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Recurrence rates after neuroendoscopic fenestration and Gamma Knife surgery in comparison with subtotal resection and Gamma Knife surgery for the treatment of cystic craniopharyngiomas.
DC Field | Value | Language |
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dc.contributor.author | 김동석 | - |
dc.contributor.author | 박영석 | - |
dc.contributor.author | 박용구 | - |
dc.contributor.author | 장종희 | - |
dc.date.accessioned | 2014-12-20T16:36:05Z | - |
dc.date.available | 2014-12-20T16:36:05Z | - |
dc.date.issued | 2011 | - |
dc.identifier.issn | 0022-3085 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/93024 | - |
dc.description.abstract | OBJECT: The object of this study was to compare the recurrence rates of cystic craniopharyngiomas after neuroendoscopic cyst fenestration combined with Gamma Knife surgery (GKS) and after subtotal resection (STR) combined with GKS. METHODS: The records of 27 patients (age range 3-66 years) with cystic craniopharyngiomas that were treated surgically or neuroendoscopically before GKS between January 2000 and December 2007 were reviewed to compare recurrence rates. The patients were divided into 2 groups: Group 1 (13 patients) received the neuroendoscopic procedure before GKS, and Group 2 (14 patients) received an STR followed by GKS. Tumor volumes, radiation doses, visual field defects, endocrine levels, and recurrences were compared between the 2 groups. Patients with solid tumors and those who underwent complete resection were excluded from the study. RESULTS: The recurrence rate for Group 1 was higher than that of Group 2 (p = 0.046). The radiation dose near the optic chiasm was higher in Group 1 (p = 0.021) than in Group 2. However, endocrine function was better preserved in Group 1 than in Group 2. CONCLUSIONS: This investigation confirms that STR followed by GKS results in a lower recurrence rate than neuroendoscopy and GKS. Neuroendoscopy and GKS, however, results in a better preservation of endocrine function. These results suggest that a generalized multimodal approach including endoscopic fenestration in addition to GKS is hindered by higher recurrence rates. | - |
dc.description.statementOfResponsibility | open | - |
dc.relation.isPartOf | JOURNAL OF NEUROSURGERY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adolescent | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Child | - |
dc.subject.MESH | Child, Preschool | - |
dc.subject.MESH | Combined Modality Therapy | - |
dc.subject.MESH | Craniopharyngioma/surgery* | - |
dc.subject.MESH | Endoscopy* | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Hemianopsia/surgery | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Magnetic Resonance Imaging | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Minimally Invasive Surgical Procedures | - |
dc.subject.MESH | Neoplasm Recurrence, Local/etiology* | - |
dc.subject.MESH | Neoplasm Recurrence, Local/surgery | - |
dc.subject.MESH | Neoplasm, Residual/surgery* | - |
dc.subject.MESH | Pituitary Function Tests | - |
dc.subject.MESH | Pituitary Neoplasms/surgery* | - |
dc.subject.MESH | Postoperative Complications/etiology* | - |
dc.subject.MESH | Postoperative Complications/surgery | - |
dc.subject.MESH | Radiosurgery* | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Visual Fields | - |
dc.subject.MESH | Young Adult | - |
dc.title | Recurrence rates after neuroendoscopic fenestration and Gamma Knife surgery in comparison with subtotal resection and Gamma Knife surgery for the treatment of cystic craniopharyngiomas. | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Neurosurgery (신경외과학) | - |
dc.contributor.googleauthor | Young Seok Park | - |
dc.contributor.googleauthor | Jong Hee Chang | - |
dc.contributor.googleauthor | Yong Gou Park | - |
dc.contributor.googleauthor | Dong-Seok Kim | - |
dc.identifier.doi | 10.3171/2009.9.JNS09301. | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00402 | - |
dc.contributor.localId | A01568 | - |
dc.contributor.localId | A01578 | - |
dc.contributor.localId | A03470 | - |
dc.relation.journalcode | J01636 | - |
dc.identifier.eissn | 1933-0693 | - |
dc.identifier.pmid | 19877807 | - |
dc.identifier.url | http://thejns.org/doi/full/10.3171/2009.9.JNS09301 | - |
dc.subject.keyword | neuroendoscopy | - |
dc.subject.keyword | craniopharyngioma | - |
dc.subject.keyword | subtotal resection | - |
dc.subject.keyword | Gamma Knife surgery | - |
dc.subject.keyword | cyst fenestration | - |
dc.contributor.alternativeName | Kim, Dong Seok | - |
dc.contributor.alternativeName | Park, Young Seok | - |
dc.contributor.alternativeName | Park, Yong Gou | - |
dc.contributor.alternativeName | Chang, Jong Hee | - |
dc.contributor.affiliatedAuthor | Kim, Dong Seok | - |
dc.contributor.affiliatedAuthor | Park, Young Seok | - |
dc.contributor.affiliatedAuthor | Park, Yong Gou | - |
dc.contributor.affiliatedAuthor | Chang, Jong Hee | - |
dc.rights.accessRights | not free | - |
dc.citation.volume | 114 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 1360 | - |
dc.citation.endPage | 1368 | - |
dc.identifier.bibliographicCitation | JOURNAL OF NEUROSURGERY, Vol.114(5) : 1360-1368, 2011 | - |
dc.identifier.rimsid | 27977 | - |
dc.type.rims | ART | - |
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