KẾT QUẢ ỨNG DỤNG NEURONAVIGATION PHẪU THUẬT U BÁN CẦU ĐẠI NÃO

Abstract

Objectives: to assess the outcomes of cerebral hemisphere tumor surgery using Neuronavigation. Methods: A descriptive cross-sectional study on surgical outcomes of 72 patients suffering cerebral hemisphere tumors operated with the assistance of Neuronavigation in surgery at Viet Duc hospital from October 2015 to March 2016.  Results: 72 patients having cerebral hemisphere tumors included 27 males (37.5%), 45 females (62.5%); The median age was 48.6 ± 13.4. Pathology: 38 meningiomas; 28 gliomas; 5 metastatic brain tumors; The extent of tumor resection: 76.4% gross total resection, 18.1% almost total resection and protecting important structures. The average surgical time was 163.47±84.64 minutes; The average time for postoperative treatment was 7.06 ± 2.19 days; 93% of patients did not require blood transfusion; 12.5% had ​​postoperative complications; Outcome at 3 months post-operative period: Good (55.6%), mild sequelae (31.9%) and 87.5% of patients had improved quality of life after surgery (Karnofsky scale: I, II). Conclusion: The application of Neuronavigation in brain tumor surgery helps the surgeon confidently remove the brain tumor to the maximum extent, preserving the functional areas, giving patients the improvement in quality of life.