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Child's Nervous System

, 27:1989 | Cite as

Microsurgical resection of deep-seated lesions using transparent tubular retractor: pediatric case series

  • Kyung-Il Jo
  • Sang Bong Chung
  • Kwang-Wook Jo
  • Doo-Sik Kong
  • Ho-Jun Seol
  • Hyung-Jin ShinEmail author
Technical Note

Abstract

Background

To facilitate effective resection of deep-seated brain lesions without causing significant trauma to the overlying cortex, the authors used a transparent plastic tubular retractor to approach these lesions.

Methods

Between July 2009 and January 2011, we used an 11-mm diameter transparent plastic tubular retractor in combination with a frameless stereotactic navigation system to remove 18 deep lesions.

Results

Gross total resection of the lesions was achieved in 14 of 18 patients, and subtotal removal occurred in four patients. Effective resection of lesions was achieved in all patients through small size craniotomy window and small cortical incision. The histopathologic diagnosis was established in all 18 patients: 3 hematomas, 3 cavernous angioma, 7 low-grade glioma, 2 dysembryoplastic neuroepithelial tumor, 1 choroid plexus papilloma, 1 abscess, and 1 meningioma.

Conclusion

Microsurgery using a transparent tubular retractor guided by a neuronavigation system facilitated accurate and effective removal of these deep-seated brain lesions.

Keywords

Tubular retractor Deep-seated Microsurgical Pediatric 

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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Kyung-Il Jo
    • 1
  • Sang Bong Chung
    • 1
  • Kwang-Wook Jo
    • 1
  • Doo-Sik Kong
    • 1
  • Ho-Jun Seol
    • 1
  • Hyung-Jin Shin
    • 1
    Email author
  1. 1.Department of Neurosurgery, Samsung Medical CenterSungkyunkwan University School of MedicineSeoulSouth Korea

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