Abstract
BackgroundIt is important to secure a surgical space during brain tumor surgery. One of the commonly used methods is to retract the brain. We hypothesized that the tumor can be retracted and that the normal brain tissue retraction can be minimized during surgery, and thus, the degree of collateral damage caused by brain retraction would be reduced.MethodsThe tumor retractor had a 90°, hard, and sharp tip for fixation of the tumor. The distal part of the retractor has a malleable and thin blade structure. By adjusting the angle of the distal malleable part of the tumor retractor, the operator can make the retracting angle additionally. Retractors with thin blade can be used in a conventional self-retraction system. To pull and hold the tumor constantly, the tumor retractor is held by a self-retraction system. The surgical technique using a tumor retractor is as follows: The first step is to fix the retractor to the tumor. The second step is to pull the retractor in the operator’s desired direction by applying force. After the tumor is pulled by adjusting the degree of force and angle, the surgical arm should be held in place to maintain the tumor retracted state.ResultsThe tumor retractor was used to minimize the brain retraction, pulling the tumor in the opposite direction from the surrounding brain tissue. In clinical cases, we can apply the tumor retractor with good surgical outcomes.ConclusionsA tumor retractor can be used to pull a tumor and minimize the brain retraction.
Highlights
It is important to secure a surgical space during brain tumor surgery
A tumor retractor is easier to use in solid tumors
The tumor retractor was fixed to the tumor, and the tumor was pulled to the superior direction to secure the space (Fig. 3b)
Summary
It is important to secure a surgical space during brain tumor surgery. One of the commonly used methods is to retract the brain. We hypothesized that the tumor can be retracted and that the normal brain tissue retraction can be minimized during surgery, and the degree of collateral damage caused by brain retraction would be reduced. In tumor surgery, which is often performed adjacent to the surrounding normal tissue, it is very important to provide space for effective surgical resection. One of the commonly used methods in brain tumor surgery is brain retraction. Prolonged retraction of brain tissues may cause irreversible damages such as ischemia and cerebral infarction [4,5,6]. When the brain retraction is required, brain damage should be minimized [7, 8]
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