The operation to remove a brain tumorSurgical treatment of brain tumors suggests its complete deletion, or in case of failure - a resection of the bulk of tumors and / or by a shunt, which restores the outflow of the cerebrospinal fluid.

Modern medical technology allows to apply new surgical treatment methods: laser and neuronavigation, microsurgical equipment, endoscopic, stereotactic radiosurgery and surgery.

Indications for surgery for a brain tumor

Brain tumor is an indication for its removal. But the feasibility of the operation due to the location of tumors, its size and views; age and state of health of the patient; surgical prognosis.

It increases the risk of such operations in inaccessible location, germination and bilateral location of the tumor. Surgical intervention is not possible with multiple lesions organ localization of tumors in the vital centers of the body (the center of the speech motor area). When deciding step (involved neurosurgery, oncology, radiology, himioterapevt) includes all features of the particular case, the sequence of application of different treatments (radiotherapy, chemotherapy).

In Israel, a leading practicing neurosurgeon Shlomi Constantini. He has extensive experience in removing brain tumors. Enroll you can see a specialist using the form request

On our website you have the opportunity to receive a free consultation about the operation and send a request to conduct craniotomy in Israel. Tlv.Hospital Coordination Center will assist in the organization of the treatment process in the country's hospitals.

Preparation for surgery to remove a brain tumor in Israel

Carrying out an operation to remove a brain tumor in Israel precedes the preliminary anti-edema therapy. In order to reduce or prevent brain edema, decrease vascular permeability, administered glucocorticoids (eg, dexamethasone); to reduce intracranial pressure - Lasix or mannitol. If there have been bouts of epilepsy, anticonvulsant therapy is carried out.

Anesthesia during surgery to remove a brain tumor

In most cases, surgery to remove a brain tumor in Israel is performed using general anesthesia, tracheal intubation performed and the breathing mixture is introduced with nitrous oxide. Anesthesia accompanying measures could be the introduction of narcotic analgesics, muscle relaxation, mechanical ventilation, and controlled hypotension. According to a number of neurosurgeons, it helps to improve the conditions for the operation.

Methods of conducting operations to remove a brain tumor in Israel

The operation to remove a brain tumor in IsraelNeurosurgical treatment may be of radical or palliative.

Conditions for the radical removal of the brain tumor is accessible location and benign without metastases or secondary foci.

If germination tumors, the possibility of an all-out operation is dependent on the functional importance of the surrounding structures. Considered inappropriate resection zone border with the tumor, if it will cause a rough neurological symptoms. In that case preference is given palliative surgery, which aims to remove the bulk of the tumor to enhance the effectiveness of chemotherapy or radiotherapy. If you can not remove an education that prevents normal movement of the cerebrospinal fluid; imposed the shunt.

Craniotomy, for many known as craniotomy, it is the most common type of surgery for brain tumors, it enables the surgeon to work directly on the body. It produces excision of a bone segment from the patient's skull. By removing the tumor brings back bone, which is also called a flap, stitching the scalp.

There are several methods of performing trepanation: resection, decompression, osteoplastic, trephination for access to the cavity of the cranial vault. By decision of the anesthesiologist is used local anesthesia or general anesthesia. All kinds of craniotomy in Israel are carried out exclusively using the most modern tools and equipment - elektrotrepanov and pnevmotrepanov. With their help removed bone segment without damaging it, and later used to autoplasty.

In developed medically states - the US, Israel, Germany craniotomy developed to the last detail. It involved the most advanced equipment, which increases the efficiency of neurosurgical treatment. When conducting operations to remove a brain tumor in Israel apply visual control by ultrasound, MRI, stereotactic neuronavigation system and that, of course, raises the possibility of the most complete removal of the tumor without neurological complications.

Application in Israel clinics microsurgical instruments, surgical microscope, laser photocoagulation and laser ultrasonic aspiration can reduce the degree of trauma and surgical manipulations to preserve to the maximum functionally significant areas of the brain.

Microsurgery involves the use of powerful microscopes. The process of surgery is fixed on the camera, it can be seen on a monitor in the operating room. Removal of the tumor may endoscopic or open craniotomy manner.

Some tumors (eg, pituitary adenoma), possibly removed endoscopically through the nose, avoiding craniotomy. Neurosurgeon performs an operation through a small hole. He has the ability to see the surgical field using an endoscope or microscope eyepiece or a TV screen. At the final stage of the operation it produces tumor removal via elektropintseta, ultrasonic aspirator or micropump. This type of surgical treatment is considered effective in removing tumors that are located in the spaces filled with fluid (ventricles).

