First robot-assisted spinal surgery performed
New York, May 6: A team of neurosurgeons led by an Indian-origin professor from the University of Pennsylvania School of Medicine performed the first-ever robot-assisted spinal surgery to successfully remove a rare tumour on the patient's neck.
The robotic approach assisted with a three-part, two-day complex procedure for a rare chordoma tumour removal from a patients' neck, where the skull meets the spine.
Chordoma is a rare type of cancer that occurs in the bones of the skull base and spine. A chordoma tumour usually grows slowly and is often asymptomatic for years.
It is extremely rare and it affects only one in a million people each year.
"This would be a first ever use of a robot in this manner -- a rare approach to an already rare and complex case," Neil Malhotra, an assistant professor of Neurosurgery and Orthopaedic Surgery said in a statement.
"Our team needed to reconstruct the removed area of patient's spine using bone and rods, and that was only the beginning," Malhotra added.
He added that due to the placement of the tumour, the removal could compromise the structural integrity of the patient's spine, causing permanent paralysis.
There was also a risk of complications such as bone and tissue breakdown, loss of sense of smell, fine motor skill issues and complete paralysis.
"If we could not remove the entire tumour, it would likely grow back, perhaps more aggressive than before," Malhotra added.
The surgery was performed in three parts and now nine months after the surgery, the patient is back to work in commercial contracting.
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England sticking with Key, McCullum and Stokes despite Ashes humbling
London (AP): England is not sacking anybody following the 4-1 Ashes loss in Australia.
A review of the tour by the England and Wales Cricket Board, announced within hours of the final match in January, was concluded on Monday. Firing people would “be the easy thing to do,” ECB chief executive Richard Gould said but he insisted, "This is not the time to throw everything out."
Managing director Rob Key, coach Brendon McCullum and captain Ben Stokes kept their jobs after the best England side to go to Australia in 14 years lost the Ashes in 11 days with two games to spare.
“Moving people on can sometimes be the easy thing to do. That's not the route that we're going to take,” Gould said. “I've seen the driving ambition and determination that we're lucky enough to have within our leadership group to take the lessons from the Ashes and move forward.”
Gould previously was the chief executive of Bristol City soccer club and said the ECB would not follow the same route as soccer's hire-and-fire culture.
“Cricket is a very unique sport in that it takes a team of leadership ... it's not like football where there's a single point of failure or success with a manager," he said. He added the ECB would not “select or deselect management based on a popularity campaign.”
The main criticisms of England's tour were poor preparation, player misbehavior, and selection mistakes.
At a press conference at Lord's, Gould and Key said McCullum and Stokes have not had a “bust up,” they did not want McCullum to “completely change” but “to evolve,” the behavior of some players was “unprofessional,” there will be more consequences for underperforming, and a commitment to “better long-term planning” ahead of major test series.
Some changes were already implemented for the Twenty20 World Cup, where England reached the semifinals. Gould implied that performance saved McCullum.
Key acknowledged that England supporters would be disappointed to see the management team go unpunished.
“I know people want punishment and that people then should be sacked for that,” Key said. “That doesn't mean we don't feel like we've gone through some serious pain: Brendon, myself, Ben. It's been as tough a time as I think I've had.”
