1. Anatomical landmarks during high-magnification microsurgery for a safe and effective resection of high-grade gliomas: how I do it.
- Author
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Fava A, di Russo P, Morace R, and Esposito V
- Subjects
- Humans, Microsurgery methods, Fluorescent Dyes, Neuronavigation methods, Brain Neoplasms diagnostic imaging, Brain Neoplasms surgery, Glioma diagnostic imaging, Glioma surgery
- Abstract
Background: Gross total resection, when possible, is the first crucial treatment for high-grade gliomas, as it has been demonstrated to be associated with longer survival. Different intraoperative tools, such as neuronavigation, fluorescent agents, and intra-operative ultrasound, have been developed to help neurosurgeons to extend the resection., Methods: We describe the high-magnification microsurgery technique used during the first surgical removal for high-grade gliomas. We illustrate the key anatomical "markers" of normal brain parenchyma, which guide the surgery., Conclusion: High-magnification microsurgery is an anatomically based approach that allows the identification of key anatomical "markers" of normal brain parenchyma in order to resect high-grade gliomas safely and effectively., (© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature.)
- Published
- 2023
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