The Impact of an Armless Frameless Neuronavigation System on Routine Brain Tumour Surgery: A Prospective Analysis of 51 Cases

G. Wong, W. Poon, M. Lam
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引用次数: 25

Abstract

A passive infrared armless and frameless neuronavigation system was introduced in routine intracranial and skull base surgery, and its impact on 51 cases in a one year period was assessed. No cases were rejected by the operating surgeon for lack of accuracy (> 3 mm). Operating time was not significantly lengthened, except in transphenoidal cases (255 +/- SD 168 min versus 185 +/- SD 119 min, p = 0.02). Length of stay was shorter in navigation cases in supratentorial glioma (12 +/- SD 7.3 days versus 15 +/- SD 7.9 days) and meningioma (11 +/- SD 5.3 days versus 16 +/- SD 6.7 days, p = 0.01). Outcome at 3 months was comparable in both the supratentorial glioma and meningioma group. Problems such as setup time and brain shift are addressed and discussed.
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无臂无框架神经导航系统对常规脑肿瘤手术的影响:51例前瞻性分析
将被动红外无臂无框架神经导航系统应用于颅底常规手术,对51例患者1年的临床效果进行了评价。没有病例因精确度不足(> 3mm)而被手术医生拒绝。除经蝶窦病例外,手术时间无明显延长(255 +/- SD 168 min vs 185 +/- SD 119 min, p = 0.02)。导航组幕上胶质瘤(12 +/- SD 7.3天,15 +/- SD 7.9天)和脑膜瘤(11 +/- SD 5.3天,16 +/- SD 6.7天,p = 0.01)的住院时间较短。幕上胶质瘤组和脑膜瘤组在3个月时的结果是相似的。讨论了设置时间和大脑转移等问题。
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Minimally Invasive Neurosurgery
Minimally Invasive Neurosurgery 医学-临床神经学
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We would like to thank the following persons who reviewed MIN manuscripts for their expertise and support in the year 2010: Reply to the comment of R. Härtl: The Future of “Minimally Invasive Neurosurgery” Simultaneous Treatment of a Pituitary Adenoma and an Internal Carotid Artery Aneurysm Through a Supraorbital Keyhole Approach Endoscopic Fenestration of Symptomatic Septum Pellucidum Cysts: Three Case Reports with Discussion on the Approaches and Technique
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