Kajiwara K, Yoshikawa K, Ideguchi M, Nomura S, Fujisawa H, Akimura T, Kato S, Fujii M, Suzuki M
Department of Neurosurgery, Yamaguchi University School of Medicine, Yamaguchi, Japan.
Minim Invasive Neurosurg. 2010 Apr;53(2):86-90. doi: 10.1055/s-0030-1249053. Epub 2010 Jun 8.
A new technique using a navigation system to minimize the influence of brain shift and to perform precise resection of brain tumors is demonstrated. To determine the resection plane, one to six tubes were inserted around the tumor under the guidance of a navigation system before dural incision.
This technique termed the "navigation-guided fence-post tube" (NGFP) procedure was used to treat 34 patients with intraaxial brain tumors including gliomas (23 cases), malignant lymphomas (4 cases) and metastatic tumors (7 cases). Tumors were removed totally in 23 cases (67.6%), subtotally (95% or more removal) in 6 cases (17.6%) and partially (less than 95% removal) in 5 cases (14.7%). The cases with subtotal or partial resection contained tumors that were close to or involved the eloquent area, or disseminated lesions. No complications due to tube insertion occurred.
NGFP is a useful and safe technique for brain tumor surgery with no influence of brain shift during tumor resection.
展示了一种使用导航系统来最小化脑移位影响并精确切除脑肿瘤的新技术。为确定切除平面，在硬脑膜切开前，于导航系统引导下在肿瘤周围插入一至六根导管。
这种被称为“导航引导栅栏式导管”（NGFP）手术的技术用于治疗34例脑内肿瘤患者，包括胶质瘤（23例）、恶性淋巴瘤（4例）和转移瘤（7例）。23例（67.6%）肿瘤完全切除，6例（17.6%）次全切除（切除95%或更多），5例（14.7%）部分切除（切除少于95%）。次全或部分切除的病例包含靠近或累及功能区或有播散性病变的肿瘤。未发生因导管插入引起的并发症。
NGFP是一种用于脑肿瘤手术的有用且安全的技术，在肿瘤切除过程中不受脑移位影响。
