Filis Andreas K, Moon Karam, Cohen Alan R
Division of Pediatric Neurosurgery, Rainbow Babies and Children's Hospital, Neurological Institute, Case Western Reserve University School of Medicine, Cleveland, Ohio 44106, USA.
Pediatr Neurosurg. 2009;45(6):434-6. doi: 10.1159/000277617. Epub 2010 Jan 26.
Surgical resection of craniopharyngiomas may be challenging sometimes because of the size, location and tenacity. Simultaneous endoscopic and microsurgical resection is a novel way to approach such lesions. The aim of this report is to discuss the usefulness of combined endoscopic and microsurgical approaches in treating complex craniopharyngiomas along with a review of the literature.
A child with hydrocephalus and a large suprasellar craniopharyngioma underwent synchronous endoscopic and microsurgical resection of the lesion.
Gross total resection of the tumor was achieved. There were no postoperative complications. Hydrocephalus was also treated successfully.
Neuroendoscopy can complement microsurgery in approaching complex craniopharyngiomas particularly when these tumors are large and accompanied by hydrocephalus.
由于颅咽管瘤的大小、位置及坚韧度，其手术切除有时具有挑战性。同步内镜和显微手术切除是处理此类病变的一种新方法。本报告旨在探讨内镜和显微手术联合方法在治疗复杂颅咽管瘤中的效用，并对文献进行综述。
一名患有脑积水及巨大鞍上颅咽管瘤的儿童接受了病变的同步内镜和显微手术切除。
实现了肿瘤的全切除。无术后并发症。脑积水也得到了成功治疗。
神经内镜可在处理复杂颅咽管瘤时补充显微手术，尤其是当这些肿瘤较大且伴有脑积水时。
