Endoscopic Resection of Clival Chordoma: A Tertiary Care Experience
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The primary management of the rare tumor chordoma is always surgical. This study indicates the advantage of endoscopic approach for clival chordoma resection. This is a Retrospective case series of 7 endoscopically operated clival chordoma patients between May 2015 and April 2018 in our tertiary care hospital. 5 patients presented with primary disease and 2 were recurrent disease cases. Endoscopic endonasal transphenoidal approach with wide clearance of margins of tumor were performed in all 7 cases. High energy photon radiotherapy were delivered to all. All patients with primary disease as well as recurrent disease had no evidence of disease 24–32 months post surgery. Endoscopic endonasal transphenoidal approach for clival chordoma provides a safe and reliable tumor resection. This less invasive surgery can be considered as an alternative to traditional surgical technique with reduced morbidity. This approach represents a combination of various endoscopic surgical techniques which are minimally invasive and can be applied to ventral skull base surgery.
KeywordsChordoma Clivus Endoscopic excision Endonasal transphenoidal approach
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no conflict of interest.
The ethical clearance is approved by Institutional Ethical Committee, KIMS Hospital, Bhubaneswar (KIIT/KIMS/IEC/28/2015).
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