Chinese Journal of Microsurgery 2010;33(1):31-33

doi:10.3760/cma.j.issn.1001-2036.2010.01.013

Resection of glioblastomas located in sensorimotor cortex and language area via the transsylvian-opercular approach

Geng XU ; Ruilin ZHAO ; Liang XU ; Jianfang XU ; Yongzhi SHAN ; Jianxin DU

Keywords

Gliobiastoma; Transsylvian-opercnlarapproach; Cortex of language area; Microaurgical operation

Country

China

Language

Chinese

Abstract

Objective To find out more optimal surgical approach for glioblastoma located in sensofimotor cortex and language area. Methods A respective review of 27 cases of glioblastomas located in sensorimotor and language area were operated, via the transsylvian-opercular approach, ineluding outcomes of microneurosurgery between January 2005 to December 2007. Results Among of 27 cases, tumors in 21 cases were covered by opereular cotex and were totally resected, tumors protruded into sylvian and wrapped around middle cerebral artery in 6 cases. 3 of them were totally removed, others were subtotally. Neurofunction of 26 cases were preserved of one were injuried. Conclusion Transsylvian-opercnlar approach for resection of glioblastomas located in subcortex of sensorimotor and language area is more optimal surgical approach, which not only ensure tumor resection with great degree, but preserve neurofunction well.