2016
DOI: 10.1007/s11060-016-2147-4
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Abstract: Craniopharyngioma remains a challenging entity for neurosurgeons because of its midline, deep seated location and intimate relationship with critical neurovascular structures. Although gross total resection is ideal, the need to reduce surgical morbidity and preserve quality of life has led to a number of neurosurgical approaches which have attained this goal. Here we discuss the commonly used approaches for surgical resection and highlight technical considerations to reduce the potential of complications. We … Show more

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Cited by 17 publications
(5 citation statements)
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“…In addition, a transsphenoidal approach was preferred in CP with enlarged sella and a significant intrasellar portion of the CP. Some small suprasellar CPs in the midline were operated using a transtuberculum sellae extension of the TS approach [4,[23][24][25] . Fig.…”
Section: Discussionmentioning
confidence: 99%
“…In addition, a transsphenoidal approach was preferred in CP with enlarged sella and a significant intrasellar portion of the CP. Some small suprasellar CPs in the midline were operated using a transtuberculum sellae extension of the TS approach [4,[23][24][25] . Fig.…”
Section: Discussionmentioning
confidence: 99%
“…Surgeons questioned if aggressive surgery was warranted if the child was devastated from hypothalamic or endocrine problems [7]. Most contemporary surgeons recommend a rational attempt at resection, with the goal of maximal safe tumor removal while minimizing morbidity [1,8]. Residual tumor is treated with subsequent radiation therapy, most commonly through proton beam [9].…”
Section: Discussionmentioning
confidence: 99%
“…Many authors have described endoscopic techniques for CPH removal through an extended transnasal, transphenoidal approach [8,[11][12][13][14][15][16][17]. This approach allows access to the sella and suprasellar region without traversing or retracting the brain.…”
Section: Discussionmentioning
confidence: 99%
“…Transcranial surgery (TSC) is a type of craniotomy involving the opening of cranial bone flaps which has been long relied on for resection of large tumors located in challenging areas (e.g., the skull base). TSC offers several possible entry points for CP resection: transsphenoidal, interhemispheric, unilateral subfrontal/bifrontal transbasal, pterional-frontotemporal, modified orbitozygomatic, and posterior transpetrosal approaches [ 24 ]. At the time of writing, TSC remains the preferred approach for suprasellar CP and large intra-suprasellar CP featuring hypothalamic and third ventricle invasion [ 25 ] ( Fig.…”
Section: Theories Of Developmentmentioning
confidence: 99%