Hernesniemi Juha, Niemelä Mika, Dashti Reza, Karatas Ayse, Kivipelto Leena, Ishii Keisuke, Rinne Jaakko, Ronkainen Antti, Peláez José G, Koivisto Timo, Kivisaari Riku, Shen Hu, Lehecka Martin, Frösen Juhana, Piippo Anna, Avci Emel, Jääskeläinen Juha E
Department of Surgery, Helsinki University Hospital, Helsinki, Finland.
Surg Technol Int. 2006;15:305-10.
Since their introduction by Prof. Yaşargil in the 1960s, Microneurosurgical techniques have been the essentials of neurosurgical practice. Principles of Microneurosurgery are mainly based upon handling the lesions of different characteristics that can be localized in any part of the nervous system. Whereas the aim is to treat these lesions with efficacy and precision, the performance should be non-traumatic and minimally invasive. Delicate movements of instruments under the magnification of an operating microscope require a good knowledge of Microneurosurgical anatomy and experience. Professional teamwork is the essential part of Microneurosurgical operations. Fascinating approaches are not practical unless combined with appropriate positioning and optimal conduction of Neuroanesthesia. Although the neurosurgical operations are highly dependent on technological advancements, their use should be adjusted according to personal preferences and financial resources. To keep the operations simple and fast, and appreciate normal anatomy, only a limited array of instruments is preferable for use. The basic principles of Microneurosurgery discussed in this chapter are based on the Helsinki and Kuopio Neurosurgery practices in Finland, as well as the Senior Author's (J.H.) experience in approximately 10,000 microsurgery operations. The question to be addressed is: How does one perform operations safer and faster while preserving the normal anatomy?
自20世纪60年代由亚萨吉尔教授引入以来，显微神经外科技术一直是神经外科实践的核心要素。显微神经外科的原则主要基于处理可位于神经系统任何部位的具有不同特征的病变。虽然目标是以有效和精确的方式治疗这些病变，但操作应无创且微创。在手术显微镜放大倍数下器械的精细操作需要对显微神经外科解剖学有充分了解和经验。专业团队合作是显微神经外科手术的重要组成部分。除非与适当的体位摆放和神经麻醉的最佳实施相结合，否则迷人的手术入路是不实际的。尽管神经外科手术高度依赖技术进步，但应根据个人偏好和财务资源来调整其使用。为了使手术简单快捷，并重视正常解剖结构，最好只使用有限的一系列器械。本章讨论的显微神经外科基本原则基于芬兰赫尔辛基和库奥皮奥的神经外科实践，以及资深作者（J.H.）在大约10000例显微手术中的经验。要解决的问题是：如何在保留正常解剖结构的同时更安全、更快地进行手术？
