| 耕莘神經外科國際醫療 |
耕莘神經外科國際醫療
1. 提供醫療項目：
(1) 脊椎功能保存微創手術
Function-preserving spine surgery with microscope or endoscope
(2) 腦血管顱神經分隔手術
Microvascular decompression for hemifacial spasm or trigeminal neuralgia
2. 服務特點：
現代神經外科手術的趨勢是微創治療病灶，保存原有功能，以回復原本的工作及生活品質。
3. 醫療團隊人員：
資深主治醫師魏志鵬主持手術，另有麻醉醫師、住院醫師及護理師等團隊人員共同照護。
4. 住院計劃：
(1) 頸椎手術住院三天、胸腰椎手術住院五天。
(2) 腦血管顱神經分隔手術住院七天。
5. 臨床路徑：
以上兩項手術皆採氣管插管全身麻醉，需手術前一天住院檢查心肺功能、檢驗血液，完成病史記錄，確立神經學檢查和磁振掃瞄病灶之相關性，再完成麻醉評估，準備開刀。
(1) 頸椎手術採前方椎間孔路徑，切除骨刺及突出破裂之椎間盤，保留大部份原有之椎體及椎間盤；胸腰椎手術則採後方椎板間孔或椎間孔外側路徑，切除骨刺及突出破裂之椎間盤，保留椎間關節及大部份原有之椎體及椎間盤，如此手術有別於脊椎融合固定手術，以較少之傷害保存脊椎原有功能，達到摘除病灶之目的。
(2) 腦血管顱神經分隔手術治療半臉抽搐症及三叉神經痛，經耳後開顱手術，將貼近腦幹之腦血管與顱神經分隔，此項手術需高度技巧及經驗，以避免併發症，並提高成功率。術後視情況可住加護病房或一般病房。
6. 出院計劃：
出院依病情給予處方藥物，一般宜在家休養兩星期左右，視個人恢復狀況逐漸回復日常生活及工作。
7. 回國後續照復計劃：
可以於上班時間以電話或E-mail咨詢本科護理師，本科護理師也會以電話或E-mail追蹤。
Cardnial Tien Hospital Department of Neurosurgery
1.Medical Services
* Function-preserving spine surgery with microscope or endoscope
* Microvascular decompression for hemifacial spasm or trigeminal neuralgia
2.Characteristic
The current trend of neurological surgery is to provide minimal invasive procedures, enabling the preservation of previous normal function as well as allowing patients to return to their normal daily life, without interfering normal daily function. Our hospital provides the most experienced surgical team along with the most up-to-date surgical equipments, allowing spinal and intracranial microscopic and endoscopic surgery.
3.Surgical team
Our surgical team is led by well-known neurosurgeon Dr. C. P. Wei, along with anesthesiologists, neurosurgical residents, and nursing team providing the utmost excellence in health care.
4.Admission plan
* Cervical spine surgery: 3 days of hospitalization
* Thoracic or lumbar spine surgery: 5 days of hospitalization
* Microvascular decompressive surgery: 7 days of hospitalization
5.Surgical interventions
The above mentioned surgeries are performed under general anesthesia with endotracheal tube intubation. Patients are admitted one day prior to surgery for thorough work-up of cardiac-pulmonary functions, blood testing, obtaining a complete medical history, correlating neurological functions and radiological imaging findings, consulting anesthesiologists, and preparing for surgery the following day.
* Anterior approach is used in cervical spine and posterior approach for thoracic/lumbar surgery respectively to remove spur formation or ruptured intervertebral disc, preserving most of the vertebral body and intervertebral disc. This approach differs from the traditional fusion surgery by minimizing trauma and preserving spinal function.
* Microvascular decompressive surgery is indicated in hemifacial spasm or trigeminal neuralgia. Post-auricular approach is used to dissect the cranial nerve and the compressing blood vessel. This surgery requires highly trained and experienced doctor to prevent complications and increasing success rate. Patients may be transferred to surgical intensive care unit or back to ordinary ward postoperation.
6.Discharging plan
Patients will be discharged with medications. In general, patients are advised to rest for 7~14 days before returning to work and normal daily life.
7.Care after discharge and returning to home country
Patients may contact our nursing team via telephone or e-mail during office hours if further questions arise. Our neurosurgical nursing team will also follow-up the patients via telephone or e-mail. |
