Surgical department (neurosurgery) - 22 beds

The department has 3 doctors, 7 nurses.

Activities:

In the neurosurgical department of the Irkutsk Regional Cancer Center operations of various levels of complexity are performed including:

• Endoprosthesis and fixation of any spine section of any pathology if indicated;
• Removal of brain tumors of deep localizations;
• Conducting neurosurgical operations in the treatment of neoplastic lesions of the spine and brain;
• Created a list of indications for the treatment of patients with metastatic lesions of the spine and CNS using neuronavigation and an operating microscope;
• Developing comprehensive treatment methods of the posterior cranial fossa tumors, aimed at preserving neural structures;
• Surgical treatment of metastatic brain lesions in a complex with anticancer therapy.

Achievements:

• Removal of primary, secondary tumors of the brain and spinal cord using neurophysiological monitoring, Wake Up technology and fluorescence diagnosis with 5-ALA;
• Minimally invasive techniques for the spinal tumor treatment, such as percutaneous vertebroplasty. Stabilization and repositioning with minimally invasive percutaneous spinal fixation systems;
• Implemented the method of diagnostics with transition into therapeutic endovascular interventions using chemoembolization, adhesive compositions for tumor lesions of the skull base, brain, abundantly vascularized tumors of the skull and spine of any etiology as part of a joint team of neurosurgeons and neuroradiologists, which can significantly reduce intraoperative blood loss, increase ablasticity, and operate on previously considered inoperable tumor lesions;
• Endoprosthesis of the vertebrae through any anterior approach, chest, abdominal cavity and extraperitoneal space;
• Simultaneous total resection of the vertebrae with endoprosthesis of the vertebrae through the posterior approach with fixation and combined structure repositioning;
• Implemented a method of intraoperative photodynamic therapy (PDT), which allows to increase the radicality of operations for primary and metastatic brain tumors, the median life expectancy without progression;
• Implemented a surgical technique for transoral access to the base of the skull and upper cervical vertebrae for their cancer treatment and endoprosthesis.

Scientific directions:

• Developing new methods of organ-preserving surgeries for spinal cord tumors;
• Developing and implementing minimally invasive surgery methods for palliative and symptomatic treatment of metastatic lesions of skull, brain and spine;
• Developing of comprehensive methods for deep-seated brain tumor treatment.
• Surgical treatment of metastatic brain lesions in a complex of anticancer therapy;
• Developing methods for comprehensive treatment of brain tumors using local chemotherapy.