June 2, 2008 — Sen. Edward Kennedy’s brain surgery, done this morning at Duke University Medical Center in Durham, N.C. to treat Kennedy’s brain cancer, was “successful,” Kennedy’s doctor says.
Here is the articulation from Duke neurosurgeon Allan Friedman, MD: “I am pleased to report that Representative Kennedy’s surgery was effective and accomplished our goals. Senator Kennedy was awake during the resection, and ought to therefore experience no changeless neurological influences from the surgery. The surgery endured generally three and a half hours and is fair the first step in Representative Kennedy’s treatment plan. After a brief recuperation, he will start targeted radiation at Massachusetts General Hospital and chemotherapy treatment. I trust that everybody will connect us in supplicating for Congressperson Kennedy to have an uneventful and strong recuperation.”
A resection expels the tumor, but experts say the type of tumor Kennedy has likely can’t be totally removed by surgery.
Some time recently the operation, Kennedy’s office released a statement noting that Kennedy will spend almost a week recouping at Duke University Therapeutic Center. Kennedy will return to Massachusetts Common Clinic, where his tumor was analyzed, for radiation medicines and chemotherapy.
Kennedy, 76, incorporates a sort of brain tumor called a threatening glioma. Specialists at Massachusetts Common Healing center reported Kennedy’s brain cancer conclusion on May 20. The another day, Kennedy was discharged from Massachusetts Common Healing center.
Since at that point, brain cancer survivors who have managed with similar types of brain cancer have encouraged Kennedy to stay cheerful.
In his presurgery articulation, Kennedy said he is “profoundly grateful” to everybody who has expressed support “as I handle this modern and unforeseen wellbeing challenge.” Kennedy too says he looks forward to returning to the U.S. Senate and “doing everything I can to assist choose Barack Obama as our following president.”
Kennedy’s Brain Surgery
WebMD talked with two specialists almost Kennedy’s brain surgery whereas the operation was still beneath way.
Deborah Heros, MD, relate teacher of clinical neurology and neuro-oncology at the College of Miami Leonard M. Mill operator School of Medication Eugene S. Flamm, MD, teacher and chairman, division of neurosurgery, Montefiore Medical Center at Albert Einstein College of Pharmaceutical in New York
Heros and Flamm aren’t treating Kennedy.
What does “targeted surgery” include?
Heros: Targeted surgery is kind of a nonspecific term. In the event that the reason of the surgery is to realize a most extreme resection [evacuating as much of the tumor as conceivable]; oftentimes the surgery is performed whereas the persistent is alert, so they can screen the speech and maintain a strategic distance from impairing his ability to understand discourse and speak. … Too, they can look at him amid the strategy to make sure they do not cause engine shortcoming.
We know that we cannot totally resect these tumors because of the rootlets of tumors invading or penetrating the brain tissue. … There is prove that in case the tumor can be maximally resected [expelled as much as conceivable], that will increase the chance of longer survival and superior result from treatment.
Flamm: I assume today’s surgery was an endeavor to evacuate a noteworthy amount of the tumor. The purpose of doing this is to reduce the “tumor burden,” which would make the radiation and chemotherapy more effective. … Let’s say it was in a more favorable put where you wouldn’t be concerned around damaging [language-related] regions of the brain. Indeed in the event that you said, “I think I got it all,” you’d still take after up with radiation and chemotherapy, since in case you don’t, the tumor will be back in a matter of months.
Dr. Heros, when Sen. Kennedy was diagnosed, you said that since of the tumor’s area, surgery likely wouldn’t be a major component of treatment. But he is having surgery. Does that tell you anything around his condition?
No. The decision to perform surgery is very subordinate on the judgment of the neurosurgeon. One thing we don’t need to do is to impede neurologic work that may restrain quality-of-life issues for the purpose of resecting more tumor tissue. This can be exceptionally much a judgment made by the neurosurgeon.
What are some of the dangers from the surgery?
Heros: The most risks that we would be concerned almost would be — since it is on the cleared out side of the brain — is for some loss of speech function. And that it can be … the decreased ability to get it discourse [or] talk words legitimately. It may incorporate difficulty utilizing numbers, reading, or composing. A hazard may too include diminished vision to the proper side of their visual field and motor weakness of their right confront, arm, and leg.
Does his age make a difference in those risks?
Heros: I don’t accept that the age makes the contrast within the prompt dangers. Now and then age makes a distinction in terms of recovery in case shortages do happen. The most chance is, of course, the location of the tumor.
In case there were complications, would they be instantly obvious?
Heros: The neurologic shortages should be immediately obvious. Of course, we continuously have to watch for secondary restorative complications — disease, making beyond any doubt the surgical cut heals well, and there are a few other therapeutic complications that can happen after surgery that the physicians would monitor him for.
What’s the recovery process like? Sen. Kennedy’s articulation demonstrates that he expects to be within the healing center for approximately a week.
Heros: The recuperation time depends completely on what happens at the time of surgery, whether or not there are any neurologic shortages as well as the medical condition of the quiet. Hopefully, we will see forward to hearing that Sen. Kennedy takes off the clinic within that sum of time.
Why do you think he chose to go to Duke and Dr. Friedman?
Heros: Oftentimes [patients] seek different conclusions, and this choice to have surgery may be a suggestion based on the judgment of the specialist. There are several centers in the country that perform motor mapping awake surgery, and Duke is well known for this, as many other centers are.
Flamm: The people who met up at the MGH [Massachusetts General Clinic] were from the MGH, Duke, and UCSF [University of California at San Francisco]. They have big tumor programs at these places, as do other places. But I do not know what prompted that specific choice. … There’s nothing that one of these expansive college medical centers has that the others aren’t aware of. It may be that he thought he’d get more security exterior of Boston. I don’t know. You’ll be able to hypothesize on any reason. Perhaps he preferred Allan Friedman. He’s a decent fellow. But so are the individuals at the MGH.
Anything else you’d need to include?
Heros: Now we ought to hold up and listen from Duke how the surgery went and look forward to Sen. Kennedy’s recuperation.
Flamm: I fair wish him well. It’s a annihilating determination.