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《Chinese Journal of Neuro-Oncology》 2006-04
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Microsurgical Management for Tumors in Pineal Region through the Poppen Approach:31 Case Experience

Liang-xue Zhou1, Chao You1, Lin-li Luo2, Bo-wen Cai1, Xu-hui Hui1, Jian-guo Xu1, Qing-fang Jiao1, Bing Wang1 1. Department of Neurosurgery, West China Hospital, Sichuan University, Chendu 610041, P.R.China; 2. Department of Anesthesiology, West China Hospital, Sichuan University, Chendu 610041, P.R.China  
BACKGROUND OBJECTIVE: A pineal region tumor is a deep-seated lesion of the brain surrounded by major vascular and neural structures. It is a surgical challenge to neurosurgeons. This was to report and review the use of Poppen approach surgical resetion of pineal region tumors. METHODS: Thirty-one cases with tumor in pineal region resected through Poppen approach were analyzed retrospectively. The clinical characteristics, operative technique and outcome were presented. RESULTS: Total removal was achieved in 26 cases. Three cases showed near-total removal and 2 cases showed partial removal. There were 2 mortality. The follow-up period ranged from 3 months to 6 years. Twenty six patients maintained Karnofsky Performance Scale (KPS) of 90 or more. CONCLUSIONS: Poppen approach is one of the safe and effective approaches for resection of tumors in pineal region. This is to approach the tumor through the natural anatomical corridor and it minimises tissue injury in surgery. We could achieve a high percentage of total removal and satisfactory outcomes.
【CateGory Index】: R736.6
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