Leon-Ariza Daniel S, Romero Chaparro Rubby J, Rosen Lisa, Leon-Ariza Juan S, Leon-Sarmiento Fidias E, Villalonga Juan, Quinones-Hinojosa Alfredo, Campero Alvaro
Radiation Oncology, Miami Cancer Institute, Miami, USA.
Neurological Surgery, Hospital Dr. Raúl F. Larcade, Buenos Aires, ARG.
Cureus. 2021 Nov 15;13(11):e19609. doi: 10.7759/cureus.19609. eCollection 2021 Nov.
The removal of petroclival meningiomas (PMs) is considered a neurosurgical challenge due to the critical mobilization of key neurovascular structures. Limited knowledge about the benefits of operating on patients with PMs using the combined presigmoid-subtemporal approach (CPSA) in a semi-sitting position has precluded its generalizability. We report on ten patients with PMs operated in a semi-sitting position using CPSA. We remark that before the surgical approach was accomplished in our group of patients, the CPSA via semi-sitting position was conducted and standardized in six adult cadaveric heads. The neuroanatomic dissections made in cadavers allowed us to confidently use CPSA in our set of patients. There were no comorbidities, perioperative complications, or deaths associated with the surgical procedure. CPSA via a semi-sitting position can be considered a safe approach to remove PMs.
由于关键神经血管结构的关键游离,岩斜区脑膜瘤(PMs)的切除被认为是一项神经外科挑战。关于采用联合乙状窦前-颞下入路(CPSA)在半坐位对PMs患者进行手术的益处,了解有限,这妨碍了该方法的推广。我们报告了10例采用CPSA在半坐位接受手术的PMs患者。我们注意到,在我们的患者组完成手术入路之前,通过半坐位的CPSA在6个成人尸头上进行并标准化。在尸体上进行的神经解剖使我们能够在我们的患者组中自信地使用CPSA。没有与手术相关的合并症、围手术期并发症或死亡。通过半坐位的CPSA可被认为是切除PMs的一种安全方法。