Department of Neurological Surgery, University of California San Francisco, CA 94143-0112, USA.
Neurosurg Clin N Am. 2013 Jan;24(1):19-37. doi: 10.1016/j.nec.2012.08.001. Epub 2012 Sep 13.
The use of minimally invasive approaches to the anterior skull base is a valuable tool to improving the treatment in patients with aggressive anterior skull base neoplasms. This article discusses the history, advantages and disadvantages relative to open approaches, the corridors and pathways used in approach, the equipment and operating room setup, perioperative care, and complication avoidance. Although outcomes are difficult to compare to open approaches, due to often small and varying patient cohorts, these approaches continue to gain acceptance as an effective treatment of anterior skull base tumors in the experienced surgeon's hands with proper patient selection.
采用微创方法治疗前颅底是改善侵袭性前颅底肿瘤患者治疗效果的有效手段。本文讨论了该方法的历史、与开放式入路相比的优缺点、入路使用的通道和路径、设备和手术室设置、围手术期护理以及并发症预防。虽然由于患者群体通常较小且存在差异，因此很难将结果与开放式入路进行比较，但在经验丰富的外科医生手中，通过适当的患者选择，这些方法继续被广泛接受，成为治疗前颅底肿瘤的有效手段。
