Professor Moshe AdaniNeurosurgeon
The primary goal of surgical intervention in the treatment of tumors localized in the brain is, of course, the maximal complete removal of the neoplasm. The principle of surgical treatment for primary cancer, regardless of localization, is to excise as much of the pathologically altered tissue as possible to prevent further progression of the tumor and the spread of metastases.
During surgical interventions on the brain, neurosurgeons from the Top Ichilov clinic use modern equipment and instruments, ensuring precise operation and minimal trauma to healthy brain tissue. There are several surgical methods for treating brain tumors, and the choice of one depends on many factors considered by the clinic's specialists.
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Types of Brain Tumor Treatments at Top Ichilov
Stereotactic surgery is a minimally invasive surgical intervention that allows for precise targeting of the pathology for its destruction. Modern stereotaxis is performed using special computer programs that ensure maximum accuracy and effectiveness of the operation. The impact on healthy tissue is minimal.
Ultrasound intervention involves using special aspirators to apply high-power ultrasound to the tumor, resulting in the destruction of the neoplasm and removal of its remnants through the aspirator.
Shunting restores the physiological circulation of cerebrospinal fluid disrupted by the tumor blocking the pathways of cerebrospinal fluid flow, leading to increased (stable) intracranial pressure and hydrocephalus. The installation of a shunt restores the balance between the production and outflow of cerebrospinal fluid and alleviates symptoms of cerebrospinal hypertension (nausea, headache, etc.).
Craniotomy is a procedure during which the skull cap (the upper part) is removed. For this, the doctor drills many small holes in the skull wall, through which a wire saw is inserted to cut the bone gaps between the holes. After removing the skull cap, a good visual overview and access to the tumor is achieved, allowing for complete removal of the neoplasm. In cases where there is a high risk of damaging vital structures and complete tumor removal is impossible, the maximum possible volume of the neoplasm is excised, and additional treatment is conducted using chemotherapy or radiotherapy.
Surgical methods for treating brain tumors can be standalone methods in the case of removing a benign tumor or part of a comprehensive treatment (primary procedure followed by chemotherapy or radiation therapy). At the Top Ichilov Medical Center, the use of traditional metal scalpels is gradually being replaced by modern techniques such as laser therapy, cryodestruction, ultrasound surgery, and photodynamic therapy.
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The Most Modern and Progressive Methods for Treating Pathological Brain Tumors at the Top Ichilov Clinic
The most progressive methods of surgical intervention for removing brain tumors include operations using computer-controlled navigation equipment and robotic laser-stereotactic systems. Additionally, cryo devices of the latest generation are used for the destruction of brain tumors, fully controlling the degree of tissue freezing. Another innovative method is the removal of malignant brain gliomas using fluorescent microscopy.
The method of electrophysiological mapping of the cerebral cortex is extremely effective when the neoplasm is localized in the speech and motor area and in the area of the cerebellopontine angle. This type of surgical intervention is maximally sparing and allows for the preservation of important brain structures.
Laser surgery is a very promising direction in neurosurgery. The high intensity of the laser beam allows for not only the finest tissue cuts but also coagulates blood during dissection. Moreover, the laser is always sterile, and its use eliminates the risk of accidentally spreading cancer cells to other organs and tissues.
Photodynamic therapy is a new method undergoing clinical trials. Its essence is to increase the sensitivity of cancer cells to radiation of a specific wavelength by administering special drugs to the patient.
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- Treatment of glioblastoma
- Brain tumors