<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2304-0106</journal-id>
<journal-title><![CDATA[Anales de la Academia de Ciencias de Cuba]]></journal-title>
<abbrev-journal-title><![CDATA[Anales de la ACC]]></abbrev-journal-title>
<issn>2304-0106</issn>
<publisher>
<publisher-name><![CDATA[Academia de Ciencias de Cuba]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2304-01062022000200033</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Consideraciones del abordaje keyhole endoscópico para tumores de la basecraneal]]></article-title>
<article-title xml:lang="en"><![CDATA[Concerns of Endoscopic Keyhole approach to skull basetumors]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Arbolay]]></surname>
<given-names><![CDATA[Omar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortiz Machín]]></surname>
<given-names><![CDATA[Marlon]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Coronado Rosales]]></surname>
<given-names><![CDATA[Alejandro Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Varela Baró]]></surname>
<given-names><![CDATA[Adriana Vivian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Hermanos Ameijeiras  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2022</year>
</pub-date>
<volume>12</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2304-01062022000200033&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2304-01062022000200033&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2304-01062022000200033&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La cirugía Keyhole endoscópica para tumores de la base craneal constituye una evolución filosófica del pensamiento neuroquirúrgico, desde grandes craneotomías hasta pequeños abordajes con el drenaje controlado de líquido cefalorraquídeo. Los objetivos fueron describir las consideraciones teóricas que sustentan el abordaje Keyhole y exponer los resultados de las series de casos.  Métodos:  Se realizó un estudio descriptivo en 56 pacientes con tumores de la base craneal operados por técnicas Keyhole en la fosa anterior, media y posterior. Se determinó el grado de resección tumoral, la evolución clínica perioperatoria y las complicaciones posoperatorias. Se definieron las áreas de visualización global y de maniobrabilidad global, así como sus factores determinantes e influyentes.  Resultados: Se alcanzó un elevado índice de resección tumoral total superior a 85,0 %, con mínimas complicaciones, se evidenció mejoría significativa de la función del nervio facial en el Keyhole retrosigmoideo y una elevada satisfacción cosmética posoperatoria en el Keyhole supraorbitario. Como conclusiones, la cirugía Keyhole sustentada en leyes físicas, matemáticas y biomédicas constituye una excelente y prometedora filosofía quirúrgica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Endoscopic Keyhole surgery for cranial base tumors represents a philosophical evolution of neurosurgical thinking from great craniotomies to small ones with controlled drainage of cerebrospinal fluid. Objectives: to describe theorical concerns that support Keyhole approaches and present the results of the case series.  Method:  A descriptive study was performed in 56 patients with skull base tumors operated on by Keyhole surgery in the anterior, middle and posterior fossa. The tumoral resection, clinical evolution and main complications were determined. Global visualization and global maneuverability areas were described, such as its determinant and influential factors.  Results:  A high total tumor resection rate of over 85% was achieved with minimal complications; a significant facial nerve restauration in retrosigmoid Keyhole and satisfactory cosmetic results in supraorbital Keyhole were obtained. Conclusions. Keyhole surgery based on physical, mathematical and biomedical laws constitutes an excellent and promising surgical philosophy.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Abordaje Keyhole]]></kwd>
<kwd lng="es"><![CDATA[magnificación endoscópica]]></kwd>
<kwd lng="es"><![CDATA[base de cráneo]]></kwd>
<kwd lng="en"><![CDATA[Keyhole approach]]></kwd>
<kwd lng="en"><![CDATA[endoscopic magnification]]></kwd>
<kwd lng="en"><![CDATA[skull base tumor]]></kwd>
</kwd-group>
</article-meta>
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