Naslov
KEYHOLE APPROACH IN CEREBRAL ANEURYSM SURGERY- EXPERIENCE WITH 628 PATIENTS

Autori
Mrak, Goran ; Paladino, Josip ; Jednačak, Hrvoje ; Mihaljević, Dinko

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

Skup
X kongres neurokirurga Srbije i Crne Gore

Mjesto i datum
Novi Sad, Srbija, 02.10.2005. - 05.10.2005

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Nije recenziran

Ključne riječi
aneurysmsurgery; key hole; minimally invasive neurosurgery

Sažetak
Aim of the study:The aim of this study is to present our results and experiences with different approaches to intracranial vascular pathology. Patients and Methods: In the past eight years, we used keyhole approach in surgical treatment of 737 cases of various intracranial pathology. The majority of patients were operated on due to cerebral aneurysms. Among 628 patients with intracranial aneurysms, 482 patient was operated through small keyhole craniotomy of different locations, and most of them through eyebrow-keyhole craniotomy. The remaining 146 patients were operated using the standard wide 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 398 (82, 57%) patients from keyhole craniotomy group, and in 116 (79, 45%) patients from standard craniotomy group. The mortality rate in keyhole group is 0, 83% (4 patients), and in standard craniotomy group 2, 05% (3 patients). Conclusions: The type of the craniotomy should be chosen according to location, and anatomy of the aneurysm and parent artery. According to our results, good outcome could be expected with minimally invasive keyhole approaches.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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