Table 4. Major and minor complications, readmissions, reoperations and discharge status in 193 patients undergoing 213 keyhole operations for meningioma.
| Major Surgical Complications (n = 23 patients) | 25 |
|---|---|
| Permanent Neurological Worsening | 12(6%) |
| • Stroke | 4(2%) |
| • New or Worsening Cranial Nerve Dysfunction | 8 (4%) |
| Transient Neurological Worsening | 1(0.5%) |
| • Persistent seizures with transient hemiparesis | 1 |
| Reoperations | 10(5%) |
| • Delayed hematoma evacuation | 2 |
| • Reoperation for residual tumor (same admission) | 2 |
| • Reoperation for residual tumor (readmission) | 1 |
| • CSF leak repair | 2 |
| • Revision of sellar reconstruction (no CSF leak) | 2 |
| • Epistaxis needing surgical intervention | 1 |
| Meningitis | 2 (1%) |
| Total Major Complications by Operation (p = 0.45) | |
| • Redo-operation | 7/47 (15%) |
| • First-time operation | 18/166 (11%) |
| Minor Complications | |
| • Sinusitis | 3 |
| • Mucocele | 1 |
| • Forehead numbness | 11 |
| • Frontalis paresis | 7 |
| • Frontalis palsy | 2 |
| • Delayed wound dehiscence | 1 |
| • Hardware malposition | 1 |
| Systemic Complications | 2 (1%) |
| • Aspiration Pneumonia | 1 |
| • UTI | 1 |
| • DVT/PE/ MI | 0 |
| Delayed Radiation Induced Optic Neuropathy | 1 |
| Discharge to Home | 201/213 (94%) |
| Readmissions Requiring Surgical Intervention (n = 4/213) | 2% |
| • Residual tumor needing more surgery | 1 |
| • Delayed hematoma needing surgery | 1 |
| • CSF leak repair | |
| • Epistaxis | 1 |
| Readmissions Managed Medically (n = 2/213) | 1% |
| • UTI, Atrial fibrillation | |
| • Hyponatremia | 1 |
* One patient had both CSF leak and meningitis; one patient who had stroke had a multiply recurrent meningioma with prior surgery and RT and was the only mortality in the series