The Implication of Photodynamic Therapy Applied to the Level of Tumor Resection on Postoperative Cerebral Edema and Intracranial Pressure Changes in Gliomas

IF 2.2 3区医学 Q2 DERMATOLOGY

Lasers in Surgery and Medicine Pub Date : 2024-09-10 DOI:10.1002/lsm.23837

Jingxuan Li, Weijun Sun, Shaoshan Hu, Xiuwei Yan

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Abstract

Aim

The aim of our study was to explore the factors influencing cerebral edema and intracranial pressure in glioblastoma multiforme (GBM) patients who undergo photodynamic therapy (PDT) after resection.

Approach

This was a retrospective controlled study of GBM patients treated with PDT-assisted resections of varying scope from May 2021 to August 2023. The baseline clinical data, cerebral edema volumes, intracranial pressure values, and imaging data of the GBM patients were collected for statistical analysis.

Results

A total of 56 GBM patients were included. Thirty of the patients underwent gross total resection (GTR), and the other 26 patients underwent subtotal resection (STR). We found that the cerebral edema volume and the mean intracranial pressure in patients who underwent GTR were lower than those in patients who underwent STR. Moreover, univariate analysis showed that the scope of tumor resection was an independent factor affecting cerebral edema and intracranial pressure after PDT.

Conclusions

Compared with STR, PDT combined with GTR significantly reduced postoperative brain edema volume and intracranial pressure in GBM patients.

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应用于肿瘤切除层面的光动力疗法对胶质瘤术后脑水肿和颅内压变化的影响

目的我们的研究旨在探讨多形性胶质母细胞瘤（GBM）患者切除术后接受光动力疗法（PDT）的脑水肿和颅内压的影响因素。研究收集了GBM患者的基线临床数据、脑水肿体积、颅内压值和影像学数据，并进行了统计分析。其中 30 名患者接受了全切术（GTR），另外 26 名患者接受了次全切术（STR）。我们发现，GTR 患者的脑水肿体积和平均颅内压均低于 STR 患者。此外，单变量分析表明，肿瘤切除范围是影响 PDT 术后脑水肿和颅内压的独立因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Lasers in Surgery and Medicine 医学-外科

CiteScore

5.40

自引率

12.50%

发文量

119

审稿时长

1 months

期刊介绍： Lasers in Surgery and Medicine publishes the highest quality research and clinical manuscripts in areas relating to the use of lasers in medicine and biology. The journal publishes basic and clinical studies on the therapeutic and diagnostic use of lasers in all the surgical and medical specialties. Contributions regarding clinical trials, new therapeutic techniques or instrumentation, laser biophysics and bioengineering, photobiology and photochemistry, outcomes research, cost-effectiveness, and other aspects of biomedicine are welcome. Using a process of rigorous yet rapid review of submitted manuscripts, findings of high scientific and medical interest are published with a minimum delay.