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远外侧入路。

Far Lateral Approach.

机构信息

Neurosurgery Unit, Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy; Neurosurgery Unit, Department of Surgical Sciences, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy..

.

出版信息

Acta Biomed. 2022 Mar 21;92(S4):e2021352. doi: 10.23750/abm.v92iS4.12823.

DOI:10.23750/abm.v92iS4.12823
PMID:35441601
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9179055/
Abstract

The far lateral approach is an inferolateral extension of the lateral suboccipital approach. Designed for clipping of the aneurysms of the vertebrobasilar junction and proximal segments of the posterior inferior cerebellar artery, it became over the years a workhorse approach for ventral foramen magnum meningiomas and other intradural lesions located anterior to the dentate ligament.  This article summarizes the technical key aspects of the far lateral approach and transcondylar, supracondylar, and paracondylar extension.

摘要

远外侧入路是侧枕下入路的向外侧下方的延伸。该入路用于夹闭椎动脉-基底动脉交界部和小脑后下动脉近端的动脉瘤，多年来成为了前齿状韧带的颅颈交界区脑膜瘤和其他硬脊膜内病变的主要入路。本文总结了远外侧入路及其经髁突、髁上和髁旁延伸的技术要点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c07b/9179055/01bbb3418b18/ACTA-92-352-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c07b/9179055/abb6e7584852/ACTA-92-352-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c07b/9179055/ca6b0c0d5854/ACTA-92-352-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c07b/9179055/6c0390ecb2f7/ACTA-92-352-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c07b/9179055/01bbb3418b18/ACTA-92-352-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c07b/9179055/abb6e7584852/ACTA-92-352-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c07b/9179055/ca6b0c0d5854/ACTA-92-352-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c07b/9179055/6c0390ecb2f7/ACTA-92-352-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c07b/9179055/01bbb3418b18/ACTA-92-352-g004.jpg

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Trauma Coagulopathy and Its Outcomes.创伤性凝血病及其结局。
经斜直切口远外侧入路手术治疗枕骨大孔区肿瘤：病例系列报告及技术说明
Front Oncol. 2024 Jun 12;14:1391002. doi: 10.3389/fonc.2024.1391002. eCollection 2024.
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Jugular Foramen Tumors: Surgical Strategies and Representative Cases.颈静脉孔区肿瘤：手术策略及典型病例
Brain Sci. 2024 Feb 17;14(2):182. doi: 10.3390/brainsci14020182.
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Key role of microsurgical dissections on cadaveric specimens in neurosurgical training: Setting up a new research anatomical laboratory and defining neuroanatomical milestones.显微外科解剖在神经外科培训中对尸体标本的关键作用：建立一个新的研究解剖实验室并确定神经解剖学里程碑。
Front Surg. 2023 Mar 9;10:1145881. doi: 10.3389/fsurg.2023.1145881. eCollection 2023.
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