Department of Emergency Medicine, Yamagata City Hospital Saiseikan, Yamagata, Japan; Department of Neurosurgery, Yamagata City Hospital Saiseikan, Yamagata, Japan.
Department of Neurosurgery, Yamagata City Hospital Saiseikan, Yamagata, Japan.
World Neurosurg. 2019 Aug;128:295-298. doi: 10.1016/j.wneu.2019.05.035. Epub 2019 May 13.
When performing burr hole endoscopic neurosurgery, it is necessary to get enough surgical corridor. We have used various instruments to extend burr hole size, but it was cumbersome to use so many tools.
In this report, we describe a novel instrument-a dilator attachment with a cordless handle to make it simple and safe to extend a burr hole. We developed this burr hole dilator attachment with blades on the side and an arc form on the bottom to prevent dural damage. It can be used to drill safely and efficiently. We describe some experiences of using this device.
It is important to balance the maximization of the operation range and surgical invasiveness for endoscopic neurosurgery. This new dilator for extending a burr hole is a safe, useful device to get enough surgical view and easily perform a surgical procedure in endoscopic surgery.
Our dilator for expanding a burr hole improves the work of endoscopic surgery on intracranial hemorrhagic lesions.
在进行颅骨内镜神经外科手术时，需要获得足够的手术通道。我们已经使用了各种仪器来扩大颅骨钻孔的大小，但使用这么多工具很麻烦。
在本报告中，我们描述了一种新型器械——带有无绳手柄的扩张器附件，可使扩大颅骨钻孔变得简单、安全。我们开发了这种颅骨钻孔扩张器附件，其侧面有叶片，底部为弧形，可防止硬脑膜损伤。它可以安全有效地用于钻孔。我们描述了使用该装置的一些经验。
对于内镜神经外科手术，重要的是要平衡手术范围的最大化和手术的侵袭性。这种用于扩大颅骨钻孔的新型扩张器是一种安全、有用的装置，可获得足够的手术视野，并可轻松在内镜手术中进行手术。
我们用于扩大颅骨钻孔的扩张器改善了内镜手术治疗颅内出血病变的效果。
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