Concerns of Endoscopic Keyhole approach to skull base tumors
Keywords:
Abordaje Keyhole, magnificación endoscópica, base de cráneoAbstract
Introduction: Endoscopic Keyhole surgery for cranial base tumors represents a philosophical evolution of neurosurgical thinking from great craniotomies to small ones with controlled drainage of cerebrospinal fluid. Objectives: to describe theorical concerns that support Keyhole approaches and present the results of the case series. Method. A descriptive study was performed in 56 patients with skull base tumors operated on by Keyhole surgery in the anterior, middle and posterior fossa. The tumoral resection, clinical evolution and main complications were determined. Global visualization and global maneuverability areas were described, such as its determinant and influential factors.Results. A high total tumor resection rate of over 85% was achieved with minimal complications; a significant facial nerve restauration in retrosigmoid Keyhole and satisfactory cosmetic results in supraorbital Keyhole were obtained. Conclusions. Keyhole surgery based on physical, mathematical and biomedical laws constitutes an excellent and promising surgical philosophy.
Downloads
Published
How to Cite
Issue
Section
License
The journal Anales de la Academia de Ciencias de Cuba protects copyright, and operates with a Creative Commons License 4.0 (Creative Commons Attribution-NonCommercial License 4.0). By publishing in it, authors allow themselves to copy, reproduce, distribute, publicly communicate their work and generate derivative works, as long as the original author is cited and acknowledged. They do not allow, however, the use of the original work for commercial or lucrative purposes.
The authors authorize the publication of their writings, retaining the authorship rights, and assigning and transferring to the magazine all the rights protected by the intellectual property laws that govern in Cuba, which imply editing to disseminate the work.
Authors may establish additional agreements for the non-exclusive distribution of the version of the work published in the journal (for example, placing it in an institutional repository or publishing it in a book), with recognition of having been first published in this journal.
To learn more, see https://creativecommons.org