Tubular retractors for transcranial approaches to intraaxial brain tumors in children

Safronova E.I.

Burdenko Neurosurgical Center

Kushel Y.V.

Burdenko Neurosurgical Center

ORCID: 0000-0001-7136-0693

Tubular retractors for transcranial approaches to intraaxial brain tumors in children

Authors:

Safronova E.I., Kushel Y.V.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2022;86(2): 15‑24

DOI: 10.17116/neiro20228602115

Downloaded: 119

To cite this article:

Safronova EI, Kushel YV. Tubular retractors for transcranial approaches to intraaxial brain tumors in children. Burdenko's Journal of Neurosurgery. 2022;86(2):15‑24. (In Russ., In Engl.)
https://doi.org/10.17116/neiro20228602115

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Reduction of surgical trauma associated with approach to deep brain structures including resection of tumors is an urgent direction in development of techniques and technology.

OBJECTIVE

To analyze the efficacy and safety of tubular retractors in surgery of deep brain tumors in children.

MATERIAL AND METHODS

The study included 17 children with deep brain tumors who underwent surgery between 2020 and 2021. Tubular retractors were used in all cases. The control group consisted of 15 children with a similar disease and standard intraoperative tissue traction technique. All patients underwent MRI of the brain on the first postoperative day. We analyzed severity of traction-induced damage to brain tissue in T2 FLAIR and DWI images.

RESULTS

Clinical outcomes and structure of surgical complications were similar in both groups. Tubular retractor turned out to be a tool reducing traction injury. In the main group, postoperative MRI revealed significantly less damage to brain tissue along surgical approach in T2 (edema zone) and DWI (ischemic changes) images.

Keywords:

intraaxial brain tumours in children

tubular retractor

traction injury

Authors:

Safronova E.I.

Burdenko Neurosurgical Center

Kushel Y.V.

Burdenko Neurosurgical Center

ORCID: 0000-0001-7136-0693

Received:

09.06.2021

Accepted:

29.11.2021

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