单鼻孔内镜经鼻蝶入路垂体手术。
Mononostril endoscopic endonasal approach for pituitary surgery.
机构信息
Department of Neurosurgery, Foch Hospital, 40 rue Worth, 92150, Suresnes, France.
Department of Anesthesiology, Foch Hospital, 40 rue Worth, 92150, Suresnes, France.
出版信息
Acta Neurochir (Wien). 2021 Mar;163(3):655-659. doi: 10.1007/s00701-020-04542-z. Epub 2020 Aug 29.
BACKGROUND
Most surgical teams currently consider that endoscopy has become the "gold standard" technique for the transsphenoidal approach to pituitary surgery. Pituitary adenomas are commonly benign tumours and should benefit from the least invasive approach.
METHOD
In Foch Hospital, from 2006 to 2020, 2835 patients with pituitary adenomas were treated with a mononostril endoscopic endonasal approach. Here we describe the fine details of the nasal, sphenoidal and sellar steps of this technique.
CONCLUSION
Complete preservation of the nasal corridor, luxation of the nasal septum and tailored sellar bone resection are essential for safe resection of pituitary adenomas.
背景
目前大多数外科手术团队认为，经蝶窦入路垂体手术内镜已经成为“金标准”技术。垂体腺瘤通常是良性肿瘤，应采用创伤最小的方法进行治疗。
方法
在 Foch 医院，2006 年至 2020 年，采用单鼻孔内镜经鼻入路治疗了 2835 例垂体腺瘤患者。本文详细描述了该技术的鼻腔、蝶窦和鞍区步骤。
结论
为了安全切除垂体腺瘤，必须完整保留鼻腔通道、鼻中隔脱位和定制的鞍底骨切除。
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