Microsurgical treatment of lateral ventricular tumors
- VernacularTitle:侧脑室内肿瘤的显微外科治疗
- Author:
Zhengming YANG
;
Jian CHEN
;
Jincao CHEN
;
You ZHOU
;
Yuping WANG
;
Ping ZHANG
;
Wengong BAO
;
Ting LEI
- Publication Type:Journal Article
- Keywords:
Lateral ventricular;
Tumors;
Microsurgery;
Complication
- From:
Chinese Journal of Microsurgery
2008;31(5):332-334
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical characteristics,minimal invasive operation technique and perioperative management of lateral ventrieular tumors.Methods The clinical characteristics,image diagnosis,surgical approaches and postoperative management and surgical outcomes of 65 consecutive cases of lateral ventricular tumors were retrospectively analyzed.Results In our series,total resection was achieved in 54 cases,and subtotal resection was achieved in 11 cases.Lateral ventricular tumors were mostly found in male and in the left side.Headache caused by increased intracranial pressure was the most common clinical symptom.Ependymocytoma and astrocytic glioma are the most common pathologic diagnosis.Postoperative complications included fever (26 cases),hydrocephalus (9 cases),intraventricular hematoma (7 cases) of which 2 cases were evacuated by craniotomy,epilepsy (7 cases),wound infection (3 cases).Postoperative death was happened in 3 cases.Two of them died of respiratory failure due to postoperative epilepsy.Conclusion Early discovery of lateral ventricle tumors,meticulous operation,subtle micromanipulation and right postoperative treatment are the criticality to improve the rate of total resection of lateral ventricle tumors through microsurgical treatment and reduce postoperative complications and mortality.
