Management of large intraventricular meningiomas with minimally invasive port technique: a three-case series.
Ali O JamshidiAndre Beer-FurlanDouglas A HardestyLeo F S Ditzel FilhoLuciano M PrevedelloDaniel M PrevedelloPublished in: Neurosurgical review (2020)
The use of minimally invasive transcranial ports for the resection of deep-seated lesions has been shown to be safe and effective. To date, most of the literature regarding the tubular retractors used in brain surgery is comprised of individual case reports that describe the successful resection of deep-seated lesions such as thalamic pilocytic astrocytomas, colloid cysts in the third ventricle, hematomas, and cavernous angiomas. The authors describe their experience using a tubular retractor system with three different cases involving large intraventricular meningiomas and examine radiographic and patient outcomes. A single-institution, retrospective case series was performed from a skull base database. Patients who underwent resection of intraventricular >ā4-cm meningiomas with port technology were identified. The authors reviewed three cases to illustrate the feasibility of minimal access port surgery for the resection of these lesions. Complete resection was achieved in all cases. None of the patients developed permanent neurological deficits. There were no major complications related to surgery and no mortalities. Good clinical and surgical outcomes for atrium meningiomas can be achieved through the minimally invasive port technique and tumor size does not appear to be a limitation.
Keyphrases
- minimally invasive
- robot assisted
- end stage renal disease
- ejection fraction
- newly diagnosed
- chronic kidney disease
- coronary artery bypass
- emergency department
- prognostic factors
- systematic review
- risk factors
- peritoneal dialysis
- mitral valve
- surgical site infection
- traumatic brain injury
- coronary artery
- patient reported
- inferior vena cava
- endothelial cells
- brain injury
- high glucose
- pulmonary arterial hypertension
- resting state