Department of Neurosurgery, National Neuroscience Institute, King Fahed Medical City, Riyadh, Saudi Arabia.
Division of Neurosurgery, Department of Surgery, King Abdulaziz Medical City, Ministry of the National Guard-Health Affairs, Riyadh, Saudi Arabia; King Abdullah International Medical Research Center, Riyadh, Saudi Arabia; King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
World Neurosurg. 2019 Nov;131:52. doi: 10.1016/j.wneu.2019.07.181. Epub 2019 Jul 31.
Brain retraction is crucial for adequate exposure during many intracranial procedures. It facilitates the access to the area of interest inside the brain and gives the surgeon the ability to create a corridor to visualize the deeply seated lesions. Retraction-related injury is a well-known complication. A minimally invasive retraction system has been invented and modified to improve the downside of retraction and overcome the complications. The syringe brain port system is a transtubular system composed of simple tools that are available in all medical facilities. It can help the neurosurgeons to achieve brain retraction in a safe, simple, and cost-effective technique. We are presenting a video of how to make this system. Also, we are demonstrating an intraoperative application of this system in a case of a 36-year-old male with deep-seated recurrent right frontal glioblastoma multiforme grade IV.
脑牵拉对于许多颅内手术中充分暴露至关重要。它有助于进入脑内感兴趣的区域,并使外科医生能够创建一个通道来可视化深部病变。与牵拉相关的损伤是一种众所周知的并发症。已经发明并改进了一种微创牵拉系统,以改善牵拉的缺点并克服并发症。注射器脑端口系统是一种由简单工具组成的管内系统,这些工具在所有医疗设施中都有。它可以帮助神经外科医生以安全、简单和具有成本效益的技术实现脑牵拉。我们正在展示如何制作这个系统的视频。此外,我们还展示了在一名 36 岁男性深部复发性右额胶质母细胞瘤 IV 级病例中应用该系统的术中情况。