Raheja Amol, Couldwell William T
Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, 175 N. Medical Drive East, Salt Lake City, UT, 84132, USA.
J Neurooncol. 2016 Nov;130(2):263-267. doi: 10.1007/s11060-016-2197-7. Epub 2016 Jul 20.
A better understanding of surgical anatomy, marked improvement in illumination devices, provision of improved hemostatic agents, greater availability of more precise surgical instruments, and better modalities for skull base reconstruction have led to an inevitable evolution of skull base neurosurgery. For the past few decades, many skull base neurosurgeons have worked relentlessly to improve the surgical approach and trajectory for the expansion of operative corridor. With the advent of newer techniques and their rapid adaptation, it is foundational, especially for young neurosurgeons, to understand the basics and nuances of modifications of traditional neurosurgical approaches. The goal of this topic review is to discuss the evolution of, concepts in, and technical nuances regarding the operative corridor expansion in the field of skull base surgery for intracranial meningioma as they pertain to achieving optimal functional outcome.
对外科解剖结构的更深入理解、照明设备的显著改进、止血剂的改良、更精确手术器械的更多供应以及颅底重建的更好方式，导致了颅底神经外科的必然发展。在过去几十年里，许多颅底神经外科医生不懈努力，以改进手术入路和手术通道扩展的轨迹。随着新技术的出现及其迅速应用，理解传统神经外科手术入路的改良基础和细微差别，这对年轻神经外科医生尤为重要。本专题综述的目的是讨论颅内脑膜瘤颅底手术领域中手术通道扩展的发展、概念及技术细节，因为它们与实现最佳功能预后相关。
