Division of Neurological Surgery, Barrow Neurological Institute, St Joseph's Hospital and Medical Center, Phoenix, AZ 85013, USA.
Neurosurg Clin N Am. 2010 Oct;21(4):595-605, v. doi: 10.1016/j.nec.2010.07.002. Epub 2010 Aug 30.
This article considers common minimally invasive craniotomy approaches and the role of neuroendoscopy in the removal of extra-axial and intra-axial brain tumors, excluding those of the ventricle. The use of a keyhole craniotomy combined with a carefully selected trajectory can help avoid the disadvantages associated with a standard craniotomy. However, the decision to use endoscopy must be individualized based on the patient and tumor. Endoscopy can also be used as a surgical adjunct to improve tumor resection and to help protect neurovascular structures. Complications associated with minimally invasive tumor neurosurgery have been similar to those associated with conventional neurosurgical approaches, and available outcomes are promising.
本文考虑了常见的微创开颅术方法以及神经内镜在切除颅外和颅内脑肿瘤（脑室除外）中的作用。使用锁孔开颅术并结合精心选择的手术入路有助于避免标准开颅术相关的缺点。然而，使用内镜的决定必须根据患者和肿瘤进行个体化。内镜还可以作为一种手术辅助手段，以提高肿瘤切除率并帮助保护神经血管结构。与传统神经外科手术方法相关的微创肿瘤神经外科手术的并发症相似，且现有的手术结果很有前景。
