Retractorless Surgery for Anterior Circulation Aneurysms via a Pterional Keyhole Approach

Yu, Long; Yao, Pei-Sen; Zheng, Shi; Kang, Dezhi

doi:10.1016/j.wneu.2015.07.055

Cited by 22 publications

(18 citation statements)

References 18 publications

(23 reference statements)

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“…The surgical procedures for aneurysm clipping using the keyhole approach are the same as those for the conventional microsurgical technique, even in the case of treating ruptured aneurysms. The same method is used to treat unexpected bleeding, and the senior surgeons performing keyhole surgery should be experienced in managing intraoperative premature rupture during aneurysm operations [7,17,53,83]. In the case of severe bleeding due to the premature rupture of the aneurysm, two aspirators may be used to control the bleeding: the big one is used to aspirate the blood directly from the rupture site of the aneurysm, and the small one is used to remove the blood from the surgical field [35,38,46].…”

Section: Technique For Intraoperative Aneurysm Rupturementioning

confidence: 99%

See 1 more Smart Citation

International expert consensus statement about methods and indications for keyhole microneurosurgery from International Society on Minimally Invasive Neurosurgery

Lan

Sughrue

Hopf³

et al. 2019

Neurosurg Rev

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Meeting of experts and drafting the statement Members of the expert panel met in Suzhou, China, November 5, 2018, as a subcommittee meeting at the 2018 Education Course of the ISMIN. The meeting utilized the outlines created from the literature review as a draft for structuring the discussion. Opinions of the experts were transcribed and discussed in detail to ensure that the statement best reflects the experts' view. Findings of the committee based on literature and expert opinions Commonly applied keyhole microsurgery approaches Supraorbital keyhole approach Indication (Table 1

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Section: Technique For Intraoperative Aneurysm Rupturementioning

confidence: 99%

“…However, for ruptured aneurysm with ventricular hematoma and intracerebral hemorrhage is another matter. For these patients, drainage tube can be used for bloody cerebrospinal fluid drainage [78,83].…”

Section: Csf Drainage During or After A Keyhole Operationmentioning

confidence: 99%

International expert consensus statement about methods and indications for keyhole microneurosurgery from International Society on Minimally Invasive Neurosurgery

Lan

Sughrue

Hopf³

et al. 2019

Neurosurg Rev

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show abstract

“…A multitude of intracranial pathologies requiring surgery can safely be addressed using a keyhole craniotomy. 7,8,10,11,16,18,21,24,26,28,36,38 The term "keyhole" is relative because there is no size at which a craniotomy becomes too large or too small to be considered keyhole surgery. Rather, it is a philosophical approach to treating tumors, wherein the smallest feasible craniotomy is made to achieve the goals of resection.…”

Section: Discussionmentioning

confidence: 99%

Method for temporal keyhole lobectomies in resection of low- and high-grade gliomas

Conner

Burks

Baker

et al. 2018

Journal of Neurosurgery

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OBJECTIVE The purpose of this study was to describe a method of resecting temporal gliomas through a keyhole lobectomy and to share the results of using this technique. METHODS The authors performed a retrospective review of data obtained in all patients in whom the senior author performed resection of temporal gliomas between 2012 and 2015. The authors describe their technique for resecting dominant and nondominant gliomas, using both awake and asleep keyhole craniotomy techniques. RESULTS Fifty-two patients were included in the study. Twenty-six patients (50%) had not received prior surgery. Seventeen patients (33%) were diagnosed with WHO Grade II/III tumors, and 35 patients (67%) were diagnosed with a glioblastoma. Thirty tumors were left sided (58%). Thirty procedures (58%) were performed while the patient was awake. The median extent of resection was 95%, and at least 90% of the tumor was resected in 35 cases (67%). Five of 49 patients (10%) with clinical follow-up experienced permanent deficits, including 3 patients (6%) with hydrocephalus requiring placement of a ventriculoperitoneal shunt and 2 patients (4%) with weakness. Three patients experienced early postoperative anomia, but no patients had a new speech deficit at clinical follow-up. CONCLUSIONS The authors provide their experience using a keyhole lobectomy for resecting temporal gliomas. Their data demonstrate the feasibility of using less invasive techniques to safely and aggressively treat these tumors.

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“…The steps of aneurysm clipping in keyhole surgery are the same as these of conventional microsurgeries, even for treating ruptured aneurysms the technique would be the same. The surgeon with rich experience in correctly dealing with accidental bleeding during various surgeries under the surgical microscope can use the same methods to treat unexpected bleeding during keyhole surgery (Level II recommendation,[ 22 ] Level III recommendation,[ 23 24 25 26 ] and Level IV recommendation[ 27 28 ]).…”

Section: K Eyhole M Icrosurgery mentioning

confidence: 99%

Application of Keyhole Microneurosurgery in China

Chen

Huang³

et al. 2017

Chinese Medical Journal

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Retractorless Surgery for Anterior Circulation Aneurysms via a Pterional Keyhole Approach

Cited by 22 publications

References 18 publications

International expert consensus statement about methods and indications for keyhole microneurosurgery from International Society on Minimally Invasive Neurosurgery

International expert consensus statement about methods and indications for keyhole microneurosurgery from International Society on Minimally Invasive Neurosurgery

Method for temporal keyhole lobectomies in resection of low- and high-grade gliomas

Application of Keyhole Microneurosurgery in China

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