Non-invasive removal of a giant tumor for a teenager using an endoscope

Tuesday,  7  Ноябрь  2023

The National Center for Neurosurgery performed a unique operation to remove a brain tumor without a single incision using a 3D endoscope with video monitoring.
The parents of a 16-year-old patient contacted the Neurosurgery Center with complaints about their daughter’s health. The patient was bothered by frequent headaches, blurred vision, dry mouth, thirst, and lack of menstruation.

Based on CT and MRI images, doctors at the Center for Neurosurgery diagnosed a giant tumor of the chiasmatic-sellar region of the brain (craniopharyngioma) with compression of the optic nerves and suprasellar structures of the brain, which caused all of the above symptoms.

Doctors from the Department of Pediatric Neurosurgery and Minimally Invasive Neurosurgery performed a 3D endoscopic transnasal-transsphenoidal tumor removal of the chiasmal-sellar region of the brain.
As Dr. Daniyar Teltaev, head of the Department of Minimally Invasive Neurosurgery who performed the surgery, notes that the advantage of the 3D endoscope technology is that it makes it possible to increase the surgical field of view, thereby improving the quality of the operation and providing the opportunity for total tumor removal. This method is a minimally invasive, high-tech approach.
“With this method, surgical “aggression” on the patient’s body is minimized compared to open surgery. The recovery period for the patient is reduced and postoperative complications are minimized. In addition, the tumor reached gigantic sizes (up to 4 cm) and spread to vital structures - the speech, visual, hormonal centers, and memory centers. At the time of admission to our clinic, the patient’s vision had deteriorated and she also had serious hormonal disorders. Let’s hope that after the tumor is removed, all functions will gradually improve.”

The operation was successful, the tumor was completely removed. The patient's condition is improving and she is preparing for discharge. The operation was carried out by specialists in their field - head of the department of minimally invasive neurosurgery Dr. Daniyar Teltaev, neurosurgeon of pediatric neurosurgery Dr. Saparbek Seitbekov, anesthesiologist Dr. Dzhumadulla Shadiev, nurse anesthesiologist Aigul Musina, operating room nurse Ainur Turmasheva.

The possibility of a favorable outcome with such interventions can only be achieved in highly specialized centers with modern diagnostic and surgical equipment, the presence of specialists who are proficient in both microsurgical and endovascular techniques, as well as well-coordinated work between them.

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