Evidence map›Paper›PMID 39926446›Full record

ArticleSurgical neurology international2025

Perioperative management of craniopharyngioma resection through endoscopic endonasal approach in a super-super obese patient: A technical case report.

Toshihiro Ogiwara, Atsushi Sato, Kotaro Nakamura, Mana Wakabayashi, Tetsuo Sasaki, Yoshiki Hanaoka, Kazuhiro Hongo

Abstract readCase Reports
In one paragraph

Article in Surgical neurology international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Toshihiro OgiwaraDepartment of Neurosurgery, Ina Central Hospital, Nagano, Japan.
Atsushi SatoDepartment of Neurosurgery, Ina Central Hospital, Nagano, Japan.
Kotaro NakamuraDepartment of Neurosurgery, Ina Central Hospital, Nagano, Japan.
Mana WakabayashiDepartment of Neurosurgery, Ina Central Hospital, Nagano, Japan.
Tetsuo SasakiDepartment of Neurosurgery, Ina Central Hospital, Nagano, Japan.
Yoshiki HanaokaDepartment of Neurosurgery, Ina Central Hospital, Nagano, Japan.
Kazuhiro HongoDepartment of Neurosurgery, Ina Central Hospital, Nagano, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The endoscopic endonasal approach (EEA) is increasingly used in minimally invasive surgeries for skull base lesions such as pituitary tumors. Although experienced facilities and neurosurgeons familiar with this technique can typically perform these surgeries routinely without special techniques or instruments, challenging cases can occasionally arise due to patient factors such as obesity. Here, we describe challenges encountered during neurosurgery in a patient with super-super obesity and introduce our unique technical nuances for management during tumor resection. Case Description: We report about a 47-year-old man with a body mass index of 62.24 kg/m Conclusion: This case highlights the successful use of the EEA along with unique technical adaptations in a super-super obese patient with craniopharyngioma, demonstrating the importance of innovation and problem-solving in overcoming surgical challenges.

Indexed as

CraniopharyngiomaEndoscopic endonasal approachLumbar drainageObese patientSurgical setting

Identifiers

PMID39926446
PMCPMC11799677

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.