Resumo

LOPEZ FLORES, Gerardo et al. Resección microquirúrgica estereotáxica de tumores intracraneales guiada por imagen y asistida por computadora. Rev Cubana Cir [online]. 2000, vol.39, n.3, pp. 173-183. ISSN 1561-2945.

It is reported that spatial guidance during microsurgery is an essential element. This application of stereotaxic surgery is shown at the International Center of Neurological Restoration (CIREN, in Spanish) from May, 1994, to February, 1998, on describing the performance of 65 microsurgical procedures under stereotaxic conditions among 62 patients with cerebral intracranial tumors. The procedure was divided into 3 stages: image adquisition, CAT, surgical planning , with STASSIS planning system, and microsurgical procedures that included the Leksell, Micromar and Esteroflex stereotaxic systems. 27 of the total of patients presented glial tumors; 33, non-glial; and only 2 non-neoplastic lesions of diverse localization and size. 30 total resections were made. Surgical morbidity was minimum and there was no surgical mortality. The main advantages of this method are: exact localization of the craniotomy, easy spatial guidance, and the opportunity to distinguish the limits between the tumor and the sound tissue. The possibility to apply Esteroflex to cerebral microsurgery was demonstrated

Palavras-chave : BRAIN NEOPLASMS [surgery]; STEREOTAXIC TECHNIQUES; MICROSURGERY [methods]; TOMOGRAPHY, X-RAY COMPUTED [methods]; IMAGE PROCESSING, COMPUTER-ASSISTED [methods].

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