Department of Neurosurgery, Stanford University, 300 Pasteur Dr, Stanford, CA, 94305, USA.
Department of Neurology and Neurosurgery, Rudolf Magnus Brain Institute, University Medical Center of Utrecht, Utrecht, The Netherlands.
Curr Oncol Rep. 2018 Sep 26;20(11):89. doi: 10.1007/s11912-018-0723-9.
Surgical treatment of brain tumors remains an integral part of a comprehensive treatment plan. Here, we review technological advances that have enhanced what surgeons are capable of doing within and outside the traditional operating room.
Extent of surgical resection has improved with the use of MRI and fluorescent dyes intraoperatively. Neurological injury during brain tumor surgery has decreased with appropriate use of neurophysiological monitoring. New operative scopes have enhanced ability of surgeons to visualize tissues during dissection. Laser interstitial therapy and radiation treatment have made possible the treatment of previously considered non-operable brain tumors in addition to replacing or serving as adjunct to surgical treatment of brain tumors. Surgery remains an important pillar in treatment of most brain tumors. Ongoing technological advances have augmented extent of what is possible in this realm.
脑肿瘤的外科治疗仍然是综合治疗计划的一个组成部分。在这里，我们回顾了一些技术进步，这些进步增强了外科医生在传统手术室内外的能力。
术中使用 MRI 和荧光染料可提高手术切除范围。适当使用神经生理监测可减少脑肿瘤手术中的神经损伤。新型手术器械增强了外科医生在解剖过程中观察组织的能力。激光间质热疗和放射治疗使以前认为不能手术的脑肿瘤的治疗成为可能，此外还可以替代或辅助脑肿瘤的手术治疗。手术仍然是治疗大多数脑肿瘤的重要支柱。正在进行的技术进步增加了这一领域的可能性。
