Hangzhou WangSoochow University, China
Title: The role of radical resection in the comprehensive treatment of ependymoma in children
To investigate the safety and efficacy of radical resection in the treatment of ependymoma in children. From September 2015 to present, 34 cases were enrolled, including 12 cases of primary supratentorial ependymoma and 1 case of recurrent tumor. Subtentorial ependymoma was performed in 19 cases and recurrent tumor in 2 cases. In addition to conventional resection techniques, one side of the cerebellar tonsils, cerebellum, and even some posterior cranial nerve branches, brainstem tissues or PICA branches were selected according to the needs during the operation. The neurological function impairment and recovery time of the patients were observed after the operation. Mri was performed to determine the degree of tumor resection and the time of recurrence. In addition to short-term hoarseness and coughing, 4 cases had other short-term aggravated neurological function (1 case of silence, 1 case of short-term neck skew, 1 case of bulbar paralysis, and 1 case of hydrocephalus requiring shunting). During the follow-up period, all patients survived, and no recurrence occurred in supratentorial group. In the subtentorial group, 2 cases recurred and were re-operated. There were no recurrence cases in the recurrence group. Children's brain stem, cranial nerve and cerebellum have relatively better recovery and compensatory ability after operation. Radical resection can create better conditions for comprehensive treatment without catastrophic neurological complications, and obtain longer survival and long-term quality of life.
Hangzhou Wang has completed his MD from Soochow University, CHN. He is the head of pediatric neurosurgery department of Children’s Hospital of Soochow University.