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Thailand’s first operation “TES” success

Thailand’s first Total en bloc spondylectomy (TES) for spinal tumors has taken place at Srinagarind Hospital, Faculty of Medicine, Khon Kaen University due to the collaboration with Kanazawa University, Japan.

The operation was prepared and performed by Prof. Weerachai Kosuwan, Assoc. Prof. Winai Sirichatvapee and Dr. Permsak Paholpak from the Department of Orthopedics, MD-KKU with the leading role and guidance of Assoc. Prof. Hideaki Murakami and the assistance of Dr. Ishikawa Takashi from Kanazawa University, Japan.

Prof. Weerachai Kosuwan said: "The prevalence of cancer in the spinal bones has increased in northeast Thailand. The spine is one of the most important parts of our body and surrounded by many important organs such as spinal cord, nerves, arteries and veins. Therefore, the surgical removal of a spine tumor without any effects to these organs is very difficult and requires high technology and technique to help the patient to be cancer-free.  Kanazawa University is the first institution to develop the operation techniques to remove all spine tumors without causing damage to spinal cord and other organs. This technique is called Total en bloc spondylectomy (TES) by using the T-SAW which is a special saw for the operation at the spine bone.”

Assoc. Prof. Supat Sinawat, Associate Dean for International Relations and Cooperation Strategies said that TES by using T-SAW was globally well known. The T-SAW is a special saw for the spinal bone surgery developed and created by Kanazawa University. TES by using T-SAW has been used at Kanazawa University for 15-20 years and there is continuously research on using this technique among patients with spine tumors.  Assoc. Prof. Hideaki Murakami, Kanazawa University developed Second Generation TES operative technique and special osteotome (boot osteotome) which make TES safer, shorter operative time, less operative blood loss, and les bone graft harvesting.

“Assoc. Prof. Hideaki Murakami is an expert in TES. Last year, Dr. Permsak Paholpak from Department of Orthopedics, MD-KKU visited Kanazawa University and was trained by Assoc. Prof. Hideaki Murakami for 7 months. Because of the strong relationship and collaboration between Kanazawa University and Khon Kaen University, this operation becomes successful.”, said by Assoc. Prof. Supat Sinawat.

Assoc. Prof. Winai Sirichatvapee said that the operation took a team of surgeons eight hours to complete with only a small amount of blood loss during operation (550 mL.).

“Five years ago, the patient had an operation to remove the spine tumors but we found that the tumor has reoccurred and spread to neighbouring parts of spine. The best way to treat the patient is to give herthe Total En Bloc Spondylectomy by using T-SAW which has never been used in Thailand before.”

“We have invited Assoc. Prof. Hideaki Murakami and Dr. Ishikawa Takashi from Kanazawa University, Japan to come to Khon Kaen University to help us complete the operation. In addition, the patient has donated 2.3 million baht to Srinagarind Hospital to buy a T-SAW and the operational tool kit in order that our hospital can use this tool to serve other patients suffering from spine tumors”, said by Assoc. Prof. Winai Sirichatvapee

Assoc. Prof. Hideaki Murakami said: “This operation case is very difficult but the outcome of the operation is perfect due to the collaboration between Khon Kaen University and Kanazawa University. This operation also marks an important milestone of history and enhances the relationship between Khon Kaen University and Kanazawa University and nations.”