内镜经蝶窦手术的展望

Perspectives on endoscopic transsphenoidal surgery.

作者信息

Jane John A, Han Joseph, Prevedello Daniel M, Jagannathan Jay, Dumont Aaron S, Laws Edward R

机构信息

Department of Neurological Surgery, University of Virginia Health System, Charlottesville, Virginia 22908, USA.

出版信息

Neurosurg Focus. 2005 Dec 15;19(6):E2. doi: 10.3171/foc.2005.19.6.3.

Abstract

Sellar tumors are most commonly approached through the transsphenoidal corridor, and tumor resection is most often performed using the operating microscope. More recently the endoscope has been introduced for use either as an adjunct to or in lieu of the microscope. Both the microscopic and endoscopic transsphenoidal approaches to sellar tumors allow safe and effective tumor resection. The authors describe their current endoscopic technique and elucidate the advantages and disadvantages of the pure endoscopic adenomectomy compared with the standard microscopic approach.

摘要

鞍区肿瘤最常通过经蝶窦通道进行处理,肿瘤切除大多使用手术显微镜来完成。最近,内镜已被引入,可作为显微镜的辅助工具或替代显微镜使用。显微镜下和内镜下经蝶窦处理鞍区肿瘤的方法都能实现安全有效的肿瘤切除。作者描述了他们目前的内镜技术,并阐明了与标准显微镜手术方法相比,单纯内镜下腺瘤切除术的优缺点。

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