Brain Tumor and Neuro-Oncology Center, Department of Neurological Surgery, Taussig Cancer Institute, Neurological Institute, Cleveland Clinic, Cleveland, OH, USA.
J Neurooncol. 2010 Sep;99(3):357-64. doi: 10.1007/s11060-010-0359-6. Epub 2010 Aug 27.
The use of surgical navigation systems (SNSs) is well established in intracranial surgery for gliomas and metastases yet some doubt its benefit in surgery for intracranial meningiomas. In this chapter we review the authors' experiences and literature on how use of surgical navigation may be useful in craniotomy for intracranial mengingiomas. With the exception of small convexity meningiomas, finding the tumor is not a common problem. The most important issues where the capabilities of SNS can be used to the surgeon's advantage are optimizing the bone and dural opening, avoiding arterial and venous structures, defining the frontal air sinuses and determining one's location within a large tumor devoid of landmarks. Contemporary SNS can provide instantaneous localization and orientation information, as well as utilize multimodality imaging that is required to address these problems and is an effective means of optimizing surgery for many intracranial meningiomas.
外科导航系统 (SNS) 在颅内胶质瘤和转移瘤的手术中已得到广泛应用，但对于颅内脑膜瘤手术的益处仍存在一些质疑。在本章中，我们回顾了作者在颅内脑膜瘤开颅手术中使用外科导航的经验和相关文献。除了小型凸面脑膜瘤外，找到肿瘤并不是一个常见的问题。SNS 的功能可以使外科医生受益的最重要问题是优化骨瓣和硬脑膜开口、避免动脉和静脉结构、确定额窦以及在没有标志物的大型肿瘤中确定自己的位置。现代的 SNS 可以提供即时的定位和定向信息，并利用多模态成像来解决这些问题，是优化许多颅内脑膜瘤手术的有效手段。
