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Issue: Vol. 563 No. 1 (2026)
Section: Các bài báo
DOI: 10.51298/vmj.v563i1.18888
Date Published: 15/09/2026
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Dương, T. K., Nguyễn, M. H., Nguyễn, V. Đ., Vũ, N. A., & Đinh, T. T. (2026). SURGICAL OUTCOMES OF BRAIN METASTASIS RESECTION UNDER INTRAOPERATIVE ULTRASOUND AT SAINT PAUL HOSPITAL. Vietnam Medical Journal, 563(1). https://doi.org/10.51298/vmj.v563i1.18888

SURGICAL OUTCOMES OF BRAIN METASTASIS RESECTION UNDER INTRAOPERATIVE ULTRASOUND AT SAINT PAUL HOSPITAL

Trung Kiên Dương1, , Mạnh Hùng Nguyễn1, Việt Đức Nguyễn1,2, Ngọc Anh Vũ1, Trung Thành Đinh1
1 Bệnh viện Đa khoa Xanh Pôn
2 Trường Đại học Y Hà Nội

Main Article Content

Abstract

Objective: To evaluate surgical outcomes of brain metastasis resection under intraoperative ultrasound guidance at Saint Paul General Hospital and to discuss the value of intraoperative ultrasound compared with neuronavigation in metastatic brain tumor surgery.


Materials and methods: A case series of 21 patients with brain metastases operated on with intraoperative ultrasound guidance. Data included demographics, clinical presentation, imaging findings, extent of resection, pre- and postoperative Karnofsky Performance Status, complications, and survival.


Results: Mean age was 61.7 ± 10.5 years; 65.3% were male; lung cancer was the primary site in 66.9%; solitary lesions accounted for 75%. Gross total resection was achieved in 68.9%; KPS improved from 68.6 to 76.4 after surgery; symptoms improved significantly; multimodal therapy was associated with better survival than surgery alone.


Conclusion: Intraoperative ultrasound is a practical and effective adjunct in brain metastasis surgery. It provides real-time imaging, helps detect residual tumor, compensates for brain shift-related limitations of neuronavigation, and is suitable for resource-conscious neurosurgical practice.

Keywords

Brain metastases, intraoperative ultrasound, neuronavigation, brain shift

Article Details

References

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