Work

Temporal lobectomy for glioma surgery: how I do it

Year: 2026

Type: article

Abstract: Background Anterior temporal lobectomy is well standardized in epilepsy surgery, but its oncological application is less defined. Tumor-induced distortion of anatomical landmarks, proximity of eloquent cortex and white-matter tracts, and the need to balance maximal resection with functional preservation demand a reproducible surgical framework. Methods We describe a four-step technique for oncological temporal lobectomy defined by four anatomical limits: posterior, superior, medial, and the temporal stem. Conclusions A standardized four-step approach to oncological temporal lobectomy allows reproducible execution of a supramaximal resection while preserving function. The technique is detailed in an accompanying video.

Source: Acta Neurochirurgica

DOI: 10.1007/s00701-026-07030-y

Authors: Francesco Guerrini, Michele Picciocchi, Federico Nicolosi, Giannantonio Spena

Institutions: University of Pavia, Policlinico San Matteo Fondazione, University of Ferrara, University of Milano-Bicocca

Language: English

Topic: Glioma Diagnosis and Treatment

Subfield: Genetics

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,990