Minimally invasive keyhole techniques for resection of giant intracranial tumors
Abstract Background While keyhole neurosurgery is increasingly utilized in the operating room, there are few reports regarding the use of keyhole techniques to resect giant intracranial tumors. The feasibility and technique of that were discussed in this paper. Methods We retrospectively reviewed 95...
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| Format: | Article |
| Language: | English |
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BMC
2022-08-01
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| Series: | Chinese Neurosurgical Journal |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s41016-022-00289-x |
| _version_ | 1811343850079256576 |
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| author | Qing Lan Michael E. Sughrue Robert G. Briggs |
| author_facet | Qing Lan Michael E. Sughrue Robert G. Briggs |
| author_sort | Qing Lan |
| collection | DOAJ |
| description | Abstract Background While keyhole neurosurgery is increasingly utilized in the operating room, there are few reports regarding the use of keyhole techniques to resect giant intracranial tumors. The feasibility and technique of that were discussed in this paper. Methods We retrospectively reviewed 95 consecutive patients who were admitted to our service between February 2012 and September 2017 with a maximum intracranial tumor diameter >5 cm. Keyhole approaches were used to resect these tumors in each case, including supraorbital, subtemporal, suboccipital, retromastoid, frontal, temporal, occipital, parietal, pterional, a combined temporo-parietal keyhole approach, and an approach via the longitudinal fissure. Results We achieved gross total resection in 68/95 cases (71.6%) and subtotal resection in 27/95 cases (28.4%). No surgical death or severe disabilities such as coma and limb dyskinesia occurred following surgery. At the time of discharge, 8 patients had complications related to impaired cranial nerve function. In addition, 2 patients developed hydrocephalus requiring ventriculo-peritoneal shunt placement, and 4 patients developed a postoperative CSF leak requiring surgical intervention. Conclusion With meticulous design and reasonable selection, resection of giant intracranial tumors utilizing minimally invasive keyhole approaches can be done safely with satisfactory surgical outcomes. |
| first_indexed | 2024-04-13T19:37:21Z |
| format | Article |
| id | doaj.art-ed641a2e56214f138e6ad5e6219dca68 |
| institution | Directory Open Access Journal |
| issn | 2057-4967 |
| language | English |
| last_indexed | 2024-04-13T19:37:21Z |
| publishDate | 2022-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Chinese Neurosurgical Journal |
| spelling | doaj.art-ed641a2e56214f138e6ad5e6219dca682022-12-22T02:33:00ZengBMCChinese Neurosurgical Journal2057-49672022-08-01811910.1186/s41016-022-00289-xMinimally invasive keyhole techniques for resection of giant intracranial tumorsQing Lan0Michael E. Sughrue1Robert G. Briggs2Department of Neurosurgery, 2nd Affiliated Hospital, Soochow UniversityCenter for Minimally Invasive Neurosurgery, Prince of Wales Private HospitalDepartment of Neurosurgery, University of Oklahoma Health Science CenterAbstract Background While keyhole neurosurgery is increasingly utilized in the operating room, there are few reports regarding the use of keyhole techniques to resect giant intracranial tumors. The feasibility and technique of that were discussed in this paper. Methods We retrospectively reviewed 95 consecutive patients who were admitted to our service between February 2012 and September 2017 with a maximum intracranial tumor diameter >5 cm. Keyhole approaches were used to resect these tumors in each case, including supraorbital, subtemporal, suboccipital, retromastoid, frontal, temporal, occipital, parietal, pterional, a combined temporo-parietal keyhole approach, and an approach via the longitudinal fissure. Results We achieved gross total resection in 68/95 cases (71.6%) and subtotal resection in 27/95 cases (28.4%). No surgical death or severe disabilities such as coma and limb dyskinesia occurred following surgery. At the time of discharge, 8 patients had complications related to impaired cranial nerve function. In addition, 2 patients developed hydrocephalus requiring ventriculo-peritoneal shunt placement, and 4 patients developed a postoperative CSF leak requiring surgical intervention. Conclusion With meticulous design and reasonable selection, resection of giant intracranial tumors utilizing minimally invasive keyhole approaches can be done safely with satisfactory surgical outcomes.https://doi.org/10.1186/s41016-022-00289-xGiant tumorKeyhole approachMeningiomaPituitary adenomaSchwannomaGlioma |
| spellingShingle | Qing Lan Michael E. Sughrue Robert G. Briggs Minimally invasive keyhole techniques for resection of giant intracranial tumors Chinese Neurosurgical Journal Giant tumor Keyhole approach Meningioma Pituitary adenoma Schwannoma Glioma |
| title | Minimally invasive keyhole techniques for resection of giant intracranial tumors |
| title_full | Minimally invasive keyhole techniques for resection of giant intracranial tumors |
| title_fullStr | Minimally invasive keyhole techniques for resection of giant intracranial tumors |
| title_full_unstemmed | Minimally invasive keyhole techniques for resection of giant intracranial tumors |
| title_short | Minimally invasive keyhole techniques for resection of giant intracranial tumors |
| title_sort | minimally invasive keyhole techniques for resection of giant intracranial tumors |
| topic | Giant tumor Keyhole approach Meningioma Pituitary adenoma Schwannoma Glioma |
| url | https://doi.org/10.1186/s41016-022-00289-x |
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