title: Removal of craniopharyngioma via fronto-basal interhemispheric approach.
abstract: The effectiveness and safety of fronto-basal interhemispheric approach in treating craniopharyngioma were evaluated. In this retrospective study, the safety and effectiveness of fronto-basal interhemispheric approach for surgical resection of craniopharyngioma in 20 patients was analyzed. Of the 20 patients, 12 were men and 8 were women, aged 15-65 years, with an average age of 42.5 years. The course of disease ranged from 1 to 36 months. The craniopharyngioma tumor was completely removed through surgical resection in 18 patients (90%) and partially removed in 2 patients. The pituitary stalk was preserved in 18 patients and 1 patient succumbed during the study period due to large area pulmonary embolism. In conclusion, fronto-basal interhemispheric approach provides better access to the tumor that grows in the sella-hypothalamus and anterior third ventricle region. Using this approach, tumors can be resected while preserving the vital structures such as the pituitary stalk and hypothalamus.
authors.affiliation: Department of Neurosurgery, Weifang People's Hospital, Weifang, Shandong 261041, P.R. China.
authors.forename: Hongshun
authors.initials: H
authors.lastname: Xing
authors.affiliation: Department of Stomatology, Weihai Municipal Hospital, Weihai, Shandong 264200, P.R. China.
authors.forename: Hongbo
authors.initials: H
authors.lastname: Xing
authors.affiliation: Department of Neurosurgery, Weifang People's Hospital, Weifang, Shandong 261041, P.R. China.
authors.forename: Peiquan
authors.initials: P
authors.lastname: Hui
authors.affiliation: Department of Neurosurgery, Affiliated Hospital of Weifang Medical University, Weifang, Shandong 261031, P.R. China.
authors.forename: Bin
authors.initials: B
authors.lastname: Yang
keywords: craniopharyngioma; gross total removal; interhemispheric approach; pituitary stalk; post-operative complications