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Anales de la Academia de Ciencias de Cuba
versão On-line ISSN 2304-0106
Resumo
ORTIZ MACHIN, Marlon; LOPEZ ARBOLAY, Omar; GOYENECHEA GUTIERREZ, Francisco e SANCHEZ GENDRIZ., Isnielly Virgen. Extended endonasal endoscopic approach in craniopharyngiomas: the rule of 3 in surgical dissection. Anales de la ACC [online]. 2022, vol.12, n.3 Epub 01-Nov-2022. ISSN 2304-0106.
Introduction.
Craniopharyngiomas are regarded as a complex molecular disease, with great neurovascular invasiveness and adherence in the skull base. Objective: to show an endoscopic model of surgical dissection based on new tumoral imagenological classification.
Methods.
A descriptive, longitudinal and prospective study was performed in 50 patients operated by Extended Endoscopic Endonasal Approach following the rule of 3 of surgical dissection: trianatomic complex exposition, sagittal trilaminar dissection, and axial vascular tripod dissection based on new imagenological classification.
Results and discussion.
Gross total resection was performed in 90 % of patients and 80 % was incorporated to normal live and work. Surgical complication was minimal, and insipidus diabetes was the most frequent. The disease-free survival during eight years was 81,6 %.
Conclusions.
Extended Endoscopic Endonasal Approach following the rule of three of surgical dissection represents a paradigm in the craniopharyngioma treatment.
Palavras-chave : extended endonasal endoscopic approach; craniopharyngioma; trianatomic complex; trilaminar dissection; vascular tripod.
