Pregled bibliografske jedinice broj: 167357
Keyhole approach in cerebral aneurysm surgery-experience with 404 patients
Keyhole approach in cerebral aneurysm surgery-experience with 404 patients // 12th European Congress of Neurosurgery
Lisabon, Portugal, 2003. (predavanje, nije recenziran, sažetak, stručni)
CROSBI ID: 167357 Za ispravke kontaktirajte CROSBI podršku putem web obrasca
Naslov
Keyhole approach in cerebral aneurysm surgery-experience with 404 patients
Autori
Paladino, Josip ; Mrak, Goran ; Jednačak, Hrvoje ; Mihaljević Dinko
Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni
Skup
12th European Congress of Neurosurgery
Mjesto i datum
Lisabon, Portugal, 07.09.2003. - 12.09.2003
Vrsta sudjelovanja
Predavanje
Vrsta recenzije
Nije recenziran
Ključne riječi
Key hole; aneurysm surgery; neurosurgery
Sažetak
The aim of this study is to present our results and experiences with keyhole approach to intracranial vascular pathology. Between May 1996 and May 2003, we used keyhole approach in surgical treatment of 596 cases of various intracranial pathology.The majority of patients were operated on due to cerebral aneurysms. Among 530 patients with intracranial aneurysms, 404 patients was operated through small keyhole craniotomy of different locations, and most of them through eyebrow-keyhole craniotomy. The remaining 126 patients were operated using the standard larger craniotomy. The patients were analysed according to clinical predsentation, site and number of aneurysms, preoperative grading, timing of operation, type of craniotomy and results of treatment. Comparing outcome of aneurysm surgery in patients with keyhole craniotomy and standard craniotomy we find it similar for both groups, with excellent or very good outcome (GOS 5 and 4) in 335 (82, 92%) patients from keyhole craniotomy group, and 102 (80, 95%) patients from standard craniotomy group. The mortality rate in keyhole group is 0, 99% (4 patients) and in standard craniotomy group 2, 38% (3 patients). Keyhole approach has distinct advantages over standard craniotomy. The type of the craniotomy should be chosen according to location, and anatomy of the aneurysm and parent artery. There is no difference in our series in surgical outcome between patients with intracranial aneurysms operated via keyhole approach and standard craniotomy.
Izvorni jezik
Engleski
Znanstvena područja
Kliničke medicinske znanosti
