Anterior temporal lobectomy and selective AmygdaloHippocampectomy complications across Europe: review, meta-analysis, and Delphi consensus.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Karagianni Maria D, Schijns Olaf E M G, Brotis Alexandros, Tasiou Anastasia, Auer Christian, Blauwblomme Thomas, Budke Marcelo, Campos Alexandre Rainha, Candela-Cantó Santiago, Clusmann Hans, Consales Alessandro, Cossu Massimo, Delev Daniel, Dorfer Christian, Dorfmüller Georg, Egge Arild, Eröss Lorand, Ferrand-Sorbets Sarah, Giordano Flavio, Isler Cihan, Ivanovic Jugoslav, Kalbhenn Thilo, Karppinen Atte, Koroknay-Pal Paivi, Krayenbühl Niklaus, von Lehe Marec, Marras Carlo E, Mavridis Ioannis, Nilsson Daniel, Onken Julia, Raftopoulos Christian, Rizzi Michele, van Roost Dirk, Rössler Karl, Roth Jonathan, Rumia Jordi, Seromenho-Santos Alexandra, Sauvigny Thomas, Scavarda Didier, Scheiwe Christian, Schaller Karl, Schuind Sophie, Strauss Ido, Theys Tom, Uzan Mustafa, Fountas Konstantinos N, EANS Functional Neurosurgery section
Аннотация
RESEARCH QUESTION: This study sought to gather expert European consensus on surgical strategies and complication rate for ATL and selAH, in both adult and pediatric patients.
MATERIALS AND METHODS: A modified Delphi technique was employed, with 39 experienced epilepsy surgeons from 35 different European centers. A 22-item questionnaire addressed key surgical considerations, including mortality, morbidity, neurological deficits, infection rates, and potential psychiatric and cognitive complications.
RESULTS: The survey had a 43 % response rate. Mortality rates for both surgical approaches ranged between 0 and 1 %. Visual field deficits (VFDs) were more frequently observed after ATL (over 16 %) compared to selAH (2-10 %). Permanent motor deficits were rare (<2 %), while complications such as infections and hematomas were reported in 0-2 % and less than 5 % of cases, respectively for both procedures. While psychiatric and cognitive complications were acknowledged, no consensus was reached regarding their prevalence or screening methods.
DISCUSSION: The results underscore the value of advanced imaging, thorough preoperative evaluation, and intraoperative monitoring. Future research is needed to refine outcome optimization and standardize training protocols.
CONCLUSIONS: Consensus was achieved on critical aspects of surgical planning and complication management, providing support for the development of standardized practices in temporal lobe epilepsy surgery.