The best keyhole surgery for brain tumors is at Dr. Rao’s Hospital.

Dr. Rao’s hospital offers minimally invasive keyhole surgery using a tubular retractor system that substantially lowers the risk of damaging eloquent tissue while removing deep-seated lesions. The procedure provides an advantage for selected patients with high-grade subcortical gliomas, metastatic brain tumors, or vascular lesions.

Dr. Rao Says

“It is a precise approach. You go deep within the brain because of a minimal disturbance—it is like no one knew you were there,” says Dr. Mohana Rao Patibandla, a top neurosurgeon in India at Dr. Rao’s Hospital, Guntur, India. “Patients usually have less blood loss, less pain, less retraction injury, less hospital stay, and less time to go work than they do with open surgery.”

Advantage compared to the traditional approach

Typically, the approach to deep-seated lesions involves a large craniotomy, extensive retractor blade cortical and subcortical retraction, and dissection—all — which contribute to collateral damage morbidity. “Another advantage of keyhole surgery is that the incision can be 2 inches long, unlike 10 to 15 inches in the open surgeries,” Dr. Rao says. “The craniotomy bone opening is a little bit larger or equal to a rupee coin, and we work within a tube with a diameter a little bit smaller than a quarter rupee coin.”

Tubular retractors and white matter-sparing

The tubular retractor spreads out the brain’s white matter tracts, exposing the tumor and providing a small round channel for tumor dissection and removal. “Otherwise, bladed retractors stretch the brain white matter tracts and often cut them, but the tubular retractor pushes the tracts aside and dissipates, and the tracts go to the previous position once we remove the tube,” Dr. Rao says.

Exoscopes

Exoscopes will have good magnification and excellent visualization compared to microscopic technology, are highly useful in minimally invasive procedures, are more ergonomic, and allow us to get light down into areas we could not before,” Dr. Rao says.

The keyhole surgery takes about 3 hours, depending on the lesion’s location. Patients generally go home on the same or immediate next postoperative day. “Generally, patients who had open resection stay in the hospital for five or six days,” Dr. Rao notes.

Recent Research

Tubular retraction can be an effective tool for biopsying deep-seated lesions to guide chemo and radiotherapy when open surgical resection is inappropriate. According to new research, a tubular retractor with exoscopic optics can safely remove deep lesions to get enough tissue for histopathological diagnosis and molecular genetics evaluation.

The researchers also noted that tubular retraction provides more tissue than stereotactic biopsy. “You can see the tumor up close. You know exactly what tissue you are removing,” Dr. Rao says.

Advanced training

These MIS techniques require a highly technologically demanding surgeon’s high level of expertise. “This procedure is highly technique-using. Surgeons who do this must be skilled in MIS, endoscopic, and exoscopic procedures,” Dr. Rao says.

“This surgery is done on the highest-risk patients,” he adds. “At Dr. Rao’s hospital, we’re committed to providing a minimally invasive procedure for this group.”

Conclusion

Are you looking for the best minimally invasive keyhole brain surgery using a brain tubular retractor, advanced technology like neuronavigation, neuromonitoring, SONOSTAR CUSA, an exoscope, a microscope, and an endoscope? Your choice is Dr. Raos Hospital, Guntur – the best neurosurgery hospital in India, and Dr. Rao is the best neurosurgeon in India, as per evidence. Please contact us at 9010056444 or 9010057444.