严重创伤性脑损伤的基底池造瘘术：手术