Endoscopic-enhanced supra-cerebellar trans-tentorial (SCTT) approach to temporo-mesial region: a multicenter study

Abstract Surgical access to the temporo-mesial area may be achieved by several routes such as the sub-temporal, the temporal trans-ventricular, the pterional/trans-sylvian, and the occipital interhemispheric approaches; nonetheless, none of them has shown to be superior to the others. The supra-cerebellar trans-tentorial approach allows a great exposure of the middle and posterior temporo-mesial region, while avoiding temporal lobe retraction. A prospective multicenter study was designed to collect data on patients undergoing endoscopic-enhanced SCTT approach to excise left temporo-mesial lesions. The study involved 5 different neurosurgical European centers and ran from 2015 to 2020. All patients had preoperative as well as postoperative brain MRI and ophthalmology evaluation. A total of 30 patients were included in this study, the mean follow-up was 44 months (range 18 to 84 months), male/female ratio was 16/14, and mean age was 39 years. A gross total resection was achieved in 29/30 (96.7%) cases. All surgical procedures were uneventful, without transient or permanent neurological deficits thanks to the preservation of the posterior cerebral artery. The endoscopic-enhanced SCTT approach provides satisfactory exposure to the left temporo-mesial region. Its minimally invasive nature helps minimize the surgical risks related to vascular and white tract manipulation, which represent known limitations of open microsurgical as well as other approaches..

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:45

Enthalten in:

Neurosurgical review - 45(2022), 6 vom: 11. Okt., Seite 3749-3758

Sprache:

Englisch

Beteiligte Personen:

Coca, Andres [VerfasserIn]
Ganau, Mario [VerfasserIn]
Todeschi, Julien [VerfasserIn]
Zaed, Ismail [VerfasserIn]
Dannhoff, Guillame [VerfasserIn]
Mallereau, Charles-Henry [VerfasserIn]
Romano, Antonio [VerfasserIn]
Cebula, Hélène [VerfasserIn]
Santin, Marie des Neiges [VerfasserIn]
Proust, Francois [VerfasserIn]
Bruno, Carmen [VerfasserIn]
Nannavecchia, Beniamino [VerfasserIn]
Savarese, Luciano [VerfasserIn]
Pop, Raoul [VerfasserIn]
Baloglu, Seyyid [VerfasserIn]
Chibbaro, Salvatore [VerfasserIn]

Links:

Volltext [lizenzpflichtig]

BKL:

44.65$jChirurgie

44.90$jNeurologie

Themen:

Endoscopic
SCTT
Supra-cerebellar trans-tentorial approach
Temporo-mesial region

Anmerkungen:

© The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2022. Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

doi:

10.1007/s10143-022-01881-6

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC2132719608

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