Extended endonasal endoscopic approach in craniopharyngiomas: the rule of 3 in surgical dissection

Authors

Keywords:

abordaje endonasal endoscópico extendido, craneofaringioma, complejo trianatómico, disección trilaminar y trípode vascular

Abstract

Introduction. Craniopharyngiomas are regarded as a complex molecular disease, with great neurovascular invasiveness and adherence in the skull base. Objective: to show an endoscopic model of surgical dissection based on new tumoral imagenological classification. Methods. A descriptive, longitudinal and prospective study was performed in 50 patients operated by Extended Endoscopic Endonasal Approach following the rule of 3 of surgical dissection: trianatomic complex exposition, sagittal trilaminar dissection, and axial vascular tripod dissection based on new imagenological classification. Results and discussion. Gross total resection was performed in 90 % of patients and 80 % was incorporated to normal live and work. Surgical complication was minimal, and insipidus diabetes was the most frequent. The disease-free survival during eight years was 81,6 %. Conclusions. Extended Endoscopic Endonasal Approach following the rule of three of surgical dissection represents a paradigm in the craniopharyngioma treatment.

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Author Biography

Marlon Manuel Ortiz Machín, Departamento de Neurocirugía del Hospital Clínico Quirúrgico Hermanos Ameijeiras. La Habana

Especialista de 2do grado en Neurocirugía

Cirujano de Base de Cráneo

158 aniversario de Anales

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Published

2022-09-01

How to Cite

Ortiz Machín, M. M., López Arbolay, O., Goyenechea Gutiérrez, F., & Sánchez Gendriz, I. V. (2022). Extended endonasal endoscopic approach in craniopharyngiomas: the rule of 3 in surgical dissection. Anales De La Academia De Ciencias De Cuba, 12(3), e1148. Retrieved from https://revistaccuba.sld.cu/index.php/revacc/article/view/1148

Issue

Vol. 12 No. 3 (2022): septiembre-diciembre

Section

Biomedical sciences

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