###Paras Health Udaipur Performs Advanced Keyhole Surgery to Remove Multiple Brain Tumors
36-year-old lung cancer patient treated with minimally invasive neuro-navigation guided surgery
Udaipur: In a remarkable medical achievement, Paras Health Udaipur successfully performed an advanced neuro-navigation guided keyhole surgery on a 36-year-old woman diagnosed with multiple brain metastases arising from lung carcinoma.
The patient had been undergoing chemotherapy for lung cancer and was clinically stable. However, she began experiencing persistent headaches, repeated vomiting, and increasing drowsiness. An MRI brain scan and PET scan revealed multiple metastatic tumors in different regions of the brain — a complex and high-risk condition where cancer spreads from the lungs to the brain.
The intricate minimally invasive procedure was led by senior neurosurgeon Dr. Ajit Singh, who utilized advanced high-precision neuro-navigation technology. Traditionally, cases involving multiple brain metastases often require separate large craniotomies in different brain quadrants, increasing the risk of complications, prolonged hospitalization, and post-operative neurological deficits.
In this case, the surgical team opted for a minimally invasive neuro-navigation guided approach. Using detailed preoperative mapping and a high-precision neuro-navigation system, the surgeons accessed and removed the larger metastatic lesions through carefully planned small craniotomies, minimizing trauma to surrounding healthy brain tissue.
Explaining the procedure, Dr. Singh stated, “With advancements in neuro-navigation and microsurgical techniques, even complex cases involving multiple metastases can now be managed safely and precisely. Careful planning, technological support, and multidisciplinary collaboration have transformed conditions once considered life-threatening into treatable diseases. This approach significantly improves treatment options and quality of life for patients.”
The surgery was completed with minimal blood loss and no intraoperative complications. Additionally, a fiber reservoir was placed within the surgical cavity to facilitate potential intrathecal therapy in the future if required.
Post-operatively, the patient demonstrated significant neurological improvement. She has been advised to undergo whole-brain radiotherapy as part of her comprehensive oncological management plan.
Dr. Singh further emphasized that managing multiple brain metastases requires careful case selection and strong coordination between neurosurgery, oncology, and radiology teams. “In selected patients who are systemically stable, aggressive yet minimally invasive surgical intervention can significantly improve neurological symptoms and allow continuation of systemic cancer therapy,” he added.
This case highlights the growing role of advanced neuro-navigation assisted neurosurgery in managing complex metastatic brain disease and underscores the importance of integrated, multidisciplinary cancer care in improving patient outcomes.
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