Paediatric posterior fossa tumour resection rates in a small volume centre: the past decade’s experience
| العنوان: | Paediatric posterior fossa tumour resection rates in a small volume centre: the past decade’s experience |
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| المؤلفون: | Harsh Bhatt, Muhammad Imran Bhatti, Paul Leach, Chirag Patel |
| المصدر: | British Journal of Neurosurgery. 35:451-455 |
| بيانات النشر: | Informa UK Limited, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | medicine.medical_specialty, Tumor resection, Pilocytic Astrocytomas, Posterior fossa, Infratentorial Neoplasms, Astrocytoma, Neurosurgical Procedures, 03 medical and health sciences, 0302 clinical medicine, health services administration, medicine, Humans, Child, Brain Neoplasms, Small volume, business.industry, General Medicine, Ependymoma, 030220 oncology & carcinogenesis, Surgery, Neurology (clinical), Radiology, Neurosurgery, business, 030217 neurology & neurosurgery, Volume (compression) |
| الوصف: | Paediatric brain tumour resection rates have been shown to correlate with outcome and, it is argued, are linked to operator volume and caseload. The British paediatric neurosurgery community has previously debated centralisation of paediatric neuro-oncology. At the 2018 British Paediatric Neurosurgery Group (BPNG) meeting, a commitment was made to prospectively collect tumour resection data at each Neurosurgical Unit (NSU). Here we review our prospectively-collected 10-year database of the three commonest paediatric posterior fossa tumours - astrocytomas, medulloblastomas and ependymomas.Our primary outcome was extent of resection (EOR) on post-operative MRI scans reviewed by neuro-radiologists. Secondary outcomes comprised neurosurgical morbidity including infection, need for cerebrospinal fluid (CSF) diversion and the occurrence of posterior fossa syndrome (PFS).55 children had 62 operations, where our complete resection rates for pilocytic astrocytomas, medulloblastomas and ependymomas were 77%, 79% and 63%, respectively. Both our primary and secondary outcomes were in keeping with the published literature and we discuss here some of the factors which may contribute towards favourable outcomes in a small volume centre.Our results suggest that small volume centres can expect equivalent results to larger volume NSUs with regards to paediatric brain tumour surgery. Continuing efforts nationally for data collection on resection rates and operative outcomes is a key step towards optimising management in these children. |
| تدمد: | 1360-046X 0268-8697 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::717e12b239bed2a2a44ee83153b6a179 https://doi.org/10.1080/02688697.2020.1859085 |
| رقم الأكسشن: | edsair.doi.dedup.....717e12b239bed2a2a44ee83153b6a179 |
| قاعدة البيانات: | OpenAIRE |
PDF full text from Publisher | تدمد: | 1360046X 02688697 |
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