Keyhole craniotomy is a minimally invasive approach for the treatment of anterior circulation aneurysm. In this study, we evaluated the benefits and value of the keyhole approach by analyzing the surgical results in 235 patients with anterior circulation aneurysm treated by the keyhole approach and identifying lessons learned from addressing various complications in this approach. This was a retrospective study in a single institution of 235 surgical patients with 248 anterior circulation aneurysms who had the supraorbital keyhole approach (SKA) or pterional keyhole approach (PKA) between January 2016 and January 2021. The modified Rankin Scale (mRS) was used to measure long-term results during follow up. All 235 patients' aneurysms were fully clamped and have not recurred. Among them, 31 (13.2%) had intraoperative aneurysm rupture, 8 (3.4%) had cerebral vascular spasm, and 4 (1.7%) had intraoperative brain edema. There were seven (3.0%) cases of postoperative infection, eight (3.4%) cases of postoperative cerebral infarction, one (0.4%) case of postoperative hematoma, and two (0.8%) patients had some form of cognitive impairment after surgery. Follow up after surgery demonstrated that 189 out of the 235 patients (80.4%) had favorable outcomes (mRS score 0-2), and 43 (18.3%) had poor outcomes (mRS from 3-5). There were three deaths (1.28%). The keyhole approach has a quick postoperative recovery, a mild postoperative response, and a good surgical outcome. Our findings indicate that the keyhole approach is a safe and effective surgical method for the treatment of anterior circulation aneurysm.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8689128 | PMC |
| http://dx.doi.org/10.3389/fsurg.2021.783557 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Initial and recurrent management of parastomal hernia after cystectomy and ileal conduit urinary diversion: a 10 year single-center experience.
Hernia
December 2024
Department of Digestive and Oncologic Surgery, Charles Nicolle University Hospital, Rouen Cedex, France.
Purpose: The management of parastomal hernia following cystectomy and ileal conduit diversion is challenging due to its specific nature and a high recurrence rate, yet is poorly described.
Methods: We retrospectively searched the clinical data warehouse of our center for patients who had primary parastomal hernia repair following cystectomy and ileal conduit diversion. The primary endpoint was recurrence of parastomal hernia; secondary endpoints were postoperative complications and surgical management of recurrences.
Endoscopic Keyhole Approach Is Useful in the Diagnosis and Removal of Cystic Cerebellar Hemangioblastoma: A Case Report.
NMC Case Rep J
December 2024
Department of Neurosurgery, Osaka Metropolitan University, Osaka, Osaka, Japan.
Intracranial cystic lesions such as hemangioblastoma (HB) are commonly found incidentally; however, they can be difficult to diagnose because they require various differential diagnoses. A contrast-enhanced mural nodule on magnetic resonance imaging (MRI) is typical and can be diagnosed preoperatively; however, some small nodules cannot be visualised and only cysts may be seen, complicating preoperative diagnosis. In such cases, thorough observation of the cysts is necessary for a definitive diagnosis.
View Article and Find Full Text PDFUnsupervised quality monitoring of metal additive manufacturing using Bayesian adaptive resonance.
Heliyon
June 2024
Empa, Swiss Federal Laboratories for Material Science and Technology, Thun, Switzerland.
Metal additive manufacturing is a recent breakthrough technology that promises automated production of complex geometric shapes at low operating costs. However, its potential is not yet fully exploited due to the low reproducibility of quality in mass production. The monitoring of parts quality directly during manufacturing promises to solve this problem, while machine learning showed efficient performance correlating versatile manufacturing measurements with different quality grades.
View Article and Find Full Text PDFAdvancements in Imaging and Neurosurgical Techniques for Brain Tumor Resection: A Comprehensive Review.
Cureus
October 2024
Department of Internal Medicine, Jinnah Postgraduate Medical Centre, Karachi, PAK.
Brain tumor surgery has witnessed significant advancements over the past few decades, resulting in improved patient outcomes. Despite these advancements, brain tumors remain a formidable public health challenge due to their high morbidity and mortality rates. This review explores the evolution of neurosurgical techniques for brain tumor resection, emphasizing the balance between minimizing invasiveness and maximizing precision.
View Article and Find Full Text PDFExploring the Potential Use of Virtual Reality with a Supraorbital Keyhole Craniotomy for Anterior Skull Base Meningiomas: Two Case Reports.
J Pers Med
October 2024
Department of Neurological Surgery, Latinoamerica Valerio Foundation, Weston, FL 33331, USA.
Article Synopsis
- A supraorbital keyhole craniotomy (SOKC) offers a new method for accessing brain tumors and aneurysms in the front of the skull, but is not suitable for all patients due to potential complications.
- Researchers analyzed two cases involving the use of augmented reality (AR) and virtual reality (VR) to assist in choosing suitable patients and planning surgeries for removing meningiomas using the SOKC method.
- Results showed both patients successfully had their tumors removed with the SOKC approach, but faced some postoperative complications, emphasizing the need for careful patient selection and customized planning to improve outcomes using AR/VR technology.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!