眶上锁孔入路：我的手术方法。
The supraorbital keyhole approach: how I do it.
作者信息
Reisch Robert, Marcus Hani J, Kockro Ralf A, Ulrich Nils H
机构信息
Centre for Endoscopic and Minimally Invasive Neurosurgery, Clinic Hirslanden, Witellikerstr. 40, 8032, Zurich, Switzerland,
出版信息
Acta Neurochir (Wien). 2015 Jun;157(6):979-83. doi: 10.1007/s00701-015-2424-6. Epub 2015 Apr 26.
BACKGROUND
Improvements in image guidance, endoscopy, and instruments, have significantly advanced "keyhole" neurosurgery. We describe the concept and technique of the supraorbital keyhole approach.
METHODS
The supraorbital keyhole approach is performed through an eyebrow skin incision. Image guidance may be used to define the optimal surgical trajectory. A limited supraorbital craniotomy is fashioned. The frontal lobe is mobilized and the central skull base approached, without the need for brain retractors. Endoscopy is used to enhance visualization, and tube-shaft instruments to improve manipulation through the narrow surgical corridor.
CONCLUSIONS
The supraorbital keyhole approach provides a safe method to access selected skull base lesions.
背景
图像引导、内窥镜检查和器械的改进显著推动了“锁孔”神经外科手术的发展。我们描述了眶上锁孔入路的概念和技术。
方法
眶上锁孔入路通过眉部皮肤切口进行。可使用图像引导来确定最佳手术路径。制作有限的眶上开颅术。无需脑牵开器即可移动额叶并接近中央颅底。使用内窥镜增强可视化，并使用管轴器械改善在狭窄手术通道中的操作。
结论
眶上锁孔入路为进入选定的颅底病变提供了一种安全的方法。
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