ĐIỀU TRỊ PHẪU THUẬT CẮT U SỌ HẦU BẰNG KỸ THUẬT MỞ NẮP SỌ LỖ KHÓA TRÊN CUNG MÀY

Abstract

Objective: To evaluate the surgical results of craniopharyngioma by keyhole eyebrow approach. Methods: Retrospective, descriptive study of a series of clinical cases of craniopharyngioma operated at Viet Duc Friendship Hospital from October 2020 to June 2022. Results: Of our 15 patients, there were 9 male patients and 6 female patients, with a mean age of 38 (ages 14 – 81). Most of the patients had clinical manifestations of visual acuity loss in 86.7% (13 patients), hemianopia 26.7% (4 patients), hypopituitarism 33.3% (5 patients) and 2 hydrocephalus patients. Tumor location was mainly located in the suprasellar 66.7% (Sami type II) and third ventricle 33.3% (Sami type III and IV). The mean tumor size was 29.2mm. There were 66.7% cases of total tumor resection, 20% removal of the majority (>90%) and 2 cases of partial resection. Visual acuity improved in 10 patients (76.9%), 6 patients with hypopituitarism and 3 patients with permanent diabetes insipidus. There were no deaths or major complications after surgery, with a mean Karnofsky score above 80 at 6 months. Conclusions: The keyhole eyebrow approach is characterized by minimally invasiveness and good esthetic results. In our experience, craniopharyngioma located in the suprapubic region and third ventricle can be safely excised through the keyhole  eyebrow approach.