Revolutionary Approach to a Rare and Complex Chordoma

In a groundbreaking medical achievement, a team of Indian surgeons has performed the world’s first spinal tumor removal through the eye socket—a highly innovative transorbital technique. The surgery was carried out on a 19-year-old woman suffering from chordoma, an exceptionally rare type of cancer that develops along the spine and skull base. Only around 300 cases of chordoma are diagnosed annually worldwide, making this both a medical rarity and a technical challenge.

The tumor in this case was especially dangerous—entwined around the spine and spinal cord and deeply embedded in the upper vertebrae, dangerously close to vital blood vessels and nerves responsible for breathing, swallowing, and movement. Traditional surgical techniques posed a high risk of neurological damage.

Surgical Breakthrough: The Eye as a Gateway

To overcome these risks, the surgical team pioneered a transorbital approach, accessing the tumor through the eye socket. This minimally invasive route provided a direct path to the tumor without disturbing critical surrounding structures like the internal carotid artery and cranial nerves.

Using advanced endoscopic tools—a thin, flexible tube with a light and camera—the surgeons navigated with precision and successfully removed the tumor. The transorbital path, previously used for certain brain or sinus surgeries, had never been applied to spinal tumors until now.

Multi-Stage Surgery for a Complex Condition

Due to the tumor’s location and extent, the patient required multiple procedures. The chordoma had also invaded areas near the brainstem, necessitating both a craniotomy (opening the skull) and an endonasal surgery (through the nose). Each procedure was carefully planned to minimize trauma and optimize safety.

Specialists from various disciplines, including neurosurgery, skull base surgery, plastic surgery, and radiation oncology, collaborated closely throughout the treatment. The integration of open and endoscopic methods allowed the team to fully address the tumor from all angles while preserving vital functions.

A 360-Degree Surgical Strategy

The surgery was described as a 360-degree approach—targeting the tumor from multiple directions using the least invasive techniques possible. This method reflects a shift in modern surgery: respecting anatomical boundaries while finding bold new ways to treat previously untreatable conditions.

Chordomas are especially challenging due to their tendency to recur and grow around sensitive structures. Surgical removal remains the cornerstone of treatment, often followed by radiation to reduce recurrence risk.

Life After Surgery: A Promising Outlook

The outcome has been remarkable. The young patient is now cancer-free, showing no evidence of residual tumor. Her recovery marks a significant milestone—not only for her personal journey but also for the global medical community.

This landmark procedure by Indian doctors opens the door to new surgical possibilities, particularly in managing rare and high-risk spinal and cranial tumors. It is a testament to the power of innovation, collaboration, and precision in modern medicine.