Ventriculostomy through straight-incision temporoparietal approach for the resection of meningioma at the trigone of lateral ventricles

Q4 Medicine

中华神经外科杂志 Pub Date : 2020-01-28 DOI:10.3760/CMA.J.ISSN.1001-2346.2020.01.003

Xiangyu Ma, Shibao Liu, Huaiyong Hao, Wei-guo Li, L. Mu, Shujun Xu, Xin-gang Li

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引用次数: 0

Abstract

Objective To explore the application of ventriculostomy through straight-incision temporoparietal approach in the resection of meningioma at the trigone of lateral ventricles. Methods A total of 22 patients underwent operation through the straight-incision temporoparietal approach at Department of Neurosurgery, Qilu Hospital of Shandong University from January 2015 to June 2017 and were enrolled into this study. By retrospectively analyzing the intraoperative conditions, postoperative imaging, common complications of patients, we evaluated the reliability and advantages of the operative technique in the treatment of meningioma at the trigone of lateral ventricles. Results Simpson Ⅰ resection was achieved in all 22 patients without death. The operation duration was 140±75 min (60-240 min) and intraoperative blood loss was 300±110 ml (20-800 ml). The total time spend on craniotomy was about 20±4 min(14-31 min), and the blood loss during skull opening and closing periods was <20 ml. One patient (4.5%) developed postoperative intraventricular hemorrhage and good recovery was achieved with lumbar drainage. There was no imaging recurrence during the follow-up lasting for 16±7 months (6-30 months). Conclusion Being able to make effective exposure for maximal safe resection of meningioma at the trigone of lateral ventricles, the straight-incision temporoparietal approach could reduce damage to the vessels and nerves and shorten operative time, which might thus be used as a routine surgical treatment of meningioma at the trigone of lateral ventricles. Key words: Meningioma; Lateral ventricles; Microsurgery; Neuronavigation

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颞顶叶直切口脑室切开术切除侧脑室三角区脑膜瘤

目的探讨直切口颞顶入路脑室造口术在侧脑室三角区脑膜瘤切除术中的应用。方法选取2015年1月至2017年6月山东大学齐鲁医院神经外科经颞顶直切口入路手术的22例患者作为研究对象。通过回顾性分析术中情况、术后影像学、患者常见并发症，评价该手术技术治疗侧脑室三角区脑膜瘤的可靠性和优势。结果22例患者均行SimpsonⅠ切除术，无死亡。手术时间140±75 min (60 ~ 240 min)，术中出血量300±110 ml (20 ~ 800 ml)。开颅总时间约20±4 min(14-31 min)，开合颅骨出血量<20 ml。术后脑室内出血1例(4.5%)，腰椎引流恢复良好。随访16±7个月(6 ~ 30个月)，无影像学复发。结论直切口颞顶入路能有效暴露侧脑室三角区脑膜瘤，最大限度安全切除，对血管和神经的损伤小，缩短手术时间，可作为侧脑室三角区脑膜瘤的常规手术治疗方法。关键词:脑膜瘤;侧脑室;显微外科;Neuronavigation

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来源期刊

中华神经外科杂志 Medicine-Surgery

CiteScore

0.10

自引率

0.00%

发文量

10706

期刊介绍： Chinese Journal of Neurosurgery is one of the series of journals organized by the Chinese Medical Association under the supervision of the China Association for Science and Technology. The journal is aimed at neurosurgeons and related researchers, and reports on the leading scientific research results and clinical experience in the field of neurosurgery, as well as the basic theoretical research closely related to neurosurgery.Chinese Journal of Neurosurgery has been included in many famous domestic search organizations, such as China Knowledge Resources Database, China Biomedical Journal Citation Database, Chinese Biomedical Journal Literature Database, China Science Citation Database, China Biomedical Literature Database, China Science and Technology Paper Citation Statistical Analysis Database, and China Science and Technology Journal Full Text Database, Wanfang Data Database of Medical Journals, etc.