Department of Neurosurgery.
Department of Cardiac Surgery, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, China.
J Craniofac Surg. 2020 Sep;31(6):1815-1818. doi: 10.1097/SCS.0000000000006413.
Over the past decade, endoscopic approaches have been increasingly successful in removing various types of extra-dural lesions from the skull base. Resection of tuberculum sellae meningiomas (TSMs) is challenging. The endoscopic endonasal approach (EEA) for the removal of TSMs is currently an acceptable surgical approach in neurosurgery and, despite the surgical results, the indications and limitations of this approach remain controversial.
This paper reviews the authors' experience and outcomes with the EEA for TSM, as well as postoperative complications.
Retrospective analyses were performed on patients who underwent endoscopic surgical resection of TSMs involving the suprasellar region between January 2018 and March 2019.
Three patients underwent resection of their TSM by the EEA. Tumors in the suprasellar region were completely resected. Patients recovered normally with uneventful postoperative outcomes and were followed-up for at least six months after surgery with no neurological deficits noted.
The EEA for resection of TSMs is feasible, safe, and effective, with fewer complications and lower mortality than other surgical methods. This a promising surgical approach.
在过去的十年中，内镜技术在经颅底切除各种硬膜外病变方面取得了越来越大的成功。鞍结节脑膜瘤（TSM）的切除具有挑战性。内镜经鼻入路（EEA）是目前神经外科中一种可接受的手术方法，尽管手术效果良好，但该方法的适应证和局限性仍存在争议。
本文回顾了作者应用 EEA 治疗 TSM 的经验和结果，并对术后并发症进行了分析。
对 2018 年 1 月至 2019 年 3 月期间接受内镜下鞍上区域 TSM 切除术的患者进行回顾性分析。
3 例患者采用 EEA 切除 TSM。鞍上区肿瘤完全切除。患者术后恢复正常，无手术相关并发症，且术后至少随访 6 个月，未出现神经功能缺损。
EEA 切除 TSM 是一种可行、安全、有效的方法，与其他手术方法相比，并发症更少，死亡率更低。这是一种很有前途的手术方法。
