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.
Rev. argent. neurocir
; 18(3): 164-166, jul.-sept. 2004. ilus
Artículo
en Español
| BINACIS | ID: bin-3326
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 (AU)
Biblioteca responsable:
AR423.1
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