Balak Naci, Cavumirza Cengiz, Yildirim Hümeyra, Ozdemir Seçil, Kinay Demet
Department of Neurosurgery, Bakirköy Education and Research Hospital, Istanbul, Turkey.
Neurosurgery. 2006 Oct;59(4 Suppl 2):ONSE486; discussion ONSE486. doi: 10.1227/01.NEU.0000232766.77094.79.
Surgery is presently the mainstay in the treatment of cerebral hydatid cysts, but removal without perforation of the cyst wall is critical. The Dowling-Orlando technique has been the main surgical choice for the intact removal of intracranial hydatid cysts. Dowling described his technique in 1929, well before the introduction of the microscope in neurosurgery. Using the operating microscope has not been reported in the removal of a large hydatid cyst.
The case of a 16-year-old male with a large, right parieto-occipital hydatid cyst is presented.
In this case, surgery was greatly aided by the use of the microscope in the initial stage of the removal of the cyst. Cyst extraction during the delivery process was continued without the aid of the microscope. The cyst was successfully removed intact.
The use of the magnification during the early part of the surgery of a hydatid cyst is extremely helpful because, at a crucial stage of the procedure, it prevents inadvertent damage of the very thin cyst wall and allows development of the critical surgical plane.
手术目前是治疗脑包虫囊肿的主要手段，但在不穿破囊肿壁的情况下完整切除囊肿至关重要。道林 - 奥兰多技术一直是完整切除颅内包虫囊肿的主要手术选择。道林在1929年描述了他的技术，远在神经外科引入显微镜之前。在切除大型包虫囊肿时使用手术显微镜尚未见报道。
本文报道了一名16岁男性患者，其右侧顶枕部有一个大型包虫囊肿。
在该病例中，在囊肿切除初期使用显微镜极大地辅助了手术。在囊肿娩出过程中，后续囊肿摘除未借助显微镜。囊肿成功完整摘除。
在包虫囊肿手术早期使用放大设备极其有用，因为在手术关键阶段，它可防止意外损伤极薄的囊肿壁，并有助于形成关键的手术平面。