Also in Israel clinics performed radiosurgical operation, when the small size of the tumor is irradiated using ionizing radiation directed - "gamma knife". Application of this method is not possible with large tumors because exposure can threaten a healthy brain tissue.

In treating brain tumors are also used methods such as a local chemotherapy, photodynamic therapy, hyperthermia, immunotherapy. These treatment methods for their effectiveness, scientists continue to study.

One of the components of a successful treatment of cancer in Israel is a precision diagnostics, from which depends the effectiveness of subsequent treatment.

Contraindications for surgery for brain tumor

As contraindications of the tumor may be considered:

  • inoperable;
  • inaccessible location;
  • metastases, sprouting in the brain tissue;
  • defeat functionally relevant body zones.

Contraindications to the patient are:

  • severe general state of health;
  • age over seventy years;
  • severe somatic disorders or severe allergic reactions to the anesthetic.

The above contraindications evaluated as relative, if the effect of the operation is many times greater than the risk of complications.

Types of operations to remove a brain tumor in Israel

Surgery to remove the tumor in Israel, the pricesIntracerebral glial tumors

When tumor Limited - piloidnoy astrocytoma or pleomorphic ksantoastrotsitome possible radical removal.

Often, however, such operations are not possible in connection with germination diffuse neoplasm in surrounding brain tissue. In this case the main part of the surgeon ablates tumors and complements shunt surgery as needed.

Certain types of brain tumors due to the growth of cause difficulties with normal outflow and circulating fluid (CSF) surrounding the brain and spinal cord. Cerebrospinal fluid builds up within the skull, develop hydrocephalus. This fluid increases intracranial pressure, causing severe headaches the patient. So there is a need for operation to divert CSF - shunting.

Modern technology to remove a brain tumor operations in Israel allows to perform this operation only once. Neyronavigatora under control; It sets the shunt so that this liquid is fed into the chest. Even over time, there is no need to replace it or adjust location.; Current shunts are provided with valves which allow the outflow of the liquid down from the brain, but does not allow its return receipt.

Intracerebral tumor neglialnaya

Remove neglialnuyu tumor (adenoma, schwannoma, craniopharyngioma and others.) Possible if she has a benign course, has grown into the brain tissue on a narrow segment, forming her leg. Neoplasm which considerably sprouted can be removed only partially. If the tumor is inoperable, depending on its location, perform a brain decompression or shunt surgery.

ventricular tumor

For ventricular tumors include tumors lateral ventricles. To delete them, make trepanation of the skull in the occipital or frontal region. If the tumor is not possible, conduct the shunt surgery - impose communication between a large brain cistern and III ventricle that ensure the free circulation of cerebrospinal fluid.

Tumor cerebellum and IV ventricle

These types of tumors may necessitate emergency surgical intervention. This happens when a neoplasm overlaps the path of the outflow of cerebrospinal fluid that provokes obstructive hydrocephalus, moreover, displaced cerebellum of the brain stem in the foramen magnum of the skull and compression occurs. Then, in order to quickly reduce the pressure in the ventricular system, perform the puncture of the lateral ventricle, then carry out an operation to remove a brain tumor . If it is impossible to completely excise the tumor, partial excision or perform decompression of the posterior fossa via the resection margin foramen and crura I cervical vertebra. In the case where not restored cerebrospinal fluid outflow conducted shunt operation: external drainage lateral ventricle ventriculostomy III ventricle, IV ventricle anastomosis with a bridge-cerebellar tank.

A tumor of the brain stem

In the recent past the brain stem tumors considered inoperable. With the help of modern neurosurgery opportunities in Israel carried out the removal of benign, clearly delineated from the stem tissue. They account for 25% of all tumors of the brainstem.

Removing germinating entities is possible only at a late stage, when the need to develop hydrocephalus and decompression of the posterior fossa.

Tumor chiasmosellar area

To remove this type of tumors begin, if it continues to grow, and radiation or hormone treatment fails. In this progressive disorder of the tumor compresses the III ventricle outflow of cerebrospinal fluid.

When tumors sella may conduct endoscopic surgery through the nose by means of opening the main sinus. If neoplasm considerably sprouted in adjacent structures or swelling occurs chiasma, used trepanation frontal bone of the skull.

