How to complete craniopharyngioma resection?

summary

Craniopharyngioma is a common congenital intracranial benign tumor originated from the residual flat epithelial cells in the process of pituitary embryogenesis. According to the growth site, size, shape, degree of calcification, location of cyst, relationship with surrounding tissues and easy access to cerebrospinal fluid, different approaches or methods should be selected for craniopharyngioma, and each has its own advantages and disadvantages. In order to avoid this situation, let's talk about how to achieve total resection of craniopharyngioma?.

How to complete craniopharyngioma resection?

First, surgical resection is the first choice for craniopharyngioma. The purpose of surgical treatment is to remove the compression of optic nerve cross and other nerve tissues by tumor resection, relieve the increase of intracranial pressure, and it is difficult to recover the hypothalamus pituitary dysfunction.

Second: primary surgery and recurrent surgery. The first surgery is easier than reoperation for recurrent patients. There are more chances of total tumor resection and lower mortality.

Third, the location of the tumor, intrasellar type and anterior chiasmatic type are easy to be totally resected. For posterior chiasmatic type and ventricular type, total resection or partial resection should be selected according to the adhesion of the capsule wall to the gray nodule and hypothalamus.

matters needing attention

If the patient has disturbance of consciousness, severe hypothalamic symptoms, and can not tolerate craniotomy, stereotactic cystic puncture can be used to remove the cystic fluid first, so as to reduce the local compression of the tumor. Surgery can be performed after the patient's condition is relieved, or some cystic fluid can be extracted before treatment.