Fraioli M F, Moschettoni L, Floris R, Catena E, Fraioli B
Department of Neurosurgery, University of Rome Tor Vergata, Rome, Italy.
Minim Invasive Neurosurg. 2009 Oct;52(5-6):267-70. doi: 10.1055/s-0028-1104612. Epub 2010 Jan 14.
Diaphragma sellae meningiomas represent a difficult challenge for neurosurgeons; they are generally operated on by a transcranial approach. Some authors reported transsphenoidal surgery in selected cases, but without accurately focusing the surgical technique that should be necessary for removing the typical hard fibrous tissue of the meningioma, that is not aspirable, by this approach. We present the surgical technique and the useful instrumentarium for removing a diaphragma sellae meningioma through an extended microsurgical transsphenoidal approach.
鞍膈脑膜瘤对神经外科医生来说是一项艰巨的挑战；它们通常采用经颅入路进行手术。一些作者报道了在特定病例中采用经蝶窦手术，但没有准确聚焦于通过这种入路切除脑膜瘤典型硬纤维组织所需的手术技术，而这种组织是无法通过吸引去除的。我们介绍了通过扩大的显微经蝶窦入路切除鞍膈脑膜瘤的手术技术和有用的器械。
