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Ten years of experience with microsurgical treatment of large and giant petroclival meningiomas

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机构: [a]Department of Functional Neurosurgery, Xuanwu Hospital, Capital University of Medical Sciences, 45 Changchun Street, Haidian District, Beijing 100053, China [b]Department of Neurosurgery, Sanbo Neurosurgical Hospital, Beijing, China [c]Department of Neurosurgery, The General Hospital of the Chinese People’s Armed Police Forces, Beijing, China
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关键词: Meningioma Petroclival region Skull base surgical approach

摘要:
During a 10-year period, 41 patients underwent surgery for resection of large or giant petroclival meningiomas. Gross total resection (GTR) was accomplished in 25 patients (61.0%), subtotal resection (STR) in 15 patients (36.6%), and partial resection in one patient (2.4%). Postoperative complications were observed in 27 patients (65.9%). Postoperative radiosurgery was administered in six patients who had residual tumors. Survival and postoperative quality of life are the goals of successful surgery on large or giant petroclival meningiomas, and the strategic surgical approach is based on the tumor location, the direction of growth, the invasion of adjacent structures, patient age and neurosurgeon expertise. Selectively pursuing STR with radiotherapy rather than GTR is a reasonable strategy. © 2012 Elsevier Ltd. All rights reserved.

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出版当年[2012]版:
大类 | 4 区 医学
小类 | 4 区 临床神经病学 4 区 神经科学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 临床神经病学 4 区 神经科学
第一作者:
第一作者机构: [a]Department of Functional Neurosurgery, Xuanwu Hospital, Capital University of Medical Sciences, 45 Changchun Street, Haidian District, Beijing 100053, China
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通讯机构: [a]Department of Functional Neurosurgery, Xuanwu Hospital, Capital University of Medical Sciences, 45 Changchun Street, Haidian District, Beijing 100053, China
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