Schlosser Rodney J, Bolger William E
Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, 135 Rutledge Avenue, Suite 1130, P.O. Box 250550, Charleston, SC 29425, USA.
Otolaryngol Clin North Am. 2005 Jun;38(3):483-90. doi: 10.1016/j.otc.2004.10.020.
The primary factor in determining the surgical approach to skull base pathology should not be the presence or absence of IGS. The knowledge and experience of the surgeon is far more important than any technology or instrumentation. As with any computerized system, IGS is susceptible to numerous human and technical errors that can lead a surgeon astray. IGS must be used solely as a preoperative planning instrument and an intraoperative confirmatory tool. Under no circumstances should a surgeon proceed with a procedure using only information obtained from an IGS system, nor should a surgeon feel compelled to perform operations for which they have not had adequate training simply because IGS is now widely available. Continued advances in endoscopic equipment, radio-graphic techniques, and IGS systems will permit the rhinologist to continue to stretch the minimally invasive boundaries in treating skull base pathology.
确定颅底病变手术入路的主要因素不应是术中导航系统（IGS）的有无。外科医生的知识和经验远比任何技术或器械重要得多。与任何计算机系统一样，术中导航系统容易出现许多人为和技术错误，这些错误可能会使外科医生误入歧途。术中导航系统必须仅用作术前规划工具和术中确认工具。在任何情况下，外科医生都不应仅根据术中导航系统获得的信息进行手术，也不应仅仅因为术中导航系统现在已广泛可用，就被迫进行他们没有接受过充分培训的手术。内镜设备、放射成像技术和术中导航系统的不断进步将使鼻科医生能够在治疗颅底病变方面继续拓展微创的边界。
