Clinical and statistic grounding for secondary surgery in supratentorial glial tumors
Keywords:
glial tumors, reoperation, forecasting, the quality of lifeAbstract
The study analyses the efficiency of 165 reoperations for supratentorial gliomas in comparison with of primary surgeries. Presented are the major unfavorable prognostic factors significantly influencing the length and quality of patient’s survival. The efficiency of both primary operations was found to significantly depend on removal extension. New surgical techniques (ultrasound aspiration with microsurgery, laser- and cryosurgery) gave better results, hence more complete removal. Survival rate largely depended on postoperative antiblastic therapy. The best result were obtained due to the chemo- and radiotherapy combination whereas each of these therapies used alone was much less effective. It was demonstrated that with similar prognostic sings and types of surgery the survival after reoperation was significantly lower in patients having I-II and III grade anaplasia and was practically the same in glioblastoma patients. Reoperations, however, prolonged the survival time considerably.
References
1. Fried H. Zur Operationsindicationen bei Gliomrecidiven des Grosshirns. // Zbl. Neurohir. — 1977 — Bd. 38 — N3 — P. 225—230.
2. Jellinger K., Flament H., Grisold W. Phase III comparative study of combination chemotherapy and/or radiotherapy for postoperative treatment of malignant gliomas. // Abstr. 7th Inter. Congr. Neurol. Surg. Mьnchen — 1981 — Neurochirurgia — 1981. — P. 414.
3. Smith K. R., Brooks W. H. Results of second operations for malignant gliomas. // Abstr. 7th Inter. Congr. Neurol. Surg. Mьnchen — 1981 — Neurochirurgia — 1981. — P. 412.
4. Fusek J., Vorreith M. Indikationen zur Reoperation von Hirngliomen. // Z. Neurochir. - 1976. — Bd. 37. — P. 45—50.
5. Harsh G. R., Levin V. A., Gutin P. H., Seager M., Silver P., Wilson C. B. Reoperation for recurrent glioblastoma and anaplastic astrocytoma. // Neurosurgery. — 1987. — Vol. 21. — P. 615—21.
6. Педаченко Г. А., Дунаевский А. Е., Педаченко Е. Г., Полищук Н. Е., Орлов Ю. А. Хирургическое лечение при продолженном росте злокачественных глиом головного мозга. // К.: Здоров’я. Респ. межвед. сб.: Нейрохирургия — 1981. — Вып. 14. — С. 23—26.
7. Бурля В. И., Ярославский Л. С., Ольхов В. М., Шмерчук С. Г., Авдеева В. М. Хирургическое лечение злокачественных глиом полушарий головного мозга. // К.: Здоров’я. Респ. межвед. сб.: Нейрохирургия. — 1981. — Вып. 14. — С. 26—29.
8. Кондратенко В. И., Кардаш А. М., Семисалов С. О. Результаты хирургического лечения глиом различной степени злокачественности. // К.: Здоров’я. Респ. межвед. сб.: Нейрохирургия. — 1981. — Вып. 14. — С. 41—42.
9. Даниленко Г. С., Цимейко О. А. Ангиографические критерии в определении показаний к хирургическим вмешательствам при продолженном росте злокачественных глиом головного мозга. // К.: Здоров’я. Респ. межвед. сб.: Нейрохирургия. — 1981. — Вып. 14. — С. 77—80.
10. Земская А. Г. Лечебная тактика при рецидивах глиом головного мозга. // Материалы ІІІ Всесоюзного съезда нейрохирургов. — М. — 1983. — С. 63—66.
11. Barker F. G., Chang S. M., Gutin P. H. et al. Survival and functional status after resection of recurrent glioblastoma multiforme // Neurosurgery. — 1998. — V.42, N.4 — P. 709—720.
12. Durmaz R., Erken S., Arslantas A. et al. Management of glioblastoma multiforme: with special reference to recurrence. // Clinical Neurology & Neurosurgery. — 1997. — V.99, N.2. — P.117—123.
13. Kelly P. J., Rappaport Z. H., Bhagwati S. N. et al. Reoperation for recurrent malignant gliomas: what are your indications? // Surgical Neurology. — 1997. — V.47, N.2. — P. 39—42.
14. Lopez-Gonzalez M. A., Sotelo J. Brain Tumors in Mexico: Characteristics and Prognosis of Glioblastoma // J. Surgical Neurology. — 2000. — V.53, N.2. — P. 157—163.
15. Sipos L., Afra D. Re-operations of supratentorial anaplastic astrocytomas. // Acta Neurochirurgica. — 1997. — V.139, N.2 — P.99—104.
Downloads
How to Cite
Issue
Section
License
Copyright (c) 2001 Oleksandr Glavatskyi
This work is licensed under a Creative Commons Attribution 4.0 International License.
Ukrainian Neurosurgical Journal abides by the CREATIVE COMMONS copyright rights and permissions for open access journals.
Authors, who are published in this Journal, agree to the following conditions:
1. The authors reserve the right to authorship of the work and pass the first publication right of this work to the Journal under the terms of Creative Commons Attribution License, which allows others to freely distribute the published research with the obligatory reference to the authors of the original work and the first publication of the work in this Journal.
2. The authors have the right to conclude separate supplement agreements that relate to non-exclusive work distribution in the form of which it has been published by the Journal (for example, to upload the work to the online storage of the Journal or publish it as part of a monograph), provided that the reference to the first publication of the work in this Journal is included.
