Abstract
BackgroundSurgical resection of brain mass lesion mandates safety and the best outcome for the patient.ObjectivesThe aim of this study was the evaluation of intraoperative ultrasound (IOUS) in gross total resection of brain mass lesions and patients’ safety in comparison to conventional surgery.Materials and methodsIn total, 632 patients were operated for brain mass lesion resection at Neurosurgery Department, Zagazig University Hospitals, during the period from January 2011 to October 2018 and divided randomly into two groups, IOUS group and conventional group, for the detection value of IOUS in resection, safety, and outcome after 3 months follow-up.ResultsThe IOUS group showed statistically significant gross total resection regardless to pathology, location, size, age, and sex in favor of IOUS use, and also, there were significantly less complications and better outcome after 3 months follow-up with the IOUS group. Significantly better outcome was found with gross total resection in total surgeries.ConclusionsThe use of IOUS during brain mass lesion surgery is safe and can assist the surgeon in gross total resection with better outcome.
Highlights
The use of ultrasound in brain mass lesion resection is a real-time capability of this imaging
Ultrasound may provide an alternative tool to intraoperative magnetic resonance imaging (MRI) for delineating tumor tissues and improving the chances of gross total resection [1]
The aim of this study was the evaluation of intraoperative ultrasound in gross total resection of brain mass lesions and patients’ safety in comparison to conventional surgery
Summary
The use of ultrasound in brain mass lesion resection is a real-time capability of this imaging. Ultrasound may provide an alternative tool to intraoperative magnetic resonance imaging (MRI) for delineating tumor tissues and improving the chances of gross total resection [1]. The purpose of brain tumor removal is maximal resection while sparing healthy tissues. The extent of resection is a key prognostic factor in survival time, functional recovery, and tumor recurrence rates [2]. The optimal results of brain lesion surgery may be achieved by maximal surgical resection without disturbance of neurological functions [3]. Due to the imprecise correlation between preoperative images, intraoperative anatomy, and poor differentiation of some tumors from a normal tissue, substantial tumor. Surgical resection of brain mass lesion mandates safety and the best outcome for the patient
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