Department of Neurosurgery, Geisinger, Danville, PA, USA -
Weill Cornell School of Medicine, New York, NY, USA.
J Neurosurg Sci. 2021 Apr;65(2):133-139. doi: 10.23736/S0390-5616.21.05097-9.
The operative management of craniopharyngiomas has evolved over the last two decades. Traditional transcranial microsurgical approaches were the only option until the advent of the endoscopic endonasal approach. It has given surgeons the ability to tackle a challenging entity from a new perspective with comparable if not superior results. In this review we outline the advancements in endoscopic endonasal approach for craniopharyngiomas, address controversies and review the current literature.
颅咽管瘤的手术治疗在过去二十年中不断发展。传统的经颅显微外科方法是唯一的选择,直到内镜经鼻入路的出现。它使外科医生能够从新的角度处理具有挑战性的实体,并且结果可以与传统方法相媲美,如果不是更好的话。在这篇综述中,我们概述了内镜经鼻入路治疗颅咽管瘤的进展,讨论了争议,并回顾了目前的文献。