Current Results of Surgical Treatment of Craniopharyngiomas: The Impact of Endoscopic Endonasal Approaches

被引:23
|
作者
Almeida, Joao Paulo [1 ,2 ]
Kalyvas, Aristotelis [1 ]
Mohan, Nilesh [1 ]
Oswari, Selfy [1 ]
Takami, Hirokazu [1 ]
Velasquez, Carlos [1 ]
Asha, Mohammed [1 ]
Zadeh, Gelareh [1 ]
Gentili, Fred [1 ]
机构
[1] Univ Toronto, Univ Hlth Network, Toronto Western Hosp, Div Neurosurg, Toronto, ON, Canada
[2] Cleveland Clin, Dept Neurosurg, Neurol Inst, Cleveland, OH 44106 USA
关键词
Craniopharyngioma; Endoscopic; Microsurgery; Results; Surgery; SKULL-BASE; TRANSCRANIAL RESECTION; ENDOCRINE OUTCOMES; SURGERY; MANAGEMENT; CHILDREN; EVOLUTION; SURVIVAL; REPAIR; SERIES;
D O I
10.1016/j.wneu.2020.05.174
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Surgery is the main treatment option for the management of craniopharyngiomas. Transcranial microsurgical approaches, such as pterional and subfrontal approaches, have constituted the classic operative strategy for resection of these tumors. However, the development of endoscopic endonasal approaches has revolutionized the treatment of craniopharyngiomas in the last 15 years, and endoscopic resection is favored for most craniopharyngiomas. In this article, we discuss our experience with the management of craniopharyngiomas and review the current results of the surgical treatment of those tumors, including discussion of goals of surgery, complications, recurrences, and the role of adjuvant treatment.
引用
收藏
页码:582 / 592
页数:11
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