Colloid cyst ventricle III

This type of neoplasm to be radically removed. He refers to primary tumors of the ventricles, having clear boundaries and associated with brain tissue only a narrow leg. For this reason its removal is less difficult and more successful than other neoplasms ventricle III. Resection performed through the corpus callosum, or lateral ventricle.

meningoblastoma

Surgery to remove the tumor in IsraelProduce the most successful removal meningioma, if it is located under the calvarial bones. Operational approach is complicated when the tumor is localized at the base of the skull, and when it invades and grows into the brain sinuses becomes difficult process of isolation and resection. If you can not completely removed after the operation is performed radiosurgical irradiation of the remaining segments.

Neuroma site Gasser

Operation is carried out via a temporal craniotomy, husks neoplasm of connective capsule, trying to remove it as much as possible, causing the least damage to the nerve fibers node Gasser.

Acoustic neuroma

The most successful operation at the initial stages neurinoma until it small size and squeezes adjacent structures (the brain stem, cerebellum, facial nerve).

Microsurgical operation access in BTE area possible when the tumor small dimensions and is situated in the inner ear canal. Produced a burr hole in the occipital bone, if education is the root of the auditory nerve neuroma.

Craniopharyngiomas

Completely remove kraniofarengiomu possible if small size. Surgical intervention is done by the type of removal of the pituitary tumor. craniopharyngioma compresses large cranial nerves, hypothalamus, large vessels chiasmosellar region and germinates to III ventricle. In connection with the danger of damage to these structures compresses the tumor removed partially. During the operation, eliminates impaction of the hypothalamus or optic chiasm, reduced current liquor. They may also conduct a puncture or opening in cystic degeneration cyst neoplasm bypass surgery.

Transcranial removal of pituitary adenoma

Transcranial approach used for pituitary adenomas, which are considerably beyond the border sella. Performed craniotomy of the frontal bone. The surgeon husks maximum swelling of the capsule, possibly cuts the capsule from surrounding structures: pituitary legs, optic nerve, chiasm, vessels. Often enough to completely remove the tumor, together with the capsule there is no way due to the risk of bleeding or total removal of the pituitary gland. Then make a partial resection of the adenoma, to eliminate compression of the structures and perform radiation therapy after surgery.

Transnasal removal of pituitary adenoma

Transnasal accessed if adenoma located inside the sella turcica, or beyond, no more than 2 cm. After nasal passage and the incision under the upper lip produce sphenoidotomy, after the surgeon makes a hole in the top wall where is located ephippium. Cutting dura get to the tumor and remove it. During the operation, apply microsurgical or endoscopic technique.

The National Institute for Health and Clinical Excellence (NICE) conducted an analysis of this kind of operations. Comparing with open craniotomy, it was revealed that operation Transsphenoidal (intranasally), they are as effective and result in fewer complications. This approach is considered to be an innovative and effective solution.

metastatic tumor

The question of the removal of metastases in the brain is decided on an individual basis. In most cases the tumor does not lead to rapid deterioration of patient's state when rising intracranial metastasis. For this reason, if the individual secondary foci are located in accessible areas of the body, the patient has no severe cancer cachexia, their removal is carried out. If multiple metastatic lesions are localized in one area, it also makes sense operation. Deep-seated metastases operate using radiosurgery or stereotactic techniques.

Possible complications after surgery

Common complications can be caused by anesthesia: bronchospasm, scratchy and sore throat, cardiac arrest or respiratory arrest, anaphylactic shock, allergic reactions, impaired memory and confusion.

After the operation, the following complications: poor regeneration of wounds, infection, tumor recurrence, the formation of adhesions, pulmonary embolism, liquorrhea, acceleration of tumor growth by incomplete removal, irreversible neurological disorders, hematoma, bleeding and others.

Price surgery to remove a brain tumor in Israel

Learn more detailed information you can directly contact us. We give the value of a number of procedures:

  • The diagnostic program - $ 2840, including MRI, neurosurgery consultation, blood tests.
  • Surgical removal of tumors (craniotomy) - $ 35,800.

Craniotomy in Israel is carried out under the supervision of modern diagnostic and therapeutic equipment, which allows doctors to jewelry brain surgery with minimal risk, without causing harm to the health of their patients. A high level of surgical oncology - feature and advantage of cancer treatment in Israel. He achieved thanks to the skill and professionalism of the surgeons, as well as medical and engineering infrastructure.

Consultations with video online a leading Israeli experts: about the benefits of online video Consultation.