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经额前入路内镜下切除第三脑室胶样囊肿:我的手术方法

Anterior trans-frontal endoscopic resection of third-ventricle colloid cyst: how I do it.

作者信息

Nasi Davide, Iaccarino Corrado, Romano Antonio

机构信息

Neurosurgery-Neurotraumatology Unit, University Hospital of Parma, Parma, Italy.

Department of Neurosurgery, Institute for Scientific and Care Research "ASMN" of Reggio Emilia, Viale Risorgimento 80, 42121, Reggio Emilia, Italy.

出版信息

Acta Neurochir (Wien). 2017 Jun;159(6):1049-1052. doi: 10.1007/s00701-017-3149-5. Epub 2017 Apr 4.

Abstract

BACKGROUND

The endoscopic technique has been recognised as a viable and safe alternative to microsurgery for the treatment of third-ventricle colloid cyst. However, the standard precoronal endoscopic approach does not always provide an adequate visualisation of the attachment of the cyst to the velum interpositum. Using a more anterior approach, it is easier to reach the roof of the cyst and its possible adherences with the tela choroidea.

METHOD

The authors describe step by step the anterior trans-frontal endoscopic approach for management of third ventricle colloid cyst.

CONCLUSIONS

The described approach has shown to be safe, quick and effective for the treatment of third-ventricle colloid cyst.

摘要

背景

内镜技术已被公认为是治疗第三脑室胶样囊肿的一种可行且安全的替代显微手术的方法。然而,标准的冠状缝前内镜入路并不总能充分显示囊肿与中间帆的附着情况。采用更靠前的入路,更容易到达囊肿顶部及其与脉络丛的可能粘连处。

方法

作者逐步描述了经额前内镜入路治疗第三脑室胶样囊肿的方法。

结论

所描述的入路已被证明在治疗第三脑室胶样囊肿方面是安全、快速且有效的。

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