Zammar Samer G, Cappelli Jared, Zacharia Brad E
Neurosurgery, Penn State Health Milton S. Hershey Medical Center, Hershey, USA.
Cureus. 2019 Mar 19;11(3):e4272. doi: 10.7759/cureus.4272.
Traditional brain retraction has been associated with significant damage to the healthy brain tissue particularly when attempting to expose a deep-seated lesion of the brain. Tubular retractors tend to provide a surgical corridor to treat these lesions while minimizing the extent of retraction on the brain. Intraoperative ultrasound can be used as a handy adjunct in maximizing the safe resection primarily by identifying the entry point, visualizing the lesion, and providing real-time feedback on the extent of resection. The authors provide a technical note with case illustrations on the use of tubular retractors augmented with intraoperative ultrasound to ensure a maximal safe resection of deep-seated brain lesions.
传统的脑牵拉已被证实会对健康脑组织造成严重损伤，尤其是在试图暴露脑深部病变时。管状牵开器倾向于提供一个手术通道来治疗这些病变，同时将对脑的牵拉程度降至最低。术中超声可作为一种便捷的辅助手段，主要通过确定进入点、可视化病变以及提供切除范围的实时反馈，来最大限度地实现安全切除。作者提供了一份技术说明，并配有病例插图，介绍了使用术中超声辅助的管状牵开器，以确保最大程度地安全切除脑深部病变。
