Publications by authors named "T Alcantara"
In Reply to the Letter to the Editor Regarding "Simultaneous Single-Trajectory Endoscopic Biopsy and Third Ventriculostomy in Pineal Region Tumors: A Systematic Review and Single Arm Meta-Analysis".
World Neurosurg
February 2025
Article Synopsis
- Robot-assisted techniques in stereotactic brain biopsies have improved safety and precision, making them a viable option for tissue diagnosis of intracranial lesions.
- A meta-analysis of 27 studies involving 2605 patients showed a high diagnostic yield of 98%, with a mean operative time of 52.45 minutes and a low risk of complications, including 6% for postoperative hemorrhage.
- Overall, the study indicates that robot-assisted biopsies offer significant advantages in terms of effectiveness and reduced complications, solidifying their role in the future of neurosurgical diagnostics.
Background: Barbed sutures eliminate knots and may offer some advantages over conventional sutures. This meta-analysis compares clinical, surgical, and economic outcomes of barbed sutures with standard closure techniques in spinal surgery.
Methods: We systematically searched PubMed, Embase, and Web of Science for studies comparing barbed and conventional suture for patients undergoing spinal surgery.
Background: Primary brainstem hemorrhage (PBSH) is a fatal condition related to hypertension. PBSH definitive treatment remains controversial, mainly when surgical options are discussed.
Objective: To aid decision-making in PBSH scenarios, we aimed to perform a meta-analysis and evaluate the literature on stereotactic aspiration (SA) for PBSH in comparison to conservative management (CM).
Chiari Malformation Type I (CMI) is a prevalent neurosurgical condition characterized by the descent of cerebellar tonsils below the foramen magnum. Surgery, aimed at reducing symptomatology and syrinx size, presents risks, making intraoperative neuromonitoring (IONM) a potentially vital tool. Despite its widespread use in cervical spine surgery, the utility of IONM in CMI surgery remains controversial, with concerns over increased operative time, cost, restricted anesthetic techniques and tongue lacerations.
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