Safaee Michael M, Englot Dario J, Han Seunggu J, Lawton Michael T, Berger Mitchel S
Department of Neurological Surgery, University of California, San Francisco, CA, USA.
J Neurooncol. 2016 Nov;130(2):283-287. doi: 10.1007/s11060-016-2154-5. Epub 2016 Jun 13.
Insular gliomas represent a unique surgical challenge due to the complex anatomy and nearby vascular elements associated within the Sylvian fissure. For certain tumors, the transsylvian approach provides an effective technique for achieving maximal safe resection. The goal of this manuscript and video are to present and discuss the surgical nuances and appropriate application of splitting the Sylvian fissure. Our hope is that this video highlights the safety and efficacy of the transsylvian approach for appropriately selected insular gliomas.
由于岛叶胶质瘤所处的复杂解剖结构以及与外侧裂相关的附近血管结构，其手术具有独特的挑战性。对于某些肿瘤，经外侧裂入路提供了一种实现最大安全切除的有效技术。本手稿和视频的目的是展示并讨论劈开外侧裂的手术细微差别及适当应用。我们希望这个视频突出经外侧裂入路对适当选择的岛叶胶质瘤的安全性和有效性。
