Abstract
Objective The aims of this study were to determine how to choose the appropriate surgical approach based on the anatomical character of the thalamic gliomas and to investigate the corresponding surgical skill and assistive technology.Methods The records of 98 adult patients with thalamic tumor between 2004.1 and 2012.6 in our hospital were retrospectively reviewed.Of the 98 patients,53 had a low-grade tumor,and 45 had a high-grade tumor.Two groups of gliomas were analyzed separately:(1) unilateral thalamic gliomas (81 lesions); (2) thalamopeduncular gliomas (17 lesions).All the patients underwent tumor resection.Results Total resection of the tumor was achieved in 62 cases (63％),subtotal resection in 26 (27％) cases and most resection in 10 (10％) cases.Postoperative improvement was achieved in 61 cases (62％),unchange in 29 (30％) cases,aggravation in 6 (6％)cases,and death in 2 (2％) cases.Conclusions Total or subtotal remove and good results can be gained in the majority of the patients with unilateral thalamic gliomas based on the correct surgical approach,skill and assistive technology. Key words: Thalamic glioma; Surgical techniques ; Adult
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