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Sistema de retracción tubular "Neuroport-Hospital Hermanos Ameijeiras" con apoyo endoscópico para tumores cerebrales profundos
Resumen
Introducción: Los tumores cerebrales profundos son un desafÃo desde la perspectiva quirúrgica. En la actualidad se reportan diversos abordajes, enfocados en disminuir la manipulación, retracción y exposición cerebral. Los abordajes mÃnimamente invasivos tubulares con apoyo endoscópico son los de elección en esta topografÃa, por las mÃnimas complicaciones posoperatorias.
Objetivo: Describir un sistema de retracción tubular para el manejo quirúrgico de los tumores cerebrales profundos, diseñado por los autores.
Métodos: Se realizó un estudio descriptivo, prospectivo en 5 pacientes, operados por tumores cerebrales profundos, mediante un sistema de retracción tubular diseñado por los autores. Se evaluó el grado de resección tumoral y las complicaciones con el empleo del sistema. Para el análisis de los datos se utilizaron frecuencias absolutas y relativas como medidas resumen.
Resultados: Se empleó con mayor frecuencia el brainport frontal (60,0 %), con una exéresis tumoral total en todos los pacientes (100,0 %). Se identificó la hidrocefalia posoperatoria como complicación en un solo paciente.
Conclusiones: El sistema de retracción tubular "Neuroport-Hospital Hermanos Ameijeiras", con apoyo endoscópico, permite un acceso adecuado para la resección quirúrgica de tumores cerebrales profundos, con mÃnimas complicaciones.
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Referencias
Larson AS, Zuccarello M, Grande AW. Minimally-invasive tubular retraction ports for intracranial neurosurgery: History and future perspectives [Internet]. J Clin Neurosci. 2021; 89:97-102. DOI: 10.1016/j.jocn.2021.04.035
Yoo SJ, Mou J, Elizebath R, Sivakumar A, DeBrabander R, Shifman M, et al. The design and use of a minimally-invasive, expandable retractor for deep-seated brain lesions [Internet]. Proc Des Med Devices Conf. 2021; 2021:V001T13A005. DOI: 10.1115/dmd2021-1023
Marenco-Hillembrand L, Prevatt C, Suarez-Meade P, Ruiz-Garcia H, Quinones-Hinojosa A, Chaichana KL. Minimally Invasive Surgical Outcomes for Deep-Seated Brain Lesions Treated with Different Tubular Retraction Systems: A Systematic Review and Meta-Analysis [Internet]. World Neurosurg. 2020; 143:537-45. DOI: 10.1016/j.wneu.2020.07.115
Echeverry N, Mansour S, MacKinnon G, Jaraki J, Shapiro S, Snelling B. Intracranial Tubular Retractor Systems: A Comparison and Review of the Literature of the BrainPath, Vycor, and METRx Tubular Retractors in the Management of Deep Brain Lesions [Internet]. World Neurosurg. 2020; 143:134-46. DOI: 10.1016/j.wneu.2020.07.131
Ng PR, Choi BD, Aghi MK, Nahed BV. Surgical advances in the management of brain metastases. Neurooncol Adv. 2021; 3(Suppl 5):v4-v15. DOI: 10.1093/noajnl/vdab130
Singh L, Agrawal N. Cylindrical channel retractor for intraventricular tumour surgery--a simple and inexpensive device [Internet]. Acta Neurochir (Wien). 2009; 151(11):1493-7. DOI: 10.1007/s00701-009-0256-y
Roessler K, Heynold E, Coras R, Lücking H, Buchfelder M. Successful Surgery of Exophytic Brainstem Glioma Mimicking Cerebellar-Pontine Angle Tumor: Case Report and Review of Literature [Internet]. World Neurosurg. 2019; 128:202-5. DOI: 10.1016/j.wneu.2019.05.053
Chandra RVV, Prasad BC, Hanu TG. Gooseneck Flexible Brain Retractor-Utility of Flexible Gooseneck Tubing in Neurosurgery [Internet]. Neurol India. 2020; 68(4):880-1. DOI: 10.4103/0028-3886.293456
Roca E, Ramorino G. Brain retraction injury: systematic literature review [Internet]. Neurosurg Rev. 2023; 46(1):257. DOI: 10.1007/s10143-023-02160-8
Polunina NA, Semenov DE, Orlov EA, Veselkov AA, Galitskiy EV, Grigorievskiy ED, et al. Retraktsionnaya travma golovnogo mozga [Brain retraction injury] [Internet]. Zh Vopr Neirokhir Im N N Burdenko. 2021; 85(4):103-10. DOI: 10.17116/neiro202185041103
Harris AE, Hadjipanayis CG, Lunsford LD, Lunsford AK, Kassam AB. Microsurgical removal of intraventricular lesions using endoscopic visualization and stereotactic guidance [Internet]. Neurosurgery. 2005; 56(1 Suppl):125-32. DOI: 10.1227/01.neu.0000146227.75138.08
Sihag R, Bajaj J, Yadav YR, Ratre S, Hedaoo K, Kumar A, et al. Endoscope-controlled Access to Thalamic Tumors using Tubular Brain Retractor: An Alternative Approach to Microscopic Excision [Internet]. J Neurol Surg A Cent Eur Neurosurg. 2022; 83(2):122-8. DOI: 10.1055/s-0041-1722966
Eichberg DG, Di L, Shah AH, Luther EM, Jackson C, Marenco-Hillembrand L, Chaichana KL, Ivan ME, Starke RM, Komotar RJ. Minimally invasive resection of intracranial lesions using tubular retractors: a large, multi-surgeon, multiinstitutional series [Internet]. J Neurooncol. 2020; 149:35-44. DOI: 10.1007/s11060-020-03500-0
Okasha M, Ineson G, Pesic-Smith J, Surash S. Transcortical Approach to Deep-Seated Intraventricular and Intra-axial Tumors Using a Tubular Retractor System: A Technical Note and Review of the Literature [Internet]. J Neurol Surg A Cent Eur Neurosurg 2021; 82:270-7. DOI: 10.1055/s-0040-1719025
Eichberg DG, Buttrick S, Brusko GD, Ivan M, Starke RM, Komotar RJ. Use of Tubular Retractor for Resection of Deep-Seated Cerebral Tumors and Colloid Cysts: Single Surgeon Experience and Review of the Literature [Internet]. World Neurosurg. 2018; 112:e50-e60. DOI: 10.1016/j.wneu.2017.12.023
Jaimovich S, Contreras F, Jaimovich R. CirugÃa micro-endo-asistida para patologÃa intraventricular: Abordaje transtubular expansible [Internet]. Rev Argent Neuroc. 2017 [acceso: 12/03/2024]; 31.1(2017):9-14. Disponible en: https://aanc.org.ar/ranc/items/show/221
Abdala-Vargas NJ, Umana GE, Patiño-Gomez JG, Ordoñez-Rubiano E, Cifuentes-Lobelo HA, Palmisciano P, et al. Standardization of Strategies to Perform a Parafascicular Tubular Approach for the Resection of Brain Tumors in Eloquent Areas [Internet]. Brain Sci. 2023; 13(3):498. DOI: 10.3390/brainsci13030498
Otani Y, Kurozumi K, Ishida J, Hiramatsu M, Kameda M, Ichikawa T, et al. Combination of the tubular retractor and brain spatulas provides an adequate operative field in surgery for deep-seated lesions: Case series and technical note [Internet]. Surg Neurol Int. 2018; 9:220. DOI: 10.4103/sni.sni_62_18
Gassie K, Alvarado-Estrada K, Bechtle P, Chaichana KL. Surgical Management of Deep-Seated Metastatic Brain Tumors Using Minimally Invasive Approaches [Internet]. J Neurol Surg A Cent Eur Neurosurg. 2019; 80(3):198-204. DOI: 10.1055/s-0038-1676575
Bauer AM, Rasmussen PA, Bain MD. Initial Single-Center Technical Experience With the BrainPath System for Acute Intracerebral Hemorrhage Evacuation [Internet]. Oper Neurosurg (Hagerstown). 2017; 13(1):69-76. DOI: 10.1227/NEU.0000000000001258
Mansour S, Echeverry N, Shapiro S, Snelling B. The Use of BrainPath Tubular Retractors in the Management of Deep Brain Lesions: A Review of Current Studies [Internet]. World Neurosurg. 2020; 134:155-63. DOI: 10.1016/j.wneu.2019.08.218
Yan C, Mao J, Yao C, Liu Y, Jin W, Yan H. Application of endoport-assisted neuroendoscopic techniques in lateral ventricular tumor surgery [Internet]. Front Oncol. 2023; 13:1191399. DOI: 10.3389/fonc.2023.1191399
Liu X, Qiu Y, Zhang F, Wei X, Zhou Z, Zhang F, et al. Combined intra- and extra-endoscopic techniques for endoscopic intraventricular surgery with a new mini-tubular port [Internet]. Front Surg. 2022; 9:933726. DOI: 10.3389/fsurg.2022.933726
Liu XW, Lu WR, Zhang TY, Hou XS, Fa ZQ, Zhang SZ. Cerebral corridor creator for resection of trigone ventricular tumors: Two case reports [Internet]. World J Clin Cases. 2022; 10(6):1914-21. DOI: 10.12998/wjcc.v10.i6.1914
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