| Autor: |
Takuma HARA, Hiroyoshi AKUTSU, Shuho TANAKA, Hiroyoshi KINO, Hidetaka MIYAMOTO, Rieko II, Shingo TAKANO, Eiichi ISHIKAWA |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Neurologia medico-chirurgica. |
| ISSN: |
1349-8029 |
| Popis: |
This study analyzed risk factors for postoperative cerebrospinal fluid (CSF) leak after graded multilayer cranial base repair method with dural suturing. We performed surgery via the endoscopic endonasal approach (EEA) from 2012.6 to 2018.4, and those consecutive clinical data were prospectively accumulated and retrospectively analyzed. We tailored the repair method according to the intraoperative CSF leak grade. Among 388 surgeries via the EEA, there were 10 (2.6%) cases of postoperative CSF leak after graded repair with suturing. Postoperative CSF leak occurred in two of the 150 cases without intraoperative CSF leak (grade 0), one of the 104 cases with small (grade 1) intraoperative CSF leak, two of the 60 cases with moderate (grade 2) leak, and five of the 74 cases with large (grade 3) leak. Univariate analysis indicated that chordoma (P = 0.023), estimated tumor volume ≥ 7400 mm |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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