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Abordaje tipo keyhole transciliar supraorbitario. Criterio de seleccion de pacientes / Transciliar supraorbitary keyhole approach. Case selection guidelines
Burton Vaca, Oscar; Canitrot Paniagua, Mario; Crespo Romero, Patricia.
  • Burton Vaca, Oscar; Hospital Barros Luco Trudeau.
  • Canitrot Paniagua, Mario; Hospital Barros Luco Trudeau.
  • Crespo Romero, Patricia; Hospital Barros Luco Trudeau.
Rev. argent. neurocir ; 18(3): 164-166, jul.-sept. 2004. ilus
Artículo en Español | LILACS | ID: lil-390642
ABSTRACT

Objective:

to describe our initial experience with the supraorbital transciliar keyhole approach with emphasis on patients selection criteria.

Methods:

between july 2003 to june 2004, 7 patients were operated through this approach. Diagnosis included 1 pituitary macroadenoma, 1 craniopharyngioma, 1 clinoidal meningioma, 1 olfactory tract meningioma, 2 ApCom aneurysms and 1 carotid-ophthalmic aneurysm. In all patients the surgical techniqued was similar.

Results:

many factors demonstrate the advantage of this technique minimal brain exposure, and cerebral retraction, shortened surgical time and early hospital discharge. There were no approach-related complications. All the lesions were of less than 35mm of diameter and under the medial third of the third ventricle.

Conclusion:

the supraorbital transciliar keyhole approach, endoscope assisted, is a safe way to reach sellar and parasellar lesions when the lesion is of less than 30mm, without extension to posterior fossa
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Índice: LILACS (Américas) Asunto principal: Selección de Paciente / Base del Cráneo / Craneotomía / Endoscopía Tipo de estudio: Guía de Práctica Clínica Idioma: Español Revista: Rev. argent. neurocir Asunto de la revista: Neurocirugía Año: 2004 Tipo del documento: Artículo País de afiliación: Chile

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Índice: LILACS (Américas) Asunto principal: Selección de Paciente / Base del Cráneo / Craneotomía / Endoscopía Tipo de estudio: Guía de Práctica Clínica Idioma: Español Revista: Rev. argent. neurocir Asunto de la revista: Neurocirugía Año: 2004 Tipo del documento: Artículo País de afiliación: Chile