Method for temporal keyhole lobectomies in resection of low- and high-grade gliomas

摘要: OBJECTIVE The purpose of this study was to describe a method resecting temporal gliomas through keyhole lobectomy and share the results using technique. METHODS authors performed retrospective review data obtained in all patients whom senior author resection between 2012 2015. their technique for dominant nondominant gliomas, both awake asleep craniotomy techniques. RESULTS Fifty-two were included study. Twenty-six (50%) had not received prior surgery. Seventeen (33%) diagnosed with WHO Grade II/III tumors, 35 (67%) glioblastoma. Thirty tumors left sided (58%). procedures (58%) while patient awake. median extent 95%, at least 90% tumor resected cases (67%). Five 49 (10%) clinical follow-up experienced permanent deficits, including 3 (6%) hydrocephalus requiring placement ventriculoperitoneal shunt 2 (4%) weakness. Three early postoperative anomia, but no new speech deficit follow-up. CONCLUSIONS provide experience gliomas. Their demonstrate feasibility less invasive techniques safely aggressively treat these tumors.