

In radiosurgery without making a cut, the radiation is focused on the tumor with high precision. This method is a suitable option for small tumors or tumors located in sensitive areas of the brain.

Pharmaceutical treatment

In some cases, the doctor uses drugs that help control the growth of the tumor or reduce the patient's symptoms. The type of medicine depends on the characteristics of the tumor.

Regular review

Small tumors may not be treated immediately and the patient's condition should be monitored with periodic imaging so that necessary action can be taken if there is a change.

Which doctor should we see for brain tumor surgery?

For brain tumor surgery, you should go to Dr. Mehran Moradi is one of the doctors active in the field of brain tumor surgery who, by carefully examining the conditions of each patient, makes the treatment process as It plans step by step. His focus is on correct diagnosis, choosing the right surgical method and clearly explaining the treatment steps to the patient and his family. Dr. Moradi tries to ensure that patients have a clear understanding of their condition, procedure and aftercare before surgery. Following up on the patient's condition after surgery and responding to concerns is also an important part of their treatment approach.

You can click on the button below to get an appointment and online consultation from Dr. Mehran Moradi.

address and location of the office of Dr. Mehran Moradi

Dr. Mehran Moradi

Neurology and spine specialist

You can go to Dr. Moradi's specialist clinic for consultation and examination or book an appointment online through the link below.

Tehran, Shahrek Gharb, Sanat Square, Farahzadi Blvd., Atiye Hospital 2, Entrance 4, Floor 18, Unit A8

Types of brain tumor surgery

Brain tumor surgery has various methods that are chosen according to the type, location and size of the tumor. Each method has its own characteristics and advantages, and its purpose is to reduce pressure, remove the tumor, and maintain the normal function of the brain. In the following, we will learn about the most important brain tumor surgery methods.

1. Craniotomy (craniotomy)

Craniotomy is one of the most common brain tumor surgical procedures, during which a part of the skull bone is removed so that the surgeon can access the tumor. This procedure is mostly used for tumors that are complex or located at the base of the skull and is performed under general anesthesia, although in some limited cases, the patient is conscious during surgery. Craniotomy allows the removal of a large part of the tumor and gives the surgeon direct control over the surrounding tissues.

2. MRI-Guided Laser Ablation (MRI-Guided Laser Ablation)

This minimally invasive method uses laser energy to destroy tumor cells, and with accurate MRI guidance, the exact location of the tumor is identified. This technique is used for resistant or malignant brain tumors, such as glioblastoma, and reduces pain and has a shorter recovery period than craniotomy.

3. Neuroendoscopy

Neuroendoscopy or endoscopic surgery of the brain is performed through small holes in the skull or through natural passages such as the nose and mouth. This method allows access to parts of the brain that are difficult or impossible with traditional surgery, and because of the small incision, it has less pain, a shorter recovery period, and fewer scars.

4. Tubular retractor system

This minimally invasive method is designed to access deep brain tumors. By making a small incision and using computer navigation, the brain tissues are moved slowly so that the surgeon can remove the tumor without much damage to the healthy tissues.

5. Transsphenoidal surgery

This surgery is performed through the nose without opening the skull and is mainly used for tumors of the pituitary gland. With the help of an endoscope and delicate instruments, the surgeon can remove the tumor precisely and no scar is created on the skin.

6. Shunt placement

This method is used to control excess fluid in the brain and reduce intracranial pressure. Shunts create pathways for cerebrospinal fluid to move to other parts of the body and reduce pressure in the brain, which helps reduce symptoms caused by increased pressure.

Dr. Mehran Moradi, neurosurgeon and spine surgeon, extensive experience in brain surgeries, pituitary tumors, skull base surgery and treatment Minimally invasive spinal disc surgery. He is a graduate of neurosurgery from Tehran University of Medical Sciences in 2014 and by completing the advanced spine surgery course at Nottingham University in England in 2020, he has acquired modern and minimally invasive skills in brain and spine tumor surgery. Dr. Moradi has been a member of the International Society of Spine Surgeons since 2011 and by combining expertise in neurosurgery and advanced techniques, they provide reliable and efficient treatment services for patients.

What should we do before brain tumor surgery?

Before brain tumor surgery, the complete preparation of the patient is very important because it both increases the safety of the operation and helps the recovery process. Observing the following tips will make the surgery more accurate and successful.

  • Performing tests and imaging to determine the location, size and characteristics of the tumor
  • Reviewing medicines and their use and presenting a complete list to the doctor
  • Consultation with the surgery and anesthesia team to get familiar with the procedure and care
  • Physical preparation including fasting, avoiding alcohol and tobacco, and adequate rest
  • Mental preparation by reducing stress and awareness of the surgical process
  • Coordinating with companions for attendance and support on the day of operation and recovery period
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Deep brain tumor surgery

Cavernous lesion is a benign vascular lesion deep in the brain. It is difficult to find this tumor under normal conditions, but the navigation device shows that it is possible to enter the brain with a very small incision and remove this mass with a microscope.

How is brain tumor surgery performed?

Brain tumor surgery is a precise and multi-step process that aims to remove or reduce the volume of the tumor and preserve the normal function of the brain. Each stage of the surgery is done with care and planning to minimize risks and damage to healthy tissues. In the following, we explain the main steps of brain tumor surgery:

Preparation before operation

Before surgery, the patient undergoes a complete medical examination and imaging tests such as MRI or CT scan are performed to determine the exact location and size of the tumor. Also, the doctor examines the patient's medications and gives the necessary instructions for his physical and mental preparation.

Anesthesia

Brain tumor surgery is performed under complete anesthesia so that the patient does not feel any pain and does not move. In some special cases, to monitor neurological function, the patient remains awake during the procedure.

