tailieunhanh - Vi phẫu thuật u vùng tuyến tùng ở trẻ em

Bài viết Vi phẫu thuật u vùng tuyến tùng ở trẻ em trình bày đánh giá vai trò vi phẫu thuật trong điều trị u vùng tuyến tùng. Phương pháp: Nghiên cứu tiến cứu mô tả 18 bệnh nhân u vùng tuyến tùng đã được điều trị vi phẫu thuật tại BV Nhi đồng 2 từ tháng 04/2020 đến tháng 04/2022. | Journal of Pediatric Research and Practice Vol. 6 No. 3 4 2022 70-77 Research Paper Microsurgical Resection for Pineal Region Tumors Dang Do Thanh Can Children s Hospital No 2 14 Ly Tu Trong Ward Ben Nghe District 1 Ho Chi Minh City Vietnam University of Medicine and Pharmacy 217 Hong Bang Ward 11 District 5 Ho Chi Minh City Vietnam Received 24 April 2022 Revised 6 May 2022 Accepted 13 May 2022 Abstract Objective To evaluate the role of microsurgery for pineal region tumors. Methods This prospective case-series of 18 consecutive patients were diagnosed with pineal region tumors admitted at Children s Hospital from April 2020 to April 2022. Results All three surgical approaches included transcallosal occipito-transtentorial and infratentorial-supracerebellar routes were used for the pineal region lesions. Total and nearly total resection was achieved in 84 . The transcallosal and occipito-transtentorial approaches were used mostly in 89 . The ratio of motality was and morbidity was 16 of all patients. One patient had temporary vision loss and two others had minor subdural CSF effusion after resection of tumours without requiring any further procedures. Conclusions The multimodalities of treatments for pineal region tumors are recommended commonly. The microsurgical resection of tumours is too complex and risky but only neccessary in 2 3 of all cases. Numerous surgical approaches are noticed worldwide. The neurosurgeons can use one of them according to some specific categories and belonging to their own experiences. Keywords Pineal region tumors Transcallosal Occipito - transtentorial Supracerebello - Infratentorial approaches. Corresponding author. E-mail address drthanhcan@ https 70 . Can et al. Journal of Pediatric Research and Practice Vol. 6 No. 3 4 2022 70-77 71 Vi phẫu thuật u vùng tuyến tùng ở trẻ em Đặng Đỗ Thanh Cần Bệnh viện Nhi Trung ương 18 879 La Thành Đống Đa Hà Nội Việt Nam Nhận ngày 24 tháng 4 .