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. 2022;90(S2):92-97.
doi: 10.24875/CIRU.22000201.

Application of neuronavigation system in intracranial meningioma surgery: a retrospective analysis of 75 cases

Mehmet E Akyuz  1 , Hakan H Kadioglu  1
Affiliations
Free article

Application of neuronavigation system in intracranial meningioma surgery: a retrospective analysis of 75 cases

Mehmet E Akyuz et al. Cir Cir. 2022.
Free article

Abstract
in English, Spanish

Objective: Neuronavigation is an extremely common and useful system in intracranial surgeries. It is used to determine the pre-operative incision, perform the most appropriate craniotomy, and provide intraoperative guidance. However, its use in meningioma surgery is controversial, and there is a dilemma whether it is necessary. This study was performed to determine the effect of neuronavigation in meningioma surgery.

Materials and methods: Information related to pre-operative clinical evaluation and use of neuronavigation, neuroimaging, intraoperative tumor and surgical related information, and post-operative outcomes of 75 consecutive patients with meningiomas between January 2015 and 2020 were retrospectively collected. The values between groups were statistically compared.

Results: There were no significant differences in pre-operative patient and tumor characteristics between the groups. In cases using neuronavigation, the mean operative time, craniotomy size, and blood loss during tumor resection were significantly lower, and post-operative hospital stay was shorter in these patients (p < 0.05). However, there were no differences in post-operative complications and clinical outcomes.

Conclusion: The use of neuronavigation in meningioma surgery reduces blood loss during surgery, reduces the surgical time, and shortens the post-operative hospital stay. Thus, we conclude that the neuronavigation system is useful in meningioma surgery.

Objetivo: La neuronavegación ha tomado su lugar como un sistema muy común y útil para cirugías intracraneales. Este estudio se realizó para revelar su efecto en la cirugía de meningioma.

Materiales y métodos: Se recopiló retrospectivamente información relacionada con la evaluación clínica preoperatoria, neuroimagen, información relacionada con el tumor y la cirugía intraoperatoria y los resultados posoperatorios de 75 casos consecutivos con meningiomas entre enero de 2015 y 2020. Los valores entre grupos se compararon estadísticamente.

Resultados: No hubo diferencias significativas en las características preoperatorias de los pacientes y las características del tumor entre los grupos. En los casos en los que se utilizó neuronavegación, el tiempo operatorio medio, el tamaño de la craneotomía y la pérdida de sangre durante la resección del tumor fueron significativamente menores, y la estancia hospitalaria postoperatoria fue más corta en estos pacientes (p < 0.05). Sin embargo, no hubo diferencia en las complicaciones postoperatorias y los resultados clínicos.

Conclusión: El uso del sistema de neuronavegación en la cirugía del meningioma reduce la pérdida de sangre durante la cirugía, acorta el tiempo quirúrgico y reduce la estancia hospitalaria postoperatoria. Creemos que el sistema de neuronavegación es útil en la cirugía del meningioma.

Keywords: Meningioma; Neuronavegación; Neuronavigation; Resección; Resection.

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