Journals / Turkish Neurosurgery / 2015 / Cilt: 25 - Sayı: 2

Microsurgery with or without Neuroendoscopy in Petroclival Meningiomas

Nöroendoskopi ile veya Olmadan Petroklival Menenjiyomlarda Mikrocerrahi

Pages
231–238
Publication Date
2022-11-05
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Moreover, this method does not increase postoperative short-term and long-term complications

📌 3 Key Takeaways

🎯
Objective & Hypothesis:AIm: This study aimed to investigate the operative procedure for neuroendoscope-assisted microscopic resection of petroclival meningioma to improve prognosis. mATERIAl and mEThods: Twelve patients with petroclival meningioma who had undergone neuroendoscope-assisted microscopic resection at the Department of Neurosurgery, First Affiliated Hospital of Xinjiang Medical University were selected.
📊
Key Findings & Data:In addition, 12 patients with petroclival meningioma who had undergone microscopic surgery were used as control.
💡
Conclusion & Impact:Moreover, this method does not increase postoperative short-term and long-term complications
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

AIm: This study aimed to investigate the operative procedure for neuroendoscope-assisted microscopic resection of petroclival meningioma to improve prognosis. mATERIAl and mEThods: Twelve patients with petroclival meningioma who had undergone neuroendoscope-assisted microscopic resection at the Department of Neurosurgery, First Affiliated Hospital of Xinjiang Medical University were selected. In addition, 12 patients with petroclival meningioma who had undergone microscopic surgery were used as control. Clinical data from the 24 cases of petroclival meningioma were analyzed. REsulTs: For the neuroendoscope-assisted group, six, five, and one cases were respectively subjected to total resection, subtotal resection, and most resection. For the microscopic surgery group, two, three, and seven cases were respectively subjected to total resection, subtotal resection, and most resection. Both the total and subtotal resection rates of petroclival meningioma in the neuroendoscope-assisted group were significantly higher than those in the microscopic surgery group (p 0.05) between the two groups. CoNClusIoN: Neuroendoscope-assisted microscopic resection for petroclival meningioma can improve the total and subtotal resection rates of the tumor. Moreover, this method does not increase postoperative short-term and long-term complications

Özet

AmAÇ: Çalışma daha iyi bir prognoz sağlamak üzere petroklival menenjiyomun nöroendoskop yardımlı mikroskopik rezeksiyonu için cerrahi işlemi incelemeyi hedefliyordu. yÖNTEm ve GEREÇlER: Petroklival menenjiyomu olan ve Xinjiang Tıp Fakültesi'nin Birinci Yan Hastanesi'nde nöroendoskop yardımıyla mikroskopik rezeksiyon yapılmış 12 hasta seçildi. Ayrıca mikroskopik cerrahi yapılmış petroklival menenjiyomlu 12 hasta kontrol olarak kullanıldı. 24 petroklival menenjiyom olgusundan klinik veriler analiz edildi. BulGulAR: Nöroendoskop yardımlı grupta sırasıyla altı, beş, ve bir olguda total rezeksiyon, subtotal rezeksiyon ve maksimum rezeksiyon yapıldı. Mikroskopik cerrahi grubunda sırasıyla iki, üç ve yedi olguda total rezeksiyon, subtotal rezeksiyon ve maksimum rezeksiyon yapıldı. Nöroendoskop yardımlı grupta petroklival menenjiyom için hem total hem subtotal rezeksiyon oranları mikroskopik cerrahi grubundan önemli ölçüde daha yüksekti (p 0,05). soNuÇ: Petroklival menenjiyom için nöroendoskop yardımlı mikroskopik rezeksiyon, tümörün total ve subtotal rezeksiyon oranlarını arttırabilir. Ayrıca bu yöntem postoperatif kısa dönemli ve uzun dönemli komplikasyonları artırmaz

🔖

Cite This Article

LIU, B., ZHOU, Q., GENG, D., CHENG, X., KADEER, K., DU, G., WANG, Y., LUAN, X., FU, Q. (2022). Microsurgery with or without Neuroendoscopy in Petroclival Meningiomas. Turkish Neurosurgery, Cilt: 25 - Sayı: 2, 231–238. https://ajindex.com/articles/616975

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (1)

  1. Abdel Aziz KM, Sanan A, van Loveren HR, Tew JM Jr, Keller JT, Pensak ML: Petroclival meningiomas: Predictive parameters for transpetrosal approache. Neurosurgery 47: 139-152, 2000 2. Alfieri A, Jho HD: Endoscopic endonasal cavernous sinus surgery: An anatomic study. Neurosurgery 48: 827-837, 2001 3. Alfieri A, Jho HD: Endoscopic endonasal approaches to the cavernous sinus: Surgical approaches. Neurosurgery 49: 357-362, 2001 4. Bambakidis NC, Kakarla UK, Kim LJ, Nakaji P, Porter RW, Daspit CP, Spetzler RF: Evolution of surgical approaches in the treatment petroclival meningiomas: A retrospective review. Neurosurgery 62 Suppl 6: 1182-1191, 2008 5. Barnett SL, Ambrosio AL, Agazzi S, van Loveren HR: Petroclival and Upper Clival Meningiomas III: Combined Anterior and Posterior Approach Meningiomas. Lee JH, London: Springer, 2009: 425-432 6. Cappabianca P, Cinalli G, Gangemi M, Brunori A, Cavallo LM, de Divitiis E, Decq P, Delitala A, Di Rocco F, Frazee J, Godano U, Grotenhuis A, Longatti P, Mascari C, Nishihara T, Oi S, Rekate H, Schroeder HW, Souweidane MM, Spennato P, Tamburrini G, Teo C, Warf B, Zymberg ST: Application of neuroendoscopy to intraventricular lesions. Neurosurgery 62 Suppl 2: 575-597, 2008 7. Castellano F, Ruggiero G: Meningiomas of the posterior fossa. Acta Radiol 104: 1-177, 1953 8. Cavallo LM, Cappabianca P, Galzio R, Iaconetta G, de Divitiis E, Tschabitscher M: Endoscopic transnasal approach to the cavernous sinus versus transcranial route: Anatomic study. Neurosurgery 56: 379-389, 2005 9. Dewaele F, Kalmar AF, Van Canneyt K, Vereecke H, Absalom A, Caemaert J, Struys MM, Van Roost D: Pressure monitoring during neuroendoscopy: New insights. Br J Anaesh 107: 218-224, 2011 10. Erkmen K, Pravdenkova S, Al-Mefty O: Surgical management of petroclival meningiomas: Factors determining the choice of approach. Neurosurg Focus 19: E7, 2005 11. Ichimura S, Kawase T, Onozuka S, Yoshida K, Ohira T: Four subtypes of petroclival meningiomas: Differences in symptoms and operative findings using the anterior transpetrosal approach. Acta Neurochir (Wien) 150: 637-645, 2008 12. Kuniki E, Adriana T, Satoshi Y, Toshinori M, Takafumi M, et al. Feasibility and limitations of the retrosigmoid and presigmoid approaches combined with the anterior petrosal approach to meningiomas in the petroclival area. Neurosurg Q 23:7–12,2013 13. Li D, Hao SY, Wang L, Tang J, Xiao XR, Zhou H, Jia GJ, Wu Z, Zhang LW, Zhang JT: Surgical management and outcomes of petroclival menin