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Subtotal Resection. Hazard ratios HRs or odds ratios ORs with corresponding 95. In an era where subtotal resection STR is increasingly used we have encountered a growing number of patients referred to our institution with limited resection of large vestibular schwannomas VSs sometimes associated with grave complications. Having a subtotal colectomy with a resection is the worst thing to happen to me. Subtotal resection of both heads of the gastrocnemius muscle can result in satisfactory calf reduction without impairment of leg function and avoid hollow deformity in the popliteal fossa.
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Recurrence rate of central neurocytoma even after complete resection has been shown in long-term follow- up studies. Extensive subtotal resection may result in permanent neurologic deficits and did not improve long-term local control. While there is no uniform residual tumor percentage cutoff to define. 1 Still counseling patients with highly eloquent GBs amenable only to subtotal resection STR remains challenging. No patients have died. We conducted a meta-analysis to determine whether GTR is superior to STR with RT for craniopharyngioma.
Subtotal resection was useful for decompressing the tumor if improvement in neurologic function was anticipated after surgery.
At least those are my thoughts in the throes of surgery. Given the invariable proximity to critical neurovascular structures true complete resection of CPs is challenging and gross total resection GTR has been defined as removal of 95 of the tumor. In an era where subtotal resection STR is increasingly used we have encountered a growing number of patients referred to our institution with limited resection of large vestibular schwannomas VSs sometimes associated with grave complications. Extensive subtotal resection may result in permanent neurologic deficits and did not improve long-term local control. Recent studies suggest that subtotal resection STR followed by radiation therapy RT is an appealing alternative to gross total resection GTR for craniopharyngioma but it remains controversial. 5 Conversely a subtotal resection STR is intended to deliberately leave residual lesion to minimize risk of iatrogenic complication.
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B Subtotal resection of a large vestibular schwannoma with nodular enhancement along the course of the facial nerve. Gross resection has better outcome than a subtotal resection. Growing data support varying degrees of subtotal resection for graduated benefits in survival times. Note the tumor has coalesced or balled up into a shorter and wider remnant. The indications and contraindications for these procedures are discussed.
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Gross resection has better outcome than a subtotal resection. Total temporal bone resection TTBR extends the dissection from the STBR so that the petrous apex is included. No patients have died. We conducted a meta-analysis to determine whether GTR is superior to STR with RT for craniopharyngioma. Treatment effects were evaluated using pooled estimates mean differences or risk ratios RRs with corresponding 95 confidence intervals CIs using random effects modeling.
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The indications and contraindications for these procedures are discussed. The strategy of using subtotal resection and radiosurgery rests upon the assumption that the immediate surgical risk and likelihood of cranial neuropathies are reduced and that radiosurgery is an equal surrogate for surgery in the long-term management of intentionally unresected tumors. To analyze the functional outcomes ofadult patients with gross total resection GTR and subtotal resection STR of craniopharyngioma. 5 Conversely a subtotal resection STR is intended to deliberately leave residual lesion to minimize risk of iatrogenic complication. No patients have died.
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However near total resections NTR and intentional subtotal resections STR aiming at improving cranial nerve outcomes are becoming more popular. Background Treatment of vestibular schwannomas VS remains controversial. Note the tumor has coalesced or balled up into a shorter and wider remnant. Eligible studies compared patient outcomes including 2 categories of EOR biopsy resection of any extent subtotal resection STR or gross total resection GTR. No patients have died.
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Three electronic databases were systematically searched including PubMed EmBase and the Cochrane library from inception to August 2018. Background Treatment of vestibular schwannomas VS remains controversial. B Subtotal resection of a large vestibular schwannoma with nodular enhancement along the course of the facial nerve. Hazard ratios HRs or odds ratios ORs with corresponding 95. Gross resection has better outcome than a subtotal resection.
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This is of utmost importance as we continue to elucidate factors affecting prognosis and responsiveness to. Note the tumor has coalesced or balled up into a shorter and wider remnant. Historical surgical series prioritized gross total resections GTR. Total temporal bone resection TTBR extends the dissection from the STBR so that the petrous apex is included. Subtotal resection STR of the highly aggressive primary brain tumor glioblastoma multiforme GBM has been shown to significantly decrease the progression-free PFS and overall survival OS compared to gross total resection GTR Various GBM trials have confirmed that an extent of resection EOR of 78 improves patients outcome.
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Recent studies suggest that subtotal resection STR followed by radiation therapy RT is an appealing alternative to gross total resection GTR for craniopharyngioma but it remains controversial. MEDLINE EMBASE Scopus and Cochrane databases were searched from inception to July 19 2018 for articles comparing postoperative endocrine function vision complications and recurrence rates for adult patients with GTR and STR of. The strategy of using subtotal resection and radiosurgery rests upon the assumption that the immediate surgical risk and likelihood of cranial neuropathies are reduced and that radiosurgery is an equal surrogate for surgery in the long-term management of intentionally unresected tumors. Total temporal bone resection TTBR extends the dissection from the STBR so that the petrous apex is included. To analyze the functional outcomes ofadult patients with gross total resection GTR and subtotal resection STR of craniopharyngioma.
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At least those are my thoughts in the throes of surgery. The indications and contraindications for these procedures are discussed. No patients have died. Hazard ratios HRs or odds ratios ORs with corresponding 95. Total temporal bone resection TTBR extends the dissection from the STBR so that the petrous apex is included.
