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Minimally invasive approach for skull base meningiomas
Carlos Roberto Vargas Gálvez1, Omar López Arbolay1, Marlon Manuel Ortiz Machín1
1Servicio de Neurocirugía, Hospital "Hermanos Ameijeiras", La Habana, Cuba.
Neurocirugia (English Edition)
|February 1, 2024
Summary
Minimally invasive endoscopic endonasal approaches (EEA) and endoscopic Keyhole surgery for skull base meningiomas show high effectiveness and safety. These advanced techniques significantly reduce postoperative complications and tumor recurrence.
Area of Science:
- Neurosurgery
- Oncology
Background:
- Skull base meningiomas are complex tumors requiring effective treatment.
- Minimally invasive surgical approaches offer potential benefits over traditional methods.
Purpose of the Study:
- To evaluate the outcomes of minimally invasive endoscopic endonasal approaches (EEA) and endoscopic Keyhole surgery for skull base meningiomas.
- To assess tumor resection rates, recurrence, reinterventions, and complications.
Main Methods:
- A retrospective study of 140 patients with skull base meningiomas treated with minimally invasive surgery.
- Data collected on tumor resection extent, recurrence, reoperations, and complications.
Main Results:
- Endoscopic endonasal approaches (EEA) were used in 72.8%, Keyhole in 26.4%.
- Achieved 91.9% total tumor resection with low recurrence (<8.5%) and reintervention rates (<4%).
- Reported specific complications for each approach, generally low.
Conclusions:
- Minimally invasive approaches (EEA, Keyhole) are advanced, effective surgical techniques for skull base meningiomas.
- These methods are associated with a low rate of postoperative complications and good oncological outcomes.
