Jun 3, 2008 12:45 pm US/Eastern
Kennedy Up, Walking After Brain Surgery
DURHAM, N.C. (CBS) ―
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Senator Edward Kennedy speaks at the National Hispanic Cultural Center in New Mexico on January 31, 2008.
Toby Jorrin/AP
Sen. Edward Kennedy had "a restful night's sleep" after brain surgery and is recovering with no complications.
In a statement issued to The Associated Press on Tuesday, aides to the Massachusetts Democrat said, "He is experiencing no complications, and has been walking the hallways, spending time with family and actively keeping up with the news of the day."
Kennedy is expected to leave Duke University Medical Center in Durham next week.
The 76-year-old Kennedy was diagnosed with a malignant glioma in the left parietal lobe of his brain after suffering a seizure on May 17 at his home in Hyannis Port, Mass. He underwent 3 1/2 hours of surgery on Monday, during which doctors sliced away at the tumor.
Yesterday, Kennedy told his wife he felt "like a million bucks" after the risky surgery that experts said was designed to reduce his brain tumor and give chemotherapy and radiation treatments a chance to work.
In the following days, Kennedy will probably be given drugs to prevent brain swelling and seizures, which are possible complications of the surgery. The senator will also be closely watched for bleeding and blood clots, because strokes are also a risk, though they are uncommon.
"After a brief recuperation, he will begin targeted radiation at Massachusetts General Hospital and chemotherapy treatment," his doctor, Dr. Allan Friedman, said in a statement following Monday's procedure. "I hope that everyone will join us in praying for Sen. Kennedy to have an uneventful and robust recovery."
CBS News correspondent Jeff Glor reported from Durham, North Carolina that Kennedy came to Duke because the medical center is known for their aggressive work in neuroscience.
"66 percent of the patients here, the brain cancer patients, undergo clinical trials," Glor said.
Doctors gave few details about the surgery, and did not say how much was removed. The procedure lasted about 3½ hours.
The sole surviving son of America's most glamorous and tragic political family was diagnosed last month with a malignant glioma, an often lethal type of brain tumor discovered in about 9,000 Americans a year.
Details about Kennedy's exact type of tumor have not been disclosed, but some cancer specialists have said it is a glioblastoma multiforme - an especially deadly and tough-to-remove type - because other kinds are more common in younger people.
Cutting a tumor down to size - or "debulking" it - is extremely delicate because of the risk of harming healthy brain tissue that governs movement and speech. But Friedman, who is the top neurosurgeon at Duke and an internationally known tumor surgeon, said Kennedy should not experience any permanent neurological effects.
CBS News medical correspondent Dr. Emily Senay explained that doctors are able to map out the parts of the brain while the patient is awake in order to protect vital functions.
"They will remove the bad part; they will do everything they can to conserve the healthy tissue so that you don't damage the person neurologically," Senay said on CBS' The Early Show. "The last thing you want to do is make the patient somehow worse off neurologically, trying to do something that in most cases is not curative."
Median survival for glioblastomas is 12 to 15 months, but the range is wide, said Dr. Mark Gilbert, a brain tumor expert at the University of Texas M.D. Anderson Cancer Center in Houston.
The outlook for patients with malignant gliomas is poor, and depends on what type of glioma a patient has. Median survival for patients with moderately severe ones is three to five years, and less than a year for those with the most severe type.
Doctors have not revealed Kennedy's treatment plan, but typical radiation treatment is five days a week for a month, using 3D imaging techniques that narrowly deliver the beams to the tumor, affecting as little surrounding tissue as possible.
Kennedy also likely will receive the chemotherapy drug Temodar during and after radiation. It can cause typical chemo side effects - nausea, vomiting and fatigue - but treatments are much better for these than even a few years ago, doctors stressed.
He also may be treated with Avastin, a newer targeted drug to deprive the tumor of its blood supply, though this is still experimental as initial treatment, rather than after patients have relapsed.
Monday's operation "spells nothing but hope," Dr. John Sampson, associate deputy director of Duke's brain tumor center, said from Chicago, where he was attending a conference of 30,000 cancer specialists. "What we're seeing with the surgery and this conference is that there's hope for patients with this kind of cancer."
(© 2009 CBS Broadcasting Inc. All Rights Reserved. This material may not be published, broadcast, rewritten, or redistributed. The Associated Press contributed to this report.)