Naslov
MINIMALLY INVASIVE PROCEDURES IN CEREBRAL ANEURYSM SURGERY- EXPERIENCE WITH 597 PATIENTS

Autori
Paladino, Josip ; Mrak, Goran ; Rotim, Krešimir ; Jednačak, Hrvoje ; Mihaljević, Dinko ; Ščap, Miroslav

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Skup
13th World Congress of neurological surgery

Mjesto i datum
Marakeš, Maroko, 19.06.2005. - 24.06.2005

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Nije recenziran

Ključne riječi
aneurysm surgery; keyhole; minimally invasive neurosurgery

Sažetak
Objective:The aim of this study is to present our results and experiences with keyhole approach to intracranial vascular pathology. Patients and Methods: Between May 1996 and June 2004, we used keyhole approach in surgical treatment of 679 cases of various intracranial pathology. The majority of patients were operated on due to cerebral aneurysms. Among 597 patients with intracranial aneurysms, 456 patient was operated through small keyhole craniotomy of different locations, and most of them through eyebrow-keyhole craniotomy. The remaining 141 patients were operated using the standard larger craniotomy. The patients were analysed according to clinical presentation, site and number of aneurysms, preoperative grading, timing of operation, type of craniotomy and results of treatment. Results: 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 375 (82, 23%) patients from keyhole craniotomy group, and 141 (79, 43%) patients from standard craniotomy group. The mortality rate in keyhole group is 0, 88% (4 patients), and in standard craniotomy group 2, 22% (3 patients). Conclusions: Keyhole approach has advantages over standard craniotomy including smaller size of craniotomy, shorter operative time, less brain exposure, faster recovery, shorter hospitalization, and good cosmetic result. 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

POVEZANOST RADA