Steven Brem, MD, offers a descriptive overview of the place of surgery in the therapeutic armamentarium for brain metastases, noting recent advances in computer-based surgery and the capacity to design customized targeted approaches that integrate surgery, radiation oncology, and precision medicine to improve overall patient survival. Includes an examination of the neurosurgeon’s role and the 4 D’s (define, devascularize, detach and dural repair) of metastases resection.
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