[内镜辅助眶上锁孔入路切除鞍上区肿瘤]
[Endoscope-assisted supraorbital keyhole approach for excision of suprasellar region tumor].
作者信息
Cao Zuo-wei, Shi Ke-shan, Jin Hu, Shi Xiao-feng, Li Gang, Chen Huan-xiong, Chen Xiao-dong, Lin Peng, Yan Shan, Chen Min
机构信息
Department of Neurosurgery, Haikou Municipal People's Hospital, Haikou 570208, China.
出版信息
Zhonghua Wai Ke Za Zhi. 2003 Jun;41(6):414-6.
OBJECTIVE
To study endoscope-assisted microsurgical technique with supraorbital keyhole approach for the treatment of suprasellar region tumor so as to maximize tumor removal and minimize operative-trauma.
METHODS
According to high resolution CT and MR images before operation, individual operation schemes were worked out. Skin incision was made in the eyebrow, and the diameter of supraorbital craniotomy was approximately 2 cm. Endoscope-assisted microsurgical technique was used to resect lesions in 16 consecutive patients.
RESULTS
Total Tumors were removed in all of the 16 patients via the supraorbital keyhole approach. No postoperative complications occurred.
CONCLUSIONS
Supraorbital keyhole approach may diminish tissue injury considerably and has proven to provide sufficient operating space in the suprasellar region for tumor removal.
目的
研究经眶上锁孔入路在内镜辅助下的显微手术技术治疗鞍上区肿瘤，以实现肿瘤切除最大化并使手术创伤最小化。
方法
根据术前高分辨率CT和MR图像制定个体化手术方案。在眉部做皮肤切口，眶上锁孔开颅直径约2cm。采用内镜辅助显微手术技术连续治疗16例患者切除病变。
结果
16例患者均经眶上锁孔入路全切除肿瘤。无术后并发症发生。
结论
眶上锁孔入路可显著减少组织损伤，已证明能在鞍上区提供足够的手术空间用于肿瘤切除。
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