Clinical application of multimodal neuronavigation system to neuroendoscope-assisted neurosurgery for skull base chordomas
ZHAO Junshuang
WANG Xin
CHEN Lian
LI Long
ZHOU Jinpeng
JING Zhitao
Abstract：Objective To explore the clinical application of multimodal neuronavigation system (MMNS) to neuroendoscope-assisted neurosurgery for skull base chordomas and its curative effects. Methods The clinical data of 124 patients with skull base chordomas, of whom, 76 (MMNS group) underwent neuroendoscope-assited neurosurgery with the help of MMNS and 48 (control group) without the help of MMNS from January, 2009 to January, 2019, were analyzed retrospectively. The surgical outcomes and postoperative complications were compared between the two groups. Results The tumors were completely resected in 25 patients (52.08% ) of the control group and in 58 patients (76. 32%) of MMNS group, The rate of the total removal of the chordomas was significantly higher in MMNS group than that in the control group (P<0.01). The postoperative complications occurred in 8 patients (10.53%) of MMNS group and 14 patients (29.17%) of the control group. The rate of the occurrence of the postoperative complications was significantly higher in the control group than that in MMNS group (P<0.01). Conclusions MMNS with multi- image fusion and three- dimensional reconstruction may show the spatial relationship between the lesion and adjacent neurovascular structure in real-time, and it is very helpful to the increase in rate of the total resection of skull base chordomas and the decrease in the postoperative complications.
Keywords：Skull base chrodomsMultimodal neuronavigation systemNeuroendoscopeNeurosurgeryThree-dimensional reconstruction
Publication Date：2019-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 324-326 )