IMPROVEMENT OF SURGICAL TACTICS FOR THE TREATMENT OF MENINGEAL SOLITARY FIBROUS TUMORS OF FALX

Аннотация

The article analyzes data from 33 literature sources, which describe in detail the latest advances in medical optical technologies, including 3D exoscopes and high-resolution endoscopes, which allow performing these procedures using minimally invasive "keyhole" approaches for solitary fibrous tumors (SFT) and hemangiopericytomas (HPC), which are a rare type of tumor formed from mesenchymal cells. The literature describes SFT/HCP CNS of various localization and their treatment, but nowhere is there any mention of combined exoscopic and endoscopic interhemispheric access through 2 surgical corridors. In this article, we also reported on a clinical case of a 47-year-old patient with deep-seated large SFTs/HPCs of the cerebral sickle, which were completely removed using a new simultaneous anterior exoscopic and posterior endoscopic interhemispheric access through 2 surgical corridors. An exoscope was used for the anterior interhemispheric approach, and an endoscope was used for the posterior interhemispheric fissure. This approach allows you to safely and effectively remove the tumor with minimal complications. The article describes the technique and stages of this access. The details of this clinical case have been discussed in detail. This is the first described clinical case of combined exoscopic and endoscopic interhemispheric access using 2 surgical corridors in neurosurgical practice. The purpose of this method is to improve the results of surgical treatment and reduce complications after the removal of meningeal solitary fibrous Falx tumors by applying the optimal variant of surgical intervention with the use of a new simultaneous anterior exoscopic and posterior endoscopic interhemispheric access through 2 surgical corridors, especially when they are located deeply.