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Three electronic databases were systematically searched including PubMed EmBase and the Cochrane library from inception to August 2018. Extent of resection is considered as the most important prognostic factor in the central neurocytoma. At least those are my thoughts in the throes of surgery. However near total resections NTR and intentional subtotal resections STR aiming at improving cranial nerve outcomes are becoming more popular. Subtotal temporal bone resection STBR is required for tumors that involve the mastoid middle ear inner ear or lateral skull base.
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The strategy of using subtotal resection and radiosurgery rests upon the assumption that the immediate surgical risk and likelihood of cranial neuropathies are reduced and that radiosurgery is an equal surrogate for surgery in the long-term management of intentionally unresected tumors. Hazard ratios HRs or odds ratios ORs with corresponding 95. Recurrence rate of central neurocytoma even after complete resection has been shown in long-term follow- up studies. Mean maximal tumor size P 0011 mean size of foraminal and extraforaminal portion P 0017 tumor level P 0001 VA involvement P 0001 and SI on T2-WIs P 0006 were significantly different between the GTR and STR groups. The purpose of this study was to compare gross total resection GTR with subtotal resection STR for treatment effects in elderly patients with high-grade glioma.
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At second surgery 10 of 20 patients had a gross total resection GTR 2 a near total resection NTR and the remaining 8 patients had a subtotal resection STR. While there is no uniform residual tumor percentage cutoff to define. Gross resection has better outcome than a subtotal resection. To analyze the functional outcomes ofadult patients with gross total resection GTR and subtotal resection STR of craniopharyngioma. Growing data support varying degrees of subtotal resection for graduated benefits in survival times.
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No patients have died. Subtotal resection of both heads of the gastrocnemius muscle can result in satisfactory calf reduction without impairment of leg function and avoid hollow deformity in the popliteal fossa. B Subtotal resection of a large vestibular schwannoma with nodular enhancement along the course of the facial nerve. Note the tumor has coalesced or balled up into a shorter and wider remnant. Treatment effects were evaluated using pooled estimates mean differences or risk ratios RRs with corresponding 95 confidence intervals CIs using random effects modeling.
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Hazard ratios HRs or odds ratios ORs with corresponding 95. Two of 10 tumors after GTR 0 of 2 tumors after NTR and 7 of 8 tumors after STR had second recurrenceprogression at a mean of 15 months range 4-33 months following second surgery. Subtotal resection STR of the highly aggressive primary brain tumor glioblastoma multiforme GBM has been shown to significantly decrease the progression-free PFS and overall survival OS compared to gross total resection GTR Various GBM trials have confirmed that an extent of resection EOR of 78 improves patients outcome. Subtotal resection of both heads of the gastrocnemius muscle can result in satisfactory calf reduction without impairment of leg function and avoid hollow deformity in the popliteal fossa. To analyze the functional outcomes ofadult patients with gross total resection GTR and subtotal resection STR of craniopharyngioma.
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Extent of resection is considered as the most important prognostic factor in the central neurocytoma. However near total resections NTR and intentional subtotal resections STR aiming at improving cranial nerve outcomes are becoming more popular. Total temporal bone resection TTBR extends the dissection from the STBR so that the petrous apex is included. Gross resection has better outcome than a subtotal resection. Eligible studies compared patient outcomes including 2 categories of EOR biopsy resection of any extent subtotal resection STR or gross total resection GTR.
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5 Conversely a subtotal resection STR is intended to deliberately leave residual lesion to minimize risk of iatrogenic complication. 5 Conversely a subtotal resection STR is intended to deliberately leave residual lesion to minimize risk of iatrogenic complication. Historical surgical series prioritized gross total resections GTR. C Tumor residual 612 months after subtotal resection. Extensive subtotal resection may result in permanent neurologic deficits and did not improve long-term local control.
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Two of 10 tumors after GTR 0 of 2 tumors after NTR and 7 of 8 tumors after STR had second recurrenceprogression at a mean of 15 months range 4-33 months following second surgery. At second surgery 10 of 20 patients had a gross total resection GTR 2 a near total resection NTR and the remaining 8 patients had a subtotal resection STR. 1 Still counseling patients with highly eloquent GBs amenable only to subtotal resection STR remains challenging. Subtotal resection Introduction The present literature on glioblastoma GB surgery shows a strong benefit of gross total resection GTR on overall survival OS. Treatment effects were evaluated using pooled estimates mean differences or risk ratios RRs with corresponding 95 confidence intervals CIs using random effects modeling.
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We conducted a meta-analysis to determine whether GTR is superior to STR with RT for craniopharyngioma. Having a subtotal colectomy with a resection is the worst thing to happen to me. No patients have died. 4 Another benefit of resection either gross total resection or subtotal resection is the acquisition of tissue for molecular testing. Hazard ratios HRs or odds ratios ORs with corresponding 95.
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Treatment effects were evaluated using pooled estimates mean differences or risk ratios RRs with corresponding 95 confidence intervals CIs using random effects modeling. Background Treatment of vestibular schwannomas VS remains controversial. Among the 72 patients gross total resection GTR and subtotal resection STR were achieved in 37 514 and 35 486 patients respectively. 5 Conversely a subtotal resection STR is intended to deliberately leave residual lesion to minimize risk of iatrogenic complication. At least those are my thoughts in the throes of surgery.
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