Endoscopic endonasal approach vs conventional approaches in the surgical treatment of skull base tumors: 10-year experience Endoscopic endonasal approach vs conventional approaches in the surgical treatment of skull base tumors
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Abstract
Background: Open surgery has been the historical standard in the treatment of skull base neoplasms. Over the last decades, endoscopy has revolutionized this area, increasing interest and achieving comparable resection and complication rates. Methods: A single-institution retrospective study was performed over a 10-year period. Data were collected by obtaining variables from the clinical, surgical and radiological history of each patient. Results: A total of 82 patients with a mean age of 42 years: 40 approached by endoscopic endonasal approach and 42 by conventional techniques. The endoscopic approach presented a better tendency in days of hospitalization, complications and tumor recurrence, as well as higher 5-year survival rate. Conclusion: The current surgical treatment of these tumors offers satisfactory results with significant clinical improvement. Both approaches have advantages and limitations, the indication will depend on patient factors and tumor characteristics. The contemporary neurosurgeon must master both techniques.
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Skull base, Intracranial tumors, Craniotomy, endonasal endoscopic approach, Transphenoidal
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