内镜颅底手术中的技术与理念创新

Technological and Ideological Innovations in Endoscopic Skull Base Surgery.

作者信息

Riley Charles A, Soneru Christian P, Tabaee Abtin, Kacker Ashutosh, Anand Vijay K, Schwartz Theodore H

机构信息

Department of Otolaryngology-Head and Neck Surgery, Weill Cornell Medical College, New York, New York, USA.

Department of Otolaryngology-Head and Neck Surgery, Weill Cornell Medical College, New York, New York, USA; Department of Neurosurgery, Weill Cornell Medical College, New York, New York, USA; Department of Neuroscience, Weill Cornell Medical College, New York, New York, USA.

出版信息

World Neurosurg. 2019 Apr;124:513-521. doi: 10.1016/j.wneu.2019.01.120. Epub 2019 Jan 29.

DOI:10.1016/j.wneu.2019.01.120

PMID:30708082

Abstract

BACKGROUND

Endoscopic skull base surgery has evolved over the last several decades due to technological advances and operative techniques. Several innovations that are not yet mainstream may have significant impact on the future of endoscopic skull base surgery.

METHODS

Current literature pertaining to innovations in endoscopic skull base surgery was retrieved using PubMed, Embase, Web of Science, and Google Scholar.

RESULTS

Several recent innovations may play an influential role in the advancement of endoscopic skull base surgery, including fluorescent dyes such as indocyanine green fluorescence, fluorescein, and 5-aminolevulinic acid, 3-dimensional endoscopes, robotic surgery, and intraoperative magnetic resonance imaging.

CONCLUSIONS

Several technologies are under current investigation with the hope to improve future outcomes in endoscopic skull base surgery. Additional research and evolution are necessary and will require intense scrutiny before becoming standard of care.

摘要