a sixyearold boy from mongolia successfully underwent a complex surgery removing a tumor of more than five centimetre in size from an inaccessible part of his brainthe patient named monkh was suffering from bouts of headache and vomiting from last one year the child who underwent surgery remained in sitting position for six hours and lay unconscious due to general anesthesia given at the sarvodaya hospital in faridabadkamal verma head of department neurosurgery and spinal surgery who led the surgery said when the case came to us we examined the boys condition and realised that the only way we perform the surgery on his head was to place him in a sitting position throughout the procedurethis was the only body posture that could have made it possible for us doctors to reach to the tumor inside the brain with our medical instruments the operation was an extremely risky one and any complication during surgery would have been fatal all the risks were explained to the boys parents and they agreed to go ahead to cure him of the tumor growing inside his head he addedverma extracted the tumor from the pineal region of the childs brainthe doctors in mongolia discovered a tumor growing in the middle of the childs brain just behind the brain stem tumors in this part of the brain called the pineal region are very difficult to access with medical instruments as it can block the channels of cerebrospinal fluid which surrounds and protects the braingaurav kesari consultant neurosurgery said the complicated surgery was made possible with neuronavigation a computerassisted technology which helped us navigate our way within the confines of the skull and complete the entire procedure with precision in just six hours the surgery was successful and the boy was discharged after a few weeks from the hospital without any complications or problems