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Titolo:
Fluoroscopic frameless stereotaxy for transsphenoidal surgery
Autore:
Jane, JA; Thapar, K; Alden, TD; Laws, ER;
Indirizzi:
Univ Virginia, Hlth Sci Ctr, Dept Neurosurg, Charlottesville, VA 22908 USAUniv Virginia Charlottesville VA USA 22908 Charlottesville, VA 22908 USA Univ Toronto, Div Neurosurg, Toronto, ON, Canada Univ Toronto Toronto ON Canada ronto, Div Neurosurg, Toronto, ON, Canada
Titolo Testata:
NEUROSURGERY
fascicolo: 6, volume: 48, anno: 2001,
pagine: 1302 - 1307
SICI:
0148-396X(200106)48:6<1302:FFSFTS>2.0.ZU;2-1
Fonte:
ISI
Lingua:
ENG
Soggetto:
PITUITARY SURGERY; NEURONAVIGATION; EXPERIENCE; SYSTEM;
Keywords:
pituitary adenoma; stereotactic surgery; transsphenoidal surgery;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Jane, JA Univ Virginia, Hlth Sci Ctr, Dept Neurosurg, Box 212, Charlottesville, VA 22908 USA Univ Virginia Box 212 Charlottesville VA USA 22908 , VA 22908 USA
Citazione:
J.A. Jane et al., "Fluoroscopic frameless stereotaxy for transsphenoidal surgery", NEUROSURGER, 48(6), 2001, pp. 1302-1307

Abstract

OBJECTIVE: To assess the value of frameless fluoroscopy-guided stereotactic transsphenoidal surgery using the FluoroNav Virtual Fluoroscopy System (Medtronic Sofamor Danek, Inc., Memphis, TN). METHODS: Twenty consecutive patients undergoing transsphenoidal surgery for sellar lesions were assigned to transsphenoidal surgery with or without computer-assisted fluoroscopic image guidance using the FluoroNav system. Prospective data regarding patient age, sex, lesion characteristics, operative time, and treatment cost were obtained. RESULTS: Although patients in the FluoroNav group were, on average, 17 years younger than the patients in the control group, more patients with recurrent adenomas were treated in the image guidance group. No other significant differences between the groups were found. FluoroNav provided accurate, continuous information regarding the anatomic midline trajectory to the sella turcica as well as anatomic structures (e.g., sella, sphenoid sinus) in the lateral view. No patient required reversion to intraoperative videofluoroscopy. No statistically significant differences were found with regard to preincision setup time, operative time, or cost. FluoroNav allowed procedures to be performed with significantly fewer x-rays being taken. CONCLUSION: Fluoroscopic computer-assisted frameless stereotaxy furnishes accurate real-time information with regard to midline structures and operative trajectory. Although it is useful in first-time transseptal transsphenoidal surgery, its primary benefit is realized in recurrent surgery.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/10/20 alle ore 00:45:14