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KMID : 0942820090080020138
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Journal of Korean Brain Tumor Society
2009 Volume.8 No. 2 p.138 ~ p.142
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Meningioma Operation in the Elderly：Internal Decompression by Two Operators
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Park Hun
Hwang Sun-Chul
Kim Bum-Tae
Shin Won-Han
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Abstract
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Objective: Great care must be taken in the operations for the elderly because of their premorbid conditions. Blood loss and operation time should be minimized to get satisfactory results. This study is to present our surgical methods for the meningioma in the elderly patients.
Materials and Methods: The medical records of 10 patients older than 65 years old were reviewed retrospectively. All patients had neurological deficits and incidental meningiomas were excluded. In the large mass, two operators took
participated in the internal decompression. One operator usually used ultrasonic aspirator to remove the mass and the other got the hemostasis. And then one of operators performed tumor-arachnoid dissection meticulously.
Results: The mean age was 68(65-73) years old. Only 2 patients had not medical illness. The meningiomas are located in the falx(4 cases), convexity(3 cases), parasagittal(2 cases), and lateral ventricle(1 case). The size of tumor was 47.9±12(32-64) mm. No case had the preoperative embolization. The operation time was about 4 hours. Five patients were transfused during the operation, but the transfused volume of packed cell was 1 pint in 4 cases. The neurological deficits were completely recovered and no systemic complication occurred postoperatively.
Conclusion: Two-operators’ internal decompression in the large meningioma can be an efficient way to reduce blood loss and operation time. And the operative morbidity could be minimized in the elderly.
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KEYWORD
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Meningioma, Aged, Internal decompression
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