Spots Global Cancer Trial Database for Sitting Versus Horizontal Position on Craniotomies

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Trial Identification

Brief Title: Sitting Versus Horizontal Position on Craniotomies

Official Title: The Effects of Sitting Position on the Outcome During Surgery on Posterior Cranial Fossa and Pineal Region

Study ID: NCT03364283

Conditions

Craniotomy

Brain Tumor

Interventions

Surgical position

Study Description

Brief Summary: The main objectives of this study are comparison of the incidence of intraoperative air embolism and the extent of blood loss in patients undergoing posterior cranial fossa (PCF) and pineal region (PR) surgeries in sitting and horizontal position. Additionally, the overall treatment outcome, neurological functional outcome, degree of tumor removal, clinical course in the postoperative period, and the patient satisfaction will be compared between the groups.

Detailed Description: This was a prospective observational study to assess the effects of patient positioning during craniotomies on surgical outcomes. Patients were distributed into 2 major groups based on the surgical position: sitting and horizontal. Each group was further divided into subgroups based on the type and location of the lesion. To achieve the study goals, comparison of the 2 approaches in equivalent patient groups was performed, including comparable demographics, diagnoses, topographic location of the lesions, anesthetic approaches, and surgical experience. The operating surgeons decided patient positioning based on clinical judgment. Type of anesthesia was defined by the anesthesiologist in charge of the patient however, it was maximally standardized for both sites. All the surgeries were performed by neurosurgeons with sufficient experience of sitting craniotomies.