Surgical approaches to pineal region tumors.

摘要: Direct surgical resection of pineal region tumors has become safer, more effective, and now plays an essential role in their management. Tissue diagnosis allows for the initiation appropriate therapies can be curative or improve efficacy adjuvant therapies. Several approaches have been reported. Based on our operative experience with 57 patients over a 20-year period, we conclude that Infratentorial Supracerebellar Parieto-Occipital Paramedian Transtentorial provide excellent exposure while allowing minimally invasive, relatively low risk access to majority tumors. Indications, positioning, techniques, advantages, disadvantages are discussed. A review other approaches, pertinent historical remarks, discussion surgery contemporary management presented.