SIX YEARS OF NEURO-NAVIGATION ASSISTED BRAIN TUMOUR SURGERY: PROGRESS AND CHALLENGES

Abstract AIMS To report a six-year experience with computerized neuro-navigation assistance in our neuro-oncology surgeries and services. METHOD Retrospective review of all consecutive cases involving computer-assisted diagnostic resective brain tumour operation over period (January 2016-December 2021). Main study parameters: Clinical procedures, operations, histological diagnosis, adjuvant treatments. Data were analysed using simple descriptive statistics, results presented accordingly. RESULTS Total number 111, Males 70 Females 41 (M: F = 1.7:1). Age ranges from 8 months to 80 years. The commonest presentation was headache, nausea, vomiting. Pre-op diagnosis: Intra axial tumours 70/111 (63%), Extra 41/111 (36%). Operations: Resection/Debulking 86/111(77,4%), complete EOR 65/86 (75%). Diagnostic Biopsy 68/111(61%) target precision 100%. Common Histology Gliomas 50/111(45%), Meningiomas (36.9%), Metastatic 15/111 (13.5%). Adjuvant treatments follow-ups advised CONCLUSIONS With assistance, wider spectrum more confidently operated, easily deployed line precise diagnosis for improved But this success at huge cost adopting measures overcome some inevitable challenges.