Endoscopic Endonasal Surgery for Craniopharyngiomas: A Series of 60 Patients

To report our experience of the management of 60 patients with craniopharyngioma with endoscopic endonasal surgery (EES) and evaluate the feasibility and safety of EES for craniopharyngiomas. The clinical data of 60 patients with craniopharyngioma who underwent EES between November 2014 and December...

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Veröffentlicht in:World neurosurgery 2019-04, Vol.124, p.e424-e430
Hauptverfasser: Mou, Jiamin, Wang, Xiaoshu, Huo, Gang, Ruan, Lunliang, Jin, Kai, Tan, Song, Wang, Fuchao, Hua, Huang, Yang, Gang
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Sprache:eng
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Zusammenfassung:To report our experience of the management of 60 patients with craniopharyngioma with endoscopic endonasal surgery (EES) and evaluate the feasibility and safety of EES for craniopharyngiomas. The clinical data of 60 patients with craniopharyngioma who underwent EES between November 2014 and December 2017 were analyzed retrospectively. All patients had vascularized nasoseptal flaps, and the most recent 4 patients had “in situ bone flaps” for better skull base reconstruction. Visual improvements, tumor resection extents, recurrence rates, endocrine functional changes, and surgical complications were evaluated. The resection rates were as follows: gross total, 68.3% (41 patients); near total (>95% of tumor removed), 15% (9 patients); subtotal (≥80% of tumor removed), 10% (6 patients); and partial (partial resection
ISSN:1878-8750
1878-8769
DOI:10.1016/j.wneu.2018.12.110