Meguro Toshinari, Tomita Yusuke, Tanabe Tomoyuki, Idei Masaru, Muraoka Kenichiro, Terada Kinya, Hirotsune Nobuyuki, Nishino Shigeki
Department of Neurological Surgery, Hiroshima City Hospital, 7-33 Motomachi, Naka-ku, Hiroshima-city, Hiroshima 730-8518, Japan.
No Shinkei Geka. 2013 May;41(5):401-5.
Extracranial-intracranial(EC-IC)bypass is an important method of treating ischemic stroke and intracranial disease requiring sacrifice of the parent artery. The most commonly used donor artery for EC-IC bypass surgery is the superficial temporal artery(STA). But there are few reports of details of harvest methods of the STA. We describe our harvest methods of the STA using the Lone Star Retractor System. After draping, the Lone Star Retractor System is placed on the head. Skin incision is on the parietal branch of the STA. Under the surgical microscope, the dermis is cut by a scalpel from the distal side of the STA. The incised wound was tensioned by the blunt hooks(elastic stay)of the Lone Star Retractor System. Connective tissue around the STA was dissected and cut by a high voltage bipolar coagulator from the distal to the proximal side of the STA. The advantage of using of The Lone Star Retractor System for the STA harvest is that, using a surgical microscope, it is easy to set the elastic stay on the wound.
颅外-颅内（EC-IC）搭桥术是治疗缺血性脑卒中以及需要牺牲供血动脉的颅内疾病的重要方法。EC-IC搭桥手术最常用的供血动脉是颞浅动脉（STA）。但关于STA取材方法细节的报道较少。我们描述了使用Lone Star牵开器系统取材STA的方法。铺巾后，将Lone Star牵开器系统置于头部。皮肤切口位于STA的顶支。在手术显微镜下，用手术刀从STA远端切开真皮。Lone Star牵开器系统的钝性钩（弹性固定器）将切开的伤口撑开。STA周围的结缔组织用高压双极电凝器从STA远端向近端进行解剖和切断。使用Lone Star牵开器系统取材STA的优点是，在手术显微镜下，很容易在伤口上设置弹性固定器。
