Dzhindzhikhadze R S, Dreval' O N, Lazarev V A, Bogdanovich I O
Neurosurgery Department, Russian Medical Academy of Postgraduate Education, Moscow, Russia; Inozemtsev City Clinical Hospital, Moscow, Russia.
Neurosurgery Department, Russian Medical Academy of Postgraduate Education, Moscow, Russia.
Zh Vopr Neirokhir Im N N Burdenko. 2016;80(3):99-105. doi: 10.17116/neiro201680399-105.
At early history of neurosurgery, the use of extended craniotomy was dictated by poor illumination, inadequate visualization, and the lack of accurate diagnosis. The technological progress development and the emergence of highly informative neuroimaging, microscopy, and neuroendoscopy minimized neurosurgical approaches and, accordingly, approach-associated complications. At present, the fundamental philosophy of minimally invasive surgery is of particular topicality because this surgery contributes to rapid recovery of patients and reduces the period of hospital treatment. The aim of the article is to provide a brief historical overview of the evolution of surgical approaches to the skull base, ranging from extended craniotomy to minimally invasive interventions.
在神经外科的早期历史中，扩大开颅术的使用是由照明不佳、视野不足以及缺乏准确诊断所决定的。技术的进步发展以及高信息量神经影像学、显微镜和神经内镜的出现，使神经外科手术入路得以最小化，相应地，也减少了与手术入路相关的并发症。目前，微创手术的基本理念具有特别的现实意义，因为这种手术有助于患者快速康复并缩短住院治疗时间。本文的目的是简要回顾从扩大开颅术到微创干预的颅底手术入路的演变历史。
