인문학
사회과학
자연과학
공학
의약학
농수해양학
예술체육학
복합학
DBpia AI
AI 에이전트
AI 아이디어
AI 리더
AI 뷰어
Citeasy
크롬 서지관리 다운로드
지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록·키워드
Abstract Background Suprasellar meningiomas are classically removed through several different surgical transcranial approaches, including the pterional transsylvian route. Recently, the indications for the transsphenoidal technique, traditionally proposed only for the treatment of intrasellar lesions, have been extended to include lesions located in the supra- and parasellar areas and, among them, suprasellar meningiomas. We describe the surgical technique for the purely endoscopic endonasal transsphenoidal approach to suprasellar meningiomas. Purpose To evaluate the endoscopic endonasal technique in resection of suprasellar meningiomas and to elucidate the factors that favor this approach selection. Methods This is a prospective study of collected data of Nineteen consecutive patients who underwent endoscopic endonasal approach (EEA) for suprasellar meningiomas (SSM) at our institution. The details of the surgical technique have been described. In this study, we analyze a series of consecutive patients who underwent endoscopic endonasal resection of SSM, evaluating both preoperative radiological parameters and intraoperative findings. We introduced new imaging predictive factors that may facilitate surgical planning and improve patient selection for EEA. Additionally, we assessed the impact of tumor size and consistency on the surgical time, extent of resection, and postoperative complications, with a particular focus on cerebrospinal fluid (CSF) leak rates and visual outcomes. Results Gross total removal of the lesion, without the need for brain retraction and with minimal neurovascular manipulation, was achieved in 18/19 (94.7%) patients. Seventeen patients with preoperative visual function defects had complete recovery, whereas in 2 patients’ vision was stabilized. Three patients had a postoperative cerebrospinal fluid leak; they were controlled conservatively. Soft closure (5 cases): 60% (3/5) had postoperative CSF leaks. Rigid closure (14 cases): 0% (0/14) had postoperative CSF leaks. Mean operative time: 300 min (range: 210 –450 min). Mean hospital stay: 5 days (range: 3 − 7 days). No mortality or major vascular injuries. Conclusion In carefully selected patients, the extended endoscopic endonasal approach may constitute a viable alternative to transcranial approaches for suprasellar meningiomas.
인공지능 문자 인식 모델을 통해 추출된 텍스트로, 일부 오타나 오류가 포함될 수 있으나 지속적으로 개선 중입니다.
오류를 발견하셨다면 해당 부분을 드래그한 후 ' 를 통해 신고해주세요.
오류를 발견하셨다면 해당 부분을 드래그한 후 ' 를 통해 신고해주세요.
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