Rennert Robert C, Santiago-Dieppa David R, Figueroa Javier, Sanai Nader, Carter Bob S
Department of Neurosurgery, University of California, San Diego, 200 West Arbor Drive, San Diego, CA, 92103, USA.
Division of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA.
J Neurooncol. 2016 Nov;130(2):377-382. doi: 10.1007/s11060-016-2180-3. Epub 2016 Jun 22.
Recent technological advancements have drastically improved the safety and surgical precision of operative neuro-oncology. These include techniques for avoiding critical functional structures through pre-operative mapping and trajectory planning, as well the development and refinement of minimally invasive surgical approaches. Innovations in intra-operative tumor mapping, and post-resection tumor ablation have further combined to improve surgical outcomes. This review highlights such advancements and discusses future directions within operative neuro-oncology.
近期的技术进步极大地提高了手术神经肿瘤学的安全性和手术精准度。这些进步包括通过术前定位和轨迹规划来避开关键功能结构的技术,以及微创外科手术方法的发展与完善。术中肿瘤定位和切除后肿瘤消融的创新进一步结合起来改善了手术效果。本综述重点介绍了这些进展,并讨论了手术神经肿瘤学的未来发展方向。