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At present, the requirement for glioma surgery is to remove the tumor as completely as possible under the premise of safety, and sometimes even to expand the excision.
whether this "aggressive" surgical strategy affects the patient's neurocognitive function is unclear.
Meta analysis by Justin Choon Hwee Ng of Neurosurgery at the National University of Singapore Hospital and others, screened 12 studies to evaluate neurocognitive function in glioma patients immediately after surgery and during six months of follow-up, published online In November 2018 in Journal of Neuro-Oncology.
the results were analyzed in 11 of the 12 studies that met the inclusion criteria, involving 313 patients with gliomas between the ages of 18 and 82, 50 per cent of whom were men;
to detect neurocognitive functions, mainly integrated attention, language, and executive functions.
analysis found that surgery had a positive effect on overall attention, language, learning and memory during long-term follow-up immediately after surgery and 6 months after surgery, compared with surgery on immediate postoperative function in patients, and a continuous decline in executive function during 6 months of long-term follow-up.
Conclusion This meta-analysis showed that glioma surgery had a positive beneficial effect on patients' overall attention, language, learning and memory, but had a negative impact on executive function, both immediately after surgery and during six months of follow-up.
addition, sobriety surgery can help improve neurocognitive function.
authors note that future studies should design a set of neuropsychological tests;
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