{"id":69145,"date":"2018-06-21T09:13:02","date_gmt":"2018-06-21T09:13:02","guid":{"rendered":"http:\/\/humanitasnet-new.local\/unita-operative\/neurochirurgie-si-oncologie\/"},"modified":"2018-06-21T09:13:02","modified_gmt":"2018-06-21T09:13:02","slug":"neurochirurgie-si-oncologie","status":"publish","type":"unit","link":"https:\/\/humanitas-net.humweb.webiz.team\/ro\/units\/neurochirurgie-si-oncologie\/","title":{"rendered":"Neurochirurgie \u0219i oncologie"},"content":{"rendered":"<p>Unitatea de Neurochirurgie \u0219i Oncologie se ocup\u0103 de tratamentul chirurgical al tumorilor intrinseci, extrinseci, primare \u0219i metastatice ale sistemului nervos central. Al\u0103turi de tratamentul tumorilor cerebrale, unitatea este, de asemenea, implicat\u0103 \u00een tratamentul chirurgical al leziunilor cerebrale asociate cu epilepsia \u0219i epilepsiile rezistente la medicamente.<\/p>\n<p>Unitatea specializat\u0103 \u00een tratamentul tumorilor intrinseci (glioame), \u00een special a celor cu malignitate sc\u0103zut\u0103, care este unul dintre punctele de referin\u021b\u0103 pentru tratamentul la nivel na\u021bional, european \u0219i interna\u021bional.<\/p>\n<p>Tratamentul se bazeaz\u0103 pe conceptul de tratament chirurgical \u00een func\u021bie de limitele func\u021bionale (neuro-oncologie func\u021bional\u0103), \u00een care rezec\u021bia chirurgical\u0103 are ca limit\u0103 suprafa\u021ba de detec\u021bie a creierului (cortical) \u0219i a zonelor func\u021bionale \u0219i conexiunile lor \u00een cadrul creierului (nivel subcortic). Datorit\u0103 acestei metode (cartografiere \u0219i monitorizare a creierului), se pot elimina \u00een mod vast tumorile cerebrale, localizate \u00een zone critice ale creierului, men\u021bin\u00e2nd \u00een acela\u0219i timp integritatea func\u021bional\u0103 a pacientului.<\/p>\n<p>Baza acestei metode este studiul, \u00een procesul preoperator \u0219i intraoperator, a func\u021bion\u0103rii creierului pacientului individual prin utilizarea neuropsihologiei, a metodelor de imagistic\u0103 prin rezonan\u021b\u0103 \u0219i a metodelor intraoperatorii de imagistic\u0103 avansat\u0103 PET \u0219i a neurofiziologiei intraoperatorii. Creierul fiec\u0103rui pacient este unic \u0219i organizarea func\u021bional\u0103 (func\u021bionarea acestuia) depinde de istoria pacientului \u0219i este rezultatul unei serii de circuite (re\u021bele) care conecteaz\u0103 diferite zone ale creierului \u00eentre ele \u00een emisferele cerebrale. Aceste re\u021bele func\u021bioneaz\u0103 \u00een serie \u0219i fiecare func\u021bie depinde de gradul lor de organizare func\u021bional\u0103. Atunci c\u00e2nd o tumoare se dezvolt\u0103 \u00een creier, aceasta interfereaz\u0103 cu buna func\u021bionare a sistemului \u0219i creierul se adapteaz\u0103 la prezen\u021ba tumorii \u0219i la cre\u0219terea ei, prin modificarea gradului de organizare func\u021bional\u0103 a diferitelor sisteme de re\u021bea. Aceast\u0103 adaptabilitate \u0219i compensare, numit\u0103 plasticitate a creierului, este utilizat\u0103 de c\u0103tre chirurg pentru \u00eendep\u0103rtarea eficient\u0103 a tumorii \u0219i, \u00een acela\u0219i timp, pentru men\u021binerea integrit\u0103\u021bii func\u021bionale a pacientului.<\/p>\n<p>&nbsp;<\/p>\n<p>Primul pas pentru a \u00een\u021belege gradul de plasticitate este studiul func\u021bion\u0103rii creierului prin intermediul metodelor neuropsihologice \u0219i imagistice. Neuropsihologia ofer\u0103 chirurgului informa\u021bii despre operarea \u0219i organizarea diferitelor re\u021bele func\u021bionale din creier printr-un examen rafinat \u0219i extins (evaluare neuropsihologic\u0103) \u0219i, prin urmare, determin\u0103 gradul de plasticitate. Informa\u021biile ob\u021binute cu neuropsihologie sunt integrate cu cele ob\u021binute prin metode imagistice (rezonan\u021b\u0103 func\u021bional\u0103, fMRI \u0219i tractografie, DTI) \u0219i scan\u0103ri PET.<\/p>\n<p>&nbsp;<\/p>\n<p>La momentul interven\u021biei chirurgicale, chirurgul identific\u0103 func\u021biile (motor, limbaj, vizual, vizuospital \u0219i cognitiv) pe suprafa\u021ba creierului \u0219i \u00een cadrul re\u021belei datorit\u0103 neurofiziologiei intraoperatorii (creierul lucreaz\u0103 cu electricitate) \u0219i neuropsihologiei (\u00een acest caz pacientul este treaz), iar chirurgul este sus\u021binut prin metode de imagistic\u0103 intraoperatorie (CT, ultrasunete, neuronaviga\u021bie).Datorit\u0103 acestei metode (cartografierea \u0219i monitorizarea creierului), se poate face o rezec\u021bie chirurgical\u0103 extensiv\u0103, dac\u0103 este posibil, chiar \u0219i dincolo de grani\u021bele sau marginile tumorii descoperite de imagini (a\u0219a-numita rezec\u021bie supratotal\u0103), men\u021bin\u00e2nd \u00een acela\u0219i timp integritatea func\u021bional\u0103 pe termen lung a pacientului. Ra\u021biunea acestei abord\u0103ri este c\u0103 celulele tumorale sunt prezente \u0219i dincolo de marginile tumorii eviden\u021biate \u00een imaginile de rezonan\u021b\u0103, iar utilizarea acestor metode permite \u00eendep\u0103rtarea lor sigur\u0103 \u0219i eficient\u0103, f\u0103r\u0103 a altera func\u021bionalitatea pacientului. Cu cat este mai mare rezectia tumorii, cu atat mai mult succes si mai mare este perioada de control al bolii.\u00a0O rezec\u021bie mare este posibil\u0103 cu chirurgii exper\u021bi de neuro-oncologie, neurofiziologi \u0219i neuropsihologi func\u021bionali care sunt dedica\u021bi \u0219i lucreaz\u0103 \u00eempreun\u0103 at\u00e2t \u00eenainte de opera\u021bie, c\u00e2t \u0219i \u00een sala de opera\u021bii pentru a atinge obiectivul extinderii rezec\u021biei chirurgicale maxime \u0219i men\u021bine integritatea func\u021bional\u0103 a pacientului . Prezen\u021ba anesteziologilor \u00een sala de opera\u021bie cu o experien\u021b\u0103 vast\u0103 de tehnici de anestezie pentru cartografierea creierului asigur\u0103 \u00een continuare succesul procedurilor. Grupul de neurochirurgie oncologic\u0103 a efectuat mai mult de 2.000 de opera\u021bii folosind tehnici de cartografiere \u0219i monitorizare a creierului \u0219i este unul dintre grupurile \u0219i liderii mondiali \u00een utilizarea unor astfel de metode \u00een rezec\u021bia tumorilor \u0219i a leziunilor asociate cu epilepsia. Acelea\u0219i metode pot fi de asemenea utilizate cu aceea\u0219i eficacitate \u0219i siguran\u021b\u0103 \u00een rezec\u021bia tumorilor metastatice, a tumorilor extrinsec\u0103 (meningioame) \u0219i a leziunilor vasculare cum ar fi angiomul cavernos, situate \u00eentr-o zon\u0103 critic\u0103.\u00a0Activitatea grupului de neurochirurgie oncologic\u0103 este integrat\u0103 cu cea a grupului unit\u0103\u021bii de neuro-oncologie din cadrul Centrului de Cancer, ca parte a unui proces de tratament multidisciplinar. Grupul neuro-oncologic multidisciplinar reune\u0219te expertiza neurochirurgilor, radioterapeu\u021bilor, oncologilor, neuro-oncologilor, neurologilor, neuroradiologilor, medicilor de medicin\u0103 nuclear\u0103 \u0219i neuropatologilor, baz\u00e2ndu-se pe principiul c\u0103 abordarea multidisciplinar\u0103 spore\u0219te eficacitatea \u0219i siguran\u021ba tratamentului. Grupul a definit c\u0103i de tratament \u00een func\u021bie de boal\u0103 \u0219i fiecare pacient este abordat \u00eentr-o loca\u021bie specific\u0103 pe baza tipului de cancer (histologie \u0219i structura molecular\u0103), tipul de interven\u021bie chirurgical\u0103, v\u00e2rsta \u0219i performan\u021ba clinic\u0103 neurologic\u0103 a pacientului.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-69145","unit","type-unit","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Neurochirurgie \u0219i oncologie - Humanitas.net<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Neurochirurgie \u0219i oncologie - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Unitatea de Neurochirurgie \u0219i Oncologie se ocup\u0103 de tratamentul chirurgical al tumorilor intrinseci, extrinseci, primare \u0219i metastatice ale sistemului nervos central. 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