[Surgical treatment of glioblastomas]

Although the need for glioblastoma surgery to confirm the histology and decrease the mass effect, and therefore the symptoms, is recognized, the value of total resection remains controversial. In practice, the resected glioblastoma ratio is low. Of 952 glioblastomas treated in France in 2004, 56% were resected and 44% biopsied. An analysis of the literature confirms the importance of resection on survival. Perioperative drugs, surgical techniques, as well as intra- and postoperative imaging are analyzed in view of the literature.