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Original scientific paper

https://doi.org/10.24141/1/7/2/1

Strategies for the Prevention of Complications in Brain Glioma Surgery: A Case Series Analysis

Krešimir Rotim ; Department of Neurosurgery, Sestre milosrdnice University Hospital Center, Zagreb, Croatia; J. J. Strossmayer University School of Medicine, Osijek, Croatia; University of Applied Health Sciences, Zagreb, Croatia
Bruno Splavski orcid id orcid.org/0000-0002-4483-9364 ; Department of Neurosurgery, Sestre milosrdnice University Hospital Center, Zagreb, Croatia; J. J. Strossmayer University School of Medicine, Osijek, Croatia; University of Applied Health Sciences, Zagreb, Croatia; J. J. Strossmayer University School of Dental Medicine and Health, Osijek, Croatia
Filip Vrban ; Department of Neurosurgery, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Ante Rotim ; Department of Neurosurgery, Sestre milosrdnice University Hospital Center, Zagreb, Croatia


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Abstract

Introduction: Brain glioma is the most common and lethal primary malignant intracranial tumor. Nonetheless, gross tumor resection remains the most successful treatment modality, which may prolong progression free survival of these patients. However, excessive surgery brings a danger of neurological, regional and systemic complications, which may be diminished/ avoided by better pre- and intra-operative care and by modern neurosurgical techniques.

Aim: To analyze the incidence and type of peri- and post-operative complications in surgical brain glioma patients. Computing the results, advice on complication prevention was made.

Methods: A single institution series of brain glioma patients operated on during a two-year period was analyzed. The incidence, type and time of complications were observed, as well as the patients’ gender and age, and the extent of tumor resection complications, dichotomized as peri- and post-operative variables, were correlated with investigated parameters to find out their possible association.

Results: Transitory neurological deficit was the most common peri-operative complication. Seizures, meningitis, and permanent neurological deficit were commonly recorded among post operative complications.

Conclusion: Patients’ gender and age, and the extent of tumor resection were not influential to the development of brain glioma complications. Aggressive surgery requires the avoidance of complications by cautious patient selection, multidisciplinary preoperative planning, and scrupulous neurosurgical technique augmented by up-to-date armamentarium.

Keywords

brain glioma's treatment, complications, prevention strategies

Hrčak ID:

256280

URI

https://hrcak.srce.hr/256280

Article data in other languages: croatian

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