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Intracranial tumefactions in children. Surgical mortality

A L Amacher, L Hovind

    Child'S Brain
    |January 1, 1979
    PubMed

    Insights

    Surgical outcomes for pediatric intracranial tumors have significantly improved over 26.5 years. Current operative mortality for these brain tumors in children is now below 5%.

    Area of Science:

    • Neurosurgery
    • Pediatric Oncology

    Background:

    • This study reviews a 26.5-year experience with intracranial tumefactions (brain tumors) in pediatric patients.
    • It analyzes surgical outcomes and mortality rates from a single center.

    Observation:

    • Initial 30-day operative mortality was 6.7% for cases and 5.6% for procedures.
    • Since 1965, overall case and operative mortalities decreased to 2.0% and 1.7%, respectively.
    • In the last 6.5 years, no operative deaths occurred in 109 patients undergoing 124 craniotomies.

    Findings:

    • Primary procedure operative mortality decreased from 6.0% to 1.5% since 1965.
    • For reoperated patients, case and procedural mortality also showed reductions.
    • Analysis of operative deaths informs conclusions on improving surgical safety.

    Implications:

    • Surgical mortality for pediatric intracranial tumors should ideally be less than 5%.
    • The data demonstrates a trend towards improved surgical safety and outcomes in pediatric neurosurgery.
    • Continuous evaluation and refinement of surgical techniques are crucial for managing pediatric brain tumors.

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