Surgical strategy for deep brain tumors using a single endoscopic port
Keywords:
craniotomy; endoscopy; microsurgery; brain neoplasms; minimally invasive surgical proceduresAbstract
Introduction: Deep brain tumors present a challenge in neurosurgery, not only due to their remote location from the surgeon, but also because of their proximity to important neural structures such as the basal ganglia and the ventricular system. Various surgical procedures have been described to achieve maximum safe surgical resection. However, the surgical management of these lesions remains a subject of debate.
Objective: To describe the results of implementing a surgical strategy for deep brain tumors using a single endoscopic port.
Methods: An observational, descriptive, and prospective study was conducted on patients operated on for deep brain tumors at the Hermanos Ameijeiras Hospital. A single-port endoscopic surgical strategy was designed and implemented. Absolute and relative frequencies were used as summary measures for data analysis, and the Friedman test was applied to the Karnofsky Performance Status scale.
Results: Intraparenchymal tumors predominated (60.0%) over intraventricular tumors (40.0%). A high prevalence of highly malignant tumors was observed (65.7%). A total tumor resection rate of 91.4% was reported. Postoperative complications included hydrocephalus (11.4%) and pneumonia (8.6%). The surgical strategy was deemed effective in 94.2% of cases.
Conclusions: The implementation of a surgical strategy for deep brain tumors using a single endoscopic port was accompanied by good surgical results, high effectiveness of the strategy, and a low incidence of complications.
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