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Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
Microsurgical experience with keyhole operations on intracranial aneurysms
Qing Lan1, Zhigang Gong, Dezhi Kang
1Department of Neurosurgery, Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province 215004, PR China. szlqz@pub.sz.jsinfo.net
Surgical Neurology
|August 15, 2006
Summary
Keyhole approaches are effective for treating intracranial aneurysms, including multiple and giant types. These minimally invasive techniques offer favorable outcomes for carefully selected patients.
Area of Science:
- Neurosurgery
- Minimally Invasive Surgery
- Cerebrovascular Surgery
Background:
- Intracranial aneurysms pose significant risks.
- Traditional craniotomy approaches can be invasive.
- Keyhole techniques offer a less invasive alternative.
Purpose of the Study:
- To evaluate the efficacy of keyhole approaches for intracranial aneurysms.
- To assess outcomes for various aneurysm types, including multiple and giant aneurysms.
- To report on the application of different keyhole techniques.
Main Methods:
- 100 patients with 105 intracranial aneurysms were treated.
- Elaborately designed keyhole approaches based on aneurysm location.
- Supraorbital approach used in 91 cases, others varied.
Main Results:
- 99 aneurysms successfully clipped; 4 resected after clipping.
- One mini-aneurysm wrapped; others trapped.
- No severe complications related to keyhole approaches were reported.
Conclusions:
- Keyhole approaches are effective and ideal for intracranial aneurysms in experienced hands.
- Suitable for multiple and giant aneurysms in select patients.
- Improvements in imaging and technology enhance keyhole technique efficacy.
