Department of Neurosurgery, Liaquat National hospital, Karachi, Pakistan.
Department of Neurosurgery, Liaquat National hospital, Karachi, Pakistan.
World Neurosurg. 2019 Nov;131:339-345. doi: 10.1016/j.wneu.2019.06.202. Epub 2019 Jul 5.
Cylindrical tubular ports are among the most innovative dynamic tools added to the neurosurgery armamentarium. The rationale behind the use of tubular systems lies in the knowledge that damage to surrounding tissues is minimized with the equal pressure exerted by the walls of the cylinder. A microscope or an endoscope is used for visualization in the tubular ports. Neuronavigation is an essential adjuvant to ensure avoiding injury to essential brain tracts and parenchyma. In the present report, we focused on 3 commonly used cylindrical retractor systems, including the ViewSite, BrainPath, and syringe port. The custom-made syringe port system is used by us and is cost effective. It costs only the price of a syringe. The efficacy and safety of tubular port systems have been shown in limited studies. The complications associated with the port system have been minimal, and injury to the brain has been reduced by the equal pressure exerted by the walls of the port.
圆柱形管状端口是神经外科学领域中最具创新性的动态工具之一。使用管状系统的基本原理在于，通过圆柱壁的均匀压力，可以将对周围组织的损伤降到最低。显微镜或内窥镜用于管状端口的可视化。神经导航是确保避免损伤重要脑束和实质的重要辅助手段。在本报告中，我们重点介绍了 3 种常用的圆柱形牵开器系统，包括 ViewSite、BrainPath 和注射器端口。我们使用的是定制的注射器端口系统，具有成本效益。它只花费注射器的价格。管状端口系统的疗效和安全性已在有限的研究中得到证实。与端口系统相关的并发症很少，并且端口壁的均匀压力降低了对大脑的损伤。