Access to the Brain

The method of accessing the tumor is different depending on its location. The most common procedure is a craniotomy, in which part of the skull bone is removed to allow the surgeon access to the tumor. In some minimally invasive procedures, such as neuroendoscopy or laser-guided MRI, small incisions or natural paths such as the nose are used.

Tumor removal

After access, the surgeon separates the tumor from healthy tissues using specialized tools. During the operation, continuous imaging and computer navigation systems help the surgeon to define the boundaries of the tumor and reduce damage to healthy tissue.

Bleeding control and brain function check

During the surgery, bleeding is controlled and the patient's neurological activity is monitored through specialized monitoring to maintain brain function.

Closing the site Surgery

After the tumor is removed, the skull bone is put back in place and the soft tissue and skin layers are sutured. In minimally invasive methods, only a small incision or natural path is left for the instruments.

Steps of brain tumor surgery

How long are we hospitalized after brain tumor surgery?

The length of hospitalization after brain tumor surgery depends on the type and extent of the surgery, the location of the tumor and the patient's physical condition. Patients are admitted to the hospital for 3 to 7 days so that vital signs, neurological status and possible signs of complications are carefully monitored.

In minimally invasive or small-incision surgeries, the hospitalization period may be shorter, even 1-2 days, but in complex surgeries or large tumors, longer hospitalization and special care are required. After discharge, it is necessary to continue specialized care at home and follow-up meetings with the doctor.

What should we do after brain tumor surgery?

The period after brain tumor surgery is very important because

  • following medical examinations and performing imaging studies to ensure the treatment process
  • Consumption of prescribed drugs, including painkillers, anti-inflammatories and anticonvulsants according to the doctor's plan
  • Caring for the surgical site and maintaining wound hygiene to prevent infection
  • Adequate rest and avoiding heavy activities for the chance to recover the brain
  • Adhering to a healthy diet and consuming enough fluids to support tissue repair
  • Following rehabilitation and physiotherapy programs in case of motor or neurological problems
  • Get psychological support from family, friends or a counselor to reduce stress and maintain mental health
  • What are the advantages and disadvantages of brain tumor surgery?

    Brain tumor surgery can help reduce the pressure on the brain and control the symptoms of the disease by removing or reducing the mass, and in many cases, it enables accurate diagnosis of the type of tumor. However, this surgery, like any other operation, is associated with risks such as bleeding, infection or the occurrence of some temporary neurological disorders. The decision to perform brain tumor surgery should be made after a complete examination of the patient's condition, the type of tumor and the opinion of a specialist doctor.

    Advantages of brain tumor surgeryDisadvantages and risks of brain tumor surgery
    Reduction of symptoms caused by tumor pressure on the brain Possibility of bleeding during or after Surgery
    Possibility of complete or partial removal of the tumorRisk of infection at the surgical site
    Help to accurately diagnose the type of tumorPossibility of damage to sensitive parts of the brain
    Reduction of intracranial pressureEmergence of temporary movement or speech disorders
    Help to control growth TumorNeed hospitalization and recovery period
    Decreasing dependency on symptom control drugsPossibility of a part of the tumor remaining
    Providing suitable conditions for complementary treatmentsPossibility of tumor return in some patients
    Reducing the severity of some neurological symptomsRelated side effects With general anesthesia
    What is brain tumor surgery?

    How likely is it to survive after brain tumor surgery?

    The probability of survival after brain tumor surgery depends on the type of tumor, its location, size, general health status of the patient and speed of diagnosis. Surgery to remove the tumor can increase the patient's life expectancy and reduce symptoms caused by tumor pressure, but success and survival rates vary.

    For benign tumors that are located in accessible places, the chance of success is high and the probability of long-term survival is high. In malignant or complex tumors, such as malignant glioblastoma, the probability of survival is shorter and there is often a need for additional treatments such as radiotherapy or chemotherapy.

    A neurologist or a brain tumor surgeon can provide a more accurate prediction about the chances of surgery success and the patient's life expectancy, according to individual conditions.

    Concluding remarks

    Brain tumor surgery is a complex and sensitive process that aims to remove or reduce the volume of the tumor and preserve the normal function of the brain. Knowledge of surgical methods, pre- and post-operative steps, care and possible risks helps the patient and family to go through this path with more confidence. Compliance with doctor's orders, post-surgery care and regular follow-up of examinations are an important part of the success of the treatment and improvement of the patient's quality of life.

    FAQ

    How long can one continue to live after brain tumor surgery?

    The duration of life after brain tumor surgery depends on the type of tumor, the extent of its removal, the age and general condition of the patient and can range from a few years to How many decades it varies.

    Can you speak after brain tumor surgery?

    The biggest risks of brain surgery include the loss of brain function, such as the inability to speak, walk or think. Some need rehabilitation after surgery to recover these functions.

    Can a brain tumor be removed completely?

    Benign brain tumors can be removed by surgery, and if a part of the tumor remains, with imaging and radiotherapy

    How long does it take to recover after brain tumor removal surgery?

    After surgery, most patients are relatively active and can return to their normal activities within a few days and often return to work about 4 to 6 weeks after surgery. They come back.

    What happens after the removal of a brain tumor?

    After the removal of a brain tumor, the patient is placed under care in a special ward so that his brain function, vital signs and general condition are closely monitored.

    This article has been reviewed by Dr. Mehran Moradi.

    Dr. Mehran Moradi
    Dr. Mehran Moradi

    Neurosurgery specialist | Graduated in neurosurgery from Tehran University of Medical Sciences (2014). Has an advanced spine surgery course from the University of Nottingham, England (2020). Member of the International Association of Spine Surgeons since 2011 Experienced in disc surgery, spine surgery, neuroendoscopy, skull base surgery and pituitary tumors Has an official medical license Medical system number: 122170

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