RAM Pituitary Center

Ramkhamhaeng Hospital

" We combine surgical technology with medical technology. Increased safety in the surgical treatment of brain cancer. To help patients to return to normal life again. "

The guidelines for treating brain cancer are divided into 2 groups.

1. Groups of brain cancer that do not yet need surgery. It can be treated with clinical and MRI monitoring methods.
2. Groups that need surgery or radiation treatment.

Brain Cancer Treatment Center of Ramkhamhaeng Hospital has high-tech medical equipment. Which enhances the safety of brain cancer surgery as follows;

1. High magnification surgical camera Microscope 3D. It is an important technology for brain cancer surgery. 3D Laparoscopic surgery with a magnification of up to 39 times. It helps the surgeon to see the surgery image very clearly. The images will have width, length, and depth. This makes the surgery of cancer in important areas surrounded by blood vessels and small nerves very safe. And can effectively reduce the injury rate to important small organs.

2. Endoscopic neurosurgery. The use of this type of endoscope is similar to that used for surgery on the gallbladder or appendicitis. The resulting image is a 2D high magnification image. In some types of brain cancer surgery, such as pituitary gland cancer. This type of endoscope can be used through the nostril to remove brain cancer. Without the need to install a scalpel on the skin and without having to open the skull. Reduce the risk of injury to brain tissue. It helps to make cancer surgery at the base of the skull more secure.
    
3. Cavitron ultrasonic aspiration (CUSA). This medical device is a very important part of brain cancer surgery. This machine produces ultra-high-pitched sonic waves to destroy cancer cells to break into small pieces. Before cancer is removed via a small vacuum. It makes cancer removal safer. Effective reduction of trauma to the brain and neighboring organs.
    
4. Neuro-Navigator. Guidance devices to help determine the location of brain cancer, including important organs in the operation area, Make the surgery more accurate. Reduce the chance of complications from wrong surgery.

5. DTI fiber tracking technology from MRI. When used with the machine Neuro-Navigator helps to see the important nerve fibers in the brain compared to cancer. Because some brain cancer can spread into nerve fibers. Therefore, removing cancer that is attached to nerve fibers can cause disability. Therefore, this device will allow doctors to remove most brain cancer while maintaining brain function. Reduce the chance of disability after surgery.

6. Intra operative monitoring. It is used to monitor the function of the nervous system during surgery. while the patient is asleep or waking using neurological techniques. Caused by the electrical nervous system response. Helps to assess the function of the nervous system and reduce the risk of injury to the nervous system during surgery. It is considered an important standard in surgery for patients with brain cancer today.
   
                                   
    

After the cancer surgery has been completed, every cytology examination will be sent. To see the type of cancer. Before the doctor can assess the prognosis of the disease. Also, after knowing the type of cancer. Some types may require radiation. Or give chemotherapy after surgery. To completely cure brain cancer.