CÁC YẾU TỐ LIÊN QUAN TRONG PHẪU THUẬT U SỌ HẦU QUA ĐƯỜNG MỔ THÓP BÊN TRƯỚC

Abstract

Objective: Evaluate relevant factors in craniopharyngioma resection surgery by the pterion approach. Subjects and methods: Retrospective study describing a series of patients diagnosed with craniopharyngioma, treated at the Neurosurgery Department of Cho Ray Hospital from January 2019 to June 2023, and underwent surgery by pterion craniotomy and we collected 35 cases of patients fulfilling the mentioned conditions. Results: In 35 cases of craniopharyngioma that were operated by the pterion craniotomy, in terms of tumor removal, gross total resection accounted for 25.8%, nearly total resection (≥90%) accounted for 51,4%, 60-90% part of the tumors resection accounted for 17.1%, lower 60% part of the tumors accounted for 5.7%. When we examined relevant factors affecting the extent of tumor removal and patients’ outcomes after opperation, we recorded that the relevant factors included: the properties of the tumor in gross vision, the rate of diabetes insipidus at the hospital discharge time and the recurrence rate; Meanwhile, the irrelevant factors included: age groups, gender, clinical symptoms, tumors’ location and invasion, and sizes of tumors. Conclusion: Craniopharyngioma resection surgery by the pterion approach is an effective method to treat craniopharyngioma. Besides, it also includes many related factors that should be considered for long-term disease prognosis.