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Selection and evaluation of operative approaches for microsurgical treatment of craniopharyngioma

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Author:
No author available
Journal Title:
CHINESE JOURNAL OF NEUROSURGERY
Issue:
11
DOI:
10.3760/cma.j.issn.1001-2346.2010.11.005
Key Word:
颅咽管瘤;显微外科手术;手术入路;Craniopharyngiomas;Microsurgery;Operative approach

Abstract: Objective To compare and evaluate several operative approaches for microsurgical treatment of craniopharyngiomas.Method Of 32 patients,14 cases were operated via pterional approach,3 via subfrontal approach,5 via transcortical-transforaminal approach combied with subfrontal approach,6 via transcallosal-interseptal-interforniceal approach,2 via transcallosal-interseptal-interforniceal approach combined with subfrontal approach,2 via transfrontal interhemispheric approach.Results Of 32 patients,total removal of tumor was achieved in 26 cases,4 subtotal removal,and 2 partical removal.Conclusions Selection of a suitable operative approach on the basis of different types of tumor is the key for total removal of craniopharyngioma.For Samii types,gradeⅠ~Ⅱcan be operated via subfrontal and pterional approach;grade Ⅲ~Ⅴ (without expansion) can be operated via transcallosal-interseptalinterforniceal approach;grade Ⅲ~Ⅴ(with expansion) can be removed by combined approaches,such as transcallosal- interseptal- interforniceal approach combined with subfrontal approach,transcorticaltransforaminal approach combied with subfrontal approach or transfrontal interhemispheric approach.

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