Department of Neurosurgery, Kunming Sanbo Brain Hospital, Kunming, 650010, China.
Department of Neurosurgery, Yunnan Cancer Hospital, Kunming, 650118, China.
BMC Surg. 2021 Jan 22;21(1):55. doi: 10.1186/s12893-021-01059-9.
There are few articles about the surgical techniques of thalamic glioma and the lesions in the basal ganglia area. According to three existing cases and the literature review (Twelve articles were summarized which mainly described the surgical techniques), we discuss the surgical characteristics of lesions of the thalamus and basal ganglia area and summarize the relevant surgical skills.
Of the three cases, two were thalamic gliomas and one was brain abscess in basal ganglia. According to the three-dimensional concept of the "Four Walls, Two Poles", lesions of the thalamus and basal ganglia were surgically removed, and the operative effect was analysed by relevant surgical techniques. Surgical resection of the lesions of the thalamus and basal ganglia area according to the three-dimensional concept of the "Four Walls, Two Poles" has achieved good surgical results. Relevant surgical techniques, such as the use of retractors, the use of aspirators, the choice of surgical approaches, and the haemostasis strategy, also played an important role in the operation process.
In the presented three cases the three-dimensional concept of the "Four Walls, Two Poles" allowed for safe surgical resection of lesions of the thalamus and basal ganglia.
关于丘脑胶质瘤和基底节区病变的手术技术，相关文献较少。根据现有的三例病例和文献复习（共总结了 12 篇主要描述手术技术的文章），我们探讨了丘脑和基底节区病变的手术特点，并总结了相关的手术技巧。
这三例病例中，两例为丘脑胶质瘤，一例为基底节区脑脓肿。根据“四壁两柱”的三维概念，对丘脑和基底节区的病变进行了手术切除，并通过相关手术技术对手术效果进行了分析。根据“四壁两柱”的三维概念，对丘脑和基底节区病变进行手术切除，取得了良好的手术效果。在手术过程中，使用牵开器、使用吸引器、选择手术入路和止血策略等相关手术技术也发挥了重要作用。
在本研究的三例病例中，“四壁两柱”的三维概念使丘脑和基底节区病变的安全手术切除成为可能。
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