Recursive partitioning analysis of factors determining infection after intracranial tumor surgery

Lepski, Guilherme; Reis, Bruno Alvarez Quinta; Oliveira, Adilson de; Neville, Iuri Santana

doi:10.1016/j.clineuro.2021.106599

Cited by 10 publications

(9 citation statements)

References 23 publications

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“…Due to the long operation time, the exposure time of the surgical wound to the air also increases. erefore, microorganisms and bacteria in the air are more likely to invade, resulting in an increase in the postoperative infection rate [12]. Analysis showed that excessive intraoperative blood loss led to a sharp decline in the number of white blood cells in the blood.…”

Section: Related Workmentioning

confidence: 99%

[Retracted] Analysis of the Factors Related to Intracranial Infection after Brain Tumor Surgery

Chen

Sheng

2022

Contrast Media & Molecular Imaging

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In order to explore the factors related to intracranial infection after brain tumor surgery, a retrospective analysis is conducted in this study. According to the patients with intracranial infection after brain tumor surgery in our hospital from January 2020 to October 2020, clinical data are divided into different groups and some indicators are put into the multiple regression model for multivariate analysis. The factors related to intracranial infection after brain tumor surgery are analyzed, and the clinical effect of a detailed management plan based on the abovementioned risk factors to prevent intracranial infection in patients after brain tumor surgery is observed. Multiple regression models demonstrate that complicated underlying diseases, operation time, and intraoperative blood loss are independent risk factors for postoperative intracranial infection.

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Section: Related Workmentioning

confidence: 99%

[Retracted] Analysis of the Factors Related to Intracranial Infection after Brain Tumor Surgery

Chen

Sheng

2022

Contrast Media & Molecular Imaging

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“…In total, 1059 relevant papers were looked at, and 18 studies published between 2006 and 2023 met the criteria to be included in the meta-analysis. 5,[16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32]…”

Section: Resultsmentioning

confidence: 99%

“…In total, 1059 relevant papers were looked at, and 18 studies published between 2006 and 2023 met the criteria to be included in the meta‐analysis 5,16–32 . Table 2 summarizes the findings of these investigations.…”

Section: Resultsmentioning

confidence: 99%

A meta‐analysis of the risk factors for neurosurgical surgical site infection following craniotomy

Sun,

Ma,

Geng

et al. 2023

International Wound Journal

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The purpose of the meta‐analysis was to evaluate and compare the risk factors for neurosurgical surgical site infection (SSI) after craniotomy. Using dichotomous or contentious random or fixed effect models, the odds ratio (OR) and mean difference (MD) with 95% confidence intervals (CIs) were computed based on the examination of the meta‐analysis results. Eighteen analyses, covering 11 068 craniotomies between 2001 and 2023, were included in the current meta‐analysis. Subjects with SSIs had a significantly younger age (MD, −2.49; 95% CI, −2.95 to −2.04, p < 0.001), longer operation duration (MD, 10.21; 95% CI, 6.49–13.94, p < 0.001) and longer length of postoperative hospital stay (MD, 1.52; 95% CI, 0.45–2.60, p = 0.006) compared to subjects with no SSI with craniotomy. However, no significant difference was found between craniotomy subjects with SSIs and with no SSI in gender (OR, 0.90; 95% CI, 0.76–1.07, p = 0.23), and combination with other infection (OR, 3.93; 95% CI, 0.28–56.01, p = 0.31). The data that were looked at showed that younger age, longer operation duration and longer length of postoperative hospital stay can be considered as risk factors of SSI in subjects with craniotomy; however, gender and combination with other infections are not. Nonetheless, consideration should be given to their values because several studies only involved a small number of patients, and there are not many studies available for some comparisons.

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“…There was one case of postoperative intracranial infection in which the frontal sinus was not opened. Considering that the cause of infection might be related to the large tumor and long operation time (4 h 23 min), it has been reported in the literature that the operation time of >4 h ( 27 ) and a large benign tumor of the skull base ( 28 ) are the risk factors of intracranial infection after craniotomy. Postoperative visual function was improved in 6/7 cases (85.7%).…”

Section: Discussionmentioning

confidence: 99%

Keyhole supraorbital eyebrow approach for fully endoscopic resection of tuberculum sellae meningioma

et al. 2022

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BackgroundThe fully endoscopic supraorbital trans-eyebrow keyhole approach is a technique utilized for the transcranial resection of tuberculum sellae meningioma (TSM). Surgery is the first choice for TSM treatment. This study aimed to summarize and analyze the safety, feasibility, limitations, and technical requirements of the fully endoscopic supraorbital trans-eyebrow keyhole approach for TSM resection.MethodsData of 19 TSM fully endoscopic supraorbital trans-eyebrow keyhole approach resections cases (six and 13 on the left and right eyebrows, respectively) were retrospectively analyzed at the Neurosurgery Department of the First Affiliated Hospital of Bengbu Medical College (Bengbu, China) from August 2015 to March 2022.ResultsAll 19 patients were diagnosed with meningioma (World Health Organization grade I), and according to the scope of tumor resection (EOR), 18 patients (94.7%) had gross total resection (GTR), and one patient (5.3%) had near-total resection (NTR). Preoperative chief complaints were symptomatic visual dysfunction (n = 12), headache and dizziness (n = 6), and accidental discovery (n = 1). Postoperative visual function improved in 83.3% of cases (10/12), and headache and dizziness were relieved in 83.3% of cases (5/6 patients). Postoperative intracranial infection occurred in one case and was cured by external drainage of the lumbar cistern and anti-infective treatment. Two cases of frontal lobe injury were discharged after conservative treatment. There was no postoperative olfactory dysfunction, eyelid ptosis, cerebrospinal fluid leakage, or death. There were no reports of disease recurrence or death during the 3-month follow-up at an outpatient clinic or by telephone.ConclusionFully endoscopic TSM resection through the keyhole approach is safe and feasible. It can be used to explore angles that cannot be seen under a microscope and show the true value of endoscopy technology. The endoscopic equipment and technical skills of the surgeon and surgical team are important in this technique.

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Recursive partitioning analysis of factors determining infection after intracranial tumor surgery

Cited by 10 publications

References 23 publications

[Retracted] Analysis of the Factors Related to Intracranial Infection after Brain Tumor Surgery

[Retracted] Analysis of the Factors Related to Intracranial Infection after Brain Tumor Surgery

A meta‐analysis of the risk factors for neurosurgical surgical site infection following craniotomy

Keyhole supraorbital eyebrow approach for fully endoscopic resection of tuberculum sellae meningioma

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