Ekanayake Jinendra, Baudracco Irene, Quereshi Anjum, Vercauteren Tom, Dorward Neil L
a National Hospital for Neurology and Neurosurgery , London , UK.
b Wellcome Trust/EPSRC Centre for Interventional and Surgical Sciences , London , UK.
Br J Neurosurg. 2018 Feb;32(1):44-46. doi: 10.1080/02688697.2017.1406058. Epub 2017 Dec 4.
We describe a novel patient position for endoscopic transphenoidal surgery - the 'conversational position'. This position is a safe and effective alternative to the standard supine position, incorporating a semi-sitting position with the additional innovation of achieving a 'conversational position' by flexing the neck and turning the patient's head turned to face the surgeon. The 'conversational' position offers improvements in the surgical approach to sellar region, addressing specific intraoperative challenges such as maintaining a bloodless operative field, and enabling more intuitive and ergonomic surgical workflow.
我们描述了一种用于内镜经蝶窦手术的新型患者体位——“对话体位”。该体位是标准仰卧位的一种安全有效的替代方案，采用半坐位，并通过弯曲颈部和转动患者头部使其面向外科医生这一额外创新实现“对话体位”。“对话体位”改善了蝶鞍区的手术入路，解决了诸如保持术野无血等特定术中挑战，并实现了更直观、更符合人体工程学的手术流程。
