The margins of resection should be the same as with open approaches. Endoscopic approaches are not an excuse for performing an incomplete tumor resection. We shouldn’t be cutting corners.
Dr. Snyderman said that a fully endoscopic approach can be employed in resection of the difficult tumors. We can do so with adherence to oncological principles, he said. I want to warn you that you should adhere to oncological resection including the dura and olfactory nerves if the skull base is involved until we have good long-term data. Don’t rely on radiation therapy to sterilize the margins. We do have reconstructive options, the use of vascularized flaps to maximize the healing.
I want to caution that there is a steep learning curve in doing these surgeries. It wasn’t until we had four or five years experience working as a team on less involved cases that we embarked on the more complex tumors, he said in his lecture.| ← Previous | | | Next → | Single Page