Endoscopic Endonasal Transclival Approach to Tumors of the Clivus and Anterior Region of the Posterior Cranial Fossa (Results of Surgical Treatment of 136 Patients)

Shkarubo, A N; Koval, Konstantin; Chernov, I V; Andreev, D N; Panteleyev, Andrey

doi:10.1016/j.wneu.2018.09.090

Cited by 19 publications

(17 citation statements)

References 18 publications

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“…The posterior cranial fossa, especially the clival region, is in the skull base, which is often difficult to access surgically (1). Managing clival lesions presents numerous challenges due to the close proximity of surrounding critical structures, including the basilar and internal carotid arteries, brain stem, and the cranial nerves (2).…”

Section: Introductionmentioning

confidence: 99%

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Endoscopic Endonasal Approaches to the Clival Region

Ravnik

Hribernik

Lanišnik

2021

ama

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Objective. Our main objectives were to analyze and determine the safety, risk of post-operative complications, and surgical outcome of the endoscopic endonasal approach to the clival region.Methods. From May 2011 to May 2019, we operated on 19 patients using the endoscopic endonasal approach to the clival region. Their pathologies were diverse: pituitary macroadenoma, craniopharyngioma, metastasis, and a prepontine neurenteric cyst. The first operations were supervised by an experienced center using telementoring. We explained our surgical technique and analyzed the patients’ data, which were included in our study.Results. We managed to achieve complete removal of the pathological process in 14 patients. There were no deaths in the perioperative and early post-operative period. The most common complication was a cerebrospinal fluid leak, which was successfully managed in all of the cases. There were no deaths or significant morbidities in the post-operative period.Conclusion. An endoscopic transnasal approach to the clival region is safe and effective. It provides better visualization of that region compared to other transcranial approaches. The risk of post-operative complications is significantly lower with the help of modern reconstructive techniques. CSF leak is the most frequent complication.

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Section: Introductionmentioning

confidence: 99%

“…With the help of modern reconstructive techniques, the rate of post-operative complications Clinical Medicine is lower, especially cerebrospinal (CSF) leak (12). The results of the endoscopic endonasal approach to the clival region may thus be equal or superior to the results of transcranial approaches (1).…”

Section: Introductionmentioning

confidence: 99%

Endoscopic Endonasal Approaches to the Clival Region

Ravnik

Hribernik

Lanišnik

2021

ama

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Section: Introductionunclassified

“…Современные успехи в развитии малоинвазивных технологий особенно важны для нейрохирургии, которой присущи наибольшая сложность проведения манипуляций и слишком высокая цена за возможные ошибки [1][2][3][4]. Примером комплексного использования новых решений являются нейроонкология и активно развивающаяся эндоскопическая хирургия опухолей основания черепа с трансназальным доступом -наиболее сложная область нейрохирургии [1][2][3]. Основные проблемы связаны с необходимостью обеспечить максимально возможную радикальность удаления опухолевой ткани при минимизации постоперационных осложнений, а также с сохранением анатомической целостности и функциональности жизненно важных структур мозга, магистральных артерий и черепных нервов, особенно в условиях прорастания их опухолевой тканью и изменения анатомической топографии.…”

Section: Introductionunclassified

Исследование Нейроваскулярных Структур С Помощью Фазово-Модуляционной Спектрофотометрии-=sup=-*-=/Sup=-

Сафонова¹,

Орлова²,

Шкарубо³

2019

Журнал Технической Физики

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The possibility of using phase modulation spectrophotometry for the detection and recognition of large blood vessels and nerves in the biological tissues volume in the tasks of neurosurgery with endoscopic endonasal access while removing the skull base tumors has been investigated. Optical and dynamic characteristics of various neurovascular structures types were studied. Informative independent parameters and their corresponding criteria for the detection and recognition of neurovascular structures in the tissue volume, based on the difference in the optical properties of the blood, nerves and their surrounding tissues, was proposed and experimentally investigated in vivo and in situ. The obtained preliminary results indicate the promise of applying the method of phase modulation spectrophotometry in endoscopic neurosurgery and can be used in spectrophotometry with the impulse time-domain approach.

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“…A koponyaalap laterális aspektusainak elérését teszi lehetővé a trans pterygoidealis és a "transorbitalis" feltárás, bár az utóbbi már nem tartozik az orrüregen keresztül kivitelezett beavatkozásokhoz. Bár bizonyos esetekben a tumor elhelyezkedése ma is külső feltárásból végzett műtétre kényszerítheti az operatőrt, a nemzetközi irodalom egységesnek látszik abban a tekintetben, hogy ha adottak a feltételei a minimálisan invazív endoszkópos beavatkozásnak, akkor külső feltárás nélkül kell elvégezni a tumorreszekciót [5][6][7][8][9][10][11][12]. Jelen közleményünkben a koponyaalapot destruáló rosszindulatú daganatok sebészi megoldása céljából alkalmazott endoszkópos transcribriform feltárással szerzett tapasztalatainkat mutatjuk be.…”

unclassified

Minimálisan invazív, endoszkóppal asszisztált, transcribriform reszekció a koponyaalap rosszindulatú daganatainak sebészetében

et al. 2019

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Introduction: Malignant tumours of the sinonasal region – including those with invasion of the skull base – necessitate surgical resection. The majority of the cases give an opportunity to perform the procedure via minimally invasive, endoscopic approach, without external, craniofacial surgery. Aim: To assess our clinical experience in treating anterior skull base malignancies, performing minimally invasive endoscopic transcribriform resection. Method: Between February 2015 and July 2017, four male and one female patient underwent minimally invasive, endoscopic skull base procedure. The mean age was 64.6 years (59–70, median: 66). Every surgery was performed via transnasal, endoscopic transcribriform approach. In two cases Kadish C esthesioneuroblastomas, while in one case a T3N0 sinonasal non-differentiated carcinoma, a T1N0 intestinal type adenocarcinoma and a T4N0 squamous cell carcinoma was the indication of surgery, respectively. Results: The mean follow-up time was 22.8 months, between 14 and 46 months. Intraoperative complications did not occur during the procedures. Regarding the postoperative period, liquorrhoea and pneumocephalus occurred in one case. Complications were solved with lumbar drainage. During follow-up, neither residual nor recurrent tumour was observed in our patients. Conclusion: Endoscopic transcribriform resection of the skull base malignancies is a safe and viable alternative to the traditional open approach. Orv Hetil. 2019; 160(40): 1584–1590.

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Endoscopic Endonasal Transclival Approach to Tumors of the Clivus and Anterior Region of the Posterior Cranial Fossa (Results of Surgical Treatment of 136 Patients)

Cited by 19 publications

References 18 publications

Endoscopic Endonasal Approaches to the Clival Region

Endoscopic Endonasal Approaches to the Clival Region

Исследование Нейроваскулярных Структур С Помощью Фазово-Модуляционной Спектрофотометрии-=sup=-*-=/Sup=-

Minimálisan invazív, endoszkóppal asszisztált, transcribriform reszekció a koponyaalap rosszindulatú daganatainak sebészetében

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