2. Microsurgery result of sellar and parasellar region meningiomas at Viet Duc Hospital
Main Article Content
Abstract
The study was performed on 32 patients diagnosed and microsurgically resected at Viet Duc Hospital. Keyhole eyebrow surgery was performed on 84.4% of cases. Tumors were observed during surgery: compression of the II nerve and chiasm accounted for 62.5%, compression of the pituitary gland and pituitary stalk accounted for 50%, carotid artery encapsulation 34.4%, invasion of the cavernous sinus 6.3% and anterior cerebral artery A1, A2 for 9.4%. Tumor resection results based on Simpson II and III criteria: 78.1%, taking sub-total of the tumor (Simpson IV): 21.9%. Following surgery, 46.8% achieved improved vision, no vision change accounted for 31.3%, and worsening of vision accounted for 6.3%. Postoperative complications: mortality 0%, insipidus accounted for 9.4%, cerebral contusion 3.1%, cerebrospinal fluid leak 3.1%.
Article Details
Keywords
Meningioma, sellar and parasellar region meningiomas, microsurgery, Keyhole eye brow surgery
References
2. Jaiswal AK, Das KK, Mehrotra A, et al. Suprasellar Meningiomas: The Quest for an Ideal Minimally Invasive Surgical Approach. Neurol India. 2021;69(3):636-637. doi:10.4103/0028-3886.319244
3. Bộ môn Ngoại. Bệnh học Ngoại khoa Thần Kinh. 1st ed. Nhà xuất bản Y học; 2021.
4. Lee JH. Meningiomas: Diagnosis, Treatment, and Outcome. 2008th edition. Springer; 2008.
5. Schick U, Hassler W. Surgical management of tuberculum sellae meningiomas: involvement of the optic canal and visual outcome. J Neurol Neurosurg Psychiatry. 2005;76(7):977-983. doi:10.1136/jnnp.2004.039974
6. Cai M, Zhang B, He H, et al. Trans-eyebrow supraorbital keyhole approach for suprasellar and intra-suprasellar Rathke cleft cysts: the experience of 16 cases and a literature review. Br J Neurosurg. Published online June 27, 2022:1-7. doi:10.1080/02688697.2022.2090510
7. Thắng ĐM. Nghiên cứu đặc điểm lâm sàng, đặc điểm cộng hưởng từ và đánh giá kết quả điều trị vi phẫu thuật u màng não trên yên. Luận án tiến sĩ y học. Trường Đại học Y Hà Nội; 2019.
8. Bảo THH. Điều trị vi phẫu thuật u màng não mỏm yên trước. Luận án tiến sĩ y học. Trường Đại học Y dược thành phố Hồ Chí Minh; 2016.
9. Chandler WF. Management of suprasellar meningiomas. J Neuro-Ophthalmol Off J North Am Neuro-Ophthalmol Soc. 2003;23(1):1-2. doi:10.1097/00041327-200303000-00001
10. Safronova EI, Galstyan SA, Kushel YV. Trans-eyebrow supraorbital endoscope-assisted keyhole approach to suprasellar meningioma in pediatric patient: case report and literature review. Chin Neurosurg J. 2022;8(1):28. doi:10.1186/s41016-022-00299-9
11. Lee S, Hong SH, Cho YH, et al. Anatomical Origin of Tuberculum Sellae Meningioma: Off-Midline Location and Its Clinical Implications. World Neurosurg. 2016;89:552-561. doi:10.1016/j.wneu.2016.02.016
12. Nguyễn Ngọc Khang. Nghiên cứu chẩn đoán sớm và đánh giá kết quả phẫu thuật u màng não vùng củ yên. Luận án tiến sĩ, Học viện Quân Y; 2012.
13. Mortazavi MM, Brito da Silva H, Ferreira M, et al. Planum Sphenoidale and Tuberculum Sellae Meningiomas: Operative Nuances of a Modern Surgical Technique with Outcome and Proposal of a New Classification System. World Neurosurg. 2016;86:270-286. doi:10.1016/j.wneu.2015.09.043
14. Nakamura M, Roser F, Struck M, et al. Tuberculum sellae meningiomas: clinical outcome considering different surgical approaches. Neurosurgery. 2006;59(5):1019-1028. doi:10.1227/01.NEU.0000245600.92322.06
15. Goel A, Muzumdar D, Desai KI. Tuberculum sellae meningioma: a report on management on the basis of a surgical experience with 70 patients. Neurosurgery. 2002;51(6):1358-1363.