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首页> 外文期刊>Acta Neurochirurgica >The challenge of overcoming the language barrier for brain tumor awake surgery in migrants: a feasibility study in five patient cases
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The challenge of overcoming the language barrier for brain tumor awake surgery in migrants: a feasibility study in five patient cases

机译：克服脑肿瘤的语言障碍在移民中的语言障碍挑战：五例病例中的可行性研究

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摘要

Objective To assess the feasibility of awake surgery for a brain tumor in a population of non-French-speaking migrants in Paris, France. Methods The Lariboisiere database of awake surgeries was retrospectively reviewed, from the first case in 2011 up to July 2018. Inclusion criteria were patients being migrated in France during their adulthood, patients being unable to speak neither French nor English. Clinical and radiological data were collected from the electronic medical charts. Results Five patients fulfilled inclusion criteria. Pathological diagnosis included three glioma, one meningioma, and one melanoma metastasis. The standard awake protocol of our center was followed as usual, with the additional involvement of an interpreter at each step. In the five cases, the awake procedure allowed the surgeon to tailor the resection according to functional boundaries. Resections were complete in three cases and subtotal in two cases. No neurological deficits were observed. All patients returned to their preoperative socio-professional status. Conclusions Awake surgery for a brain tumor can be offered to migrants, in spite of the poor verbal communication between the patient and the caring staff. A team dedicated to awake surgery and including an interpreter is the key to successfully overcome the language barrier, before, during, and after the surgery.
机译：目的探讨法国巴黎非法语移民人口中脑肿瘤的清醒手术的可行性。方法从2011年截至2018年7月的第一个案例，从第一次案例回顾性审查了令人答复的苏醒手术数据库。纳入标准是在成年期间在法国迁移的患者，患者既无法用法语也不发言。从电子医学图表中收集临床和放射数据。结果五名患者满足纳入标准。病理诊断包括三种胶质瘤，一个脑膜瘤和一个黑色素瘤转移。我们中心的标准清醒议定书遵循惯常，在每一步中额外参与口译员。在五种情况下，唤醒程序允许外科医生根据功能界限定制切除。在两种情况下，切除在三种病例和小次患者中完成。没有观察到神经系统缺陷。所有患者均返回其术前社会专业地位。结论仍可向移民提供脑肿瘤的清醒手术，尽管患者与关怀人员之间的口头沟通不佳。致力于清醒手术的团队，包括翻译是在手术前，期间和之后成功克服语言障碍的关键。

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