Individual Treatment Plan for Glioblastoma Stage 1: Surgical Protocol

Overview

This treatment plan outlines the standardized protocol for the surgical management of Stage 1 Glioblastoma, a primary malignant brain tumor. The focus is on tumor resection, using the most advanced surgical techniques, ensuring minimal complications, and achieving the best possible patient outcomes. Additionally, WEGOVITA provides personalized support throughout the surgical process, including pre-operative preparation, the surgical procedure, and post-operative rehabilitation.

Treatment Objectives

Surgery is often the first line of treatment for Stage 1 glioblastoma. The primary objective of surgery is to remove as much of the tumor as possible, especially if the glioblastoma is localized and operable. In some cases, total resection may not be possible, but the surgery still aims to reduce the tumor burden and relieve symptoms.

1. Primary Objective:

Perform maximal safe tumor resection to reduce the glioblastoma mass and improve the patient’s quality of life.

2. Secondary Objective:

Prevent tumor recurrence and manage any remaining cancerous cells through postoperative treatments like radiation and chemotherapy, if needed.
Provide rehabilitation to support recovery and help the patient regain physical functionality and independence.

Surgical Protocol for Glioblastoma Stage 1

1. Preoperative Assessment:

Before surgery, an in-depth assessment is conducted to determine the optimal approach for tumor resection. The following steps are involved:

Advanced Imaging

MRI and CT scans will be performed to determine the tumor’s size, location, and proximity to critical brain structures. Functional MRI (fMRI) may be utilized to identify essential areas of the brain, such as motor functions, to minimize damage.
Diffusion Tensor Imaging (DTI): This imaging helps map out the brain’s white matter pathways, critical for guiding surgeons in real-time to avoid damaging motor and sensory functions during surgery.

Preoperative Consultation:

A team of neurosurgeons, oncologists, and radiologists will discuss the surgical plan, addressing potential risks and expected outcomes. This is a crucial step to ensure that the patient is fully informed and comfortable with the proposed treatment.

2. Surgical Techniques

A. Conventional Brain Surgery:

Craniotomy: The most common surgical technique for glioblastoma resection involves making an incision in the scalp to access the skull, which is then carefully opened to access the tumor.
Maximal Safe Resection: The neurosurgeon will remove as much of the tumor as possible while preserving healthy brain tissue. In some cases, intraoperative neuronavigation or functional MRI may be used to guide the surgeon in real-time to avoid damaging critical brain structures such as the motor cortex or language areas.

B. Robot-Assisted Surgery:

Robotic Surgery for Precision: In some cases, robot-assisted surgery may be used to enhance the precision of tumor resection. NeuroArm, a state-of-the-art robotic surgical system specifically designed for neurosurgery, allows for more precise movement and better visibility of the tumor. This reduces the potential for human error and allows for intricate manipulation in areas that are difficult to reach.
Benefits: This approach provides enhanced precision, minimal invasiveness, and smaller incisions, which can lead to faster recovery times.
Technology Used: The use of systems such as NeuroArm or StealthStation Navigation can provide highly accurate removal of the tumor with minimal damage to surrounding tissue.

3. Postoperative Care:

Immediate Care Post-Surgery:

After surgery, the patient will be monitored in an intensive care unit (ICU) to ensure stable vital signs and address any immediate complications, such as swelling or bleeding. Pain management is provided to keep the patient comfortable, using a combination of medications.

Follow-up Imaging:

A follow-up MRI will be scheduled within 48–72 hours after surgery to confirm the extent of tumor resection and check for complications such as infection or bleeding.

Cost Estimate

The cost for a glioblastoma surgery typically depends on factors such as the complexity of the surgery, the hospital’s location, and the specific surgical techniques used. The approximate pricing for Stage 1 glioblastoma surgery in Germany is as follows:

Conventional Surgery (Craniotomy): Starting from €25,000 to €45,000.
Robotic-Assisted Surgery: Starting from €35,000 to €55,000, depending on the complexity of the procedure and the technology used.

These prices include:

Pre-operative consultation and imaging.
The surgery itself (including neurosurgeon fees).
Post-operative care, including ICU stay and follow-up imaging.

Please note: The final price will be determined based on the patient’s specific condition, surgical needs, and the selected hospital. WEGOVITA will assist in providing an accurate cost estimate based on the individual’s medical reports.

WEGOVITA’s Comprehensive Support Before, During, and After Surgery

Before Surgery:

Personalized Evaluation and Consultation:

WEGOVITA offers an initial fast-track evaluation of your medical reports within 48 hours. This enables us to assess the optimal treatment approach for your glioblastoma.
We facilitate a consultation with leading German neurosurgeons and oncologists to discuss the most appropriate surgical options and help you make an informed decision. All aspects of the surgery, including risks, benefits, and expected outcomes, will be carefully explained.

Coordinating Logistics:

WEGOVITA manages all logistics for your medical journey, including hospital selection, surgical scheduling, and travel arrangements to Germany. We ensure that everything is taken care of, allowing you to focus solely on your health.

During Surgery:

Top-Quality Surgical Care: Your surgery will be performed at one of the top hospitals in Germany, with a team of expert neurosurgeons, oncologists, and support staff. We ensure that the surgery is done using state-of-the-art technologies and techniques, such as robot-assisted surgery and StealthStation Navigation, to ensure the best possible results.

In-Hospital Monitoring:

We provide continuous post-surgical monitoring, ensuring that your recovery is as smooth as possible. WEGOVITA is there to oversee every aspect of the post-operative care to minimize risks and manage any complications effectively.

After Surgery:

Rehabilitation (40-Day Program):

Postoperative Rehabilitation is essential for your recovery. WEGOVITA offers a 40-day rehabilitation program to help patients regain physical abilities, including motor functions, strength, and cognitive recovery. This includes:

Physical Therapy: To regain strength and mobility.
Occupational Therapy:To help you return to daily activities.
Neurorehabilitation: Focuses on restoring cognitive function and mental clarity.

Psychological Support:

Along with physical rehabilitation, psychological counseling is available to help you cope with the emotional and psychological impact of your surgery and diagnosis.

Ongoing Monitoring:

Follow-up Care: Regular follow-up consultations and imaging studies will be arranged to monitor your recovery and ensure that there is no recurrence of the tumor. WEGOVITA ensures that your care continues even after returning home, with remote monitoring available for international patients.

Why Send Your Reports to WEGOVITA?

If you or your loved one has been diagnosed with Stage 1 glioblastoma, early intervention is crucial for the best possible outcome.
WEGOVITA offers the expertise of world-class neurosurgeons and oncologists in Germany, equipped with the latest technologies, including robot-assisted surgery and StealthStation Navigation.
By sending your medical reports to us, you will receive a personalized evaluation within 48 hours, followed by a customized treatment plan.
Our team will assist in getting you the best care possible, arranging for surgery within 3–4 weeks.

Don’t wait. Submit your medical reports now for a comprehensive, fast-track evaluation, and take the first step toward a successful treatment outcome with WEGOVITA’s expert care.

Contact WEGOVITA

Submit your reports for an expedited evaluation, and start the journey toward your treatment plan today. Reach out to us for assistance in scheduling consultations and surgery.

Watch StealthStation Navigation in Action

For a detailed demonstration of how StealthStation Navigation is used in brain surgery, you can watch the video on YouTube.

Watch StealthStation Navigation in Surgery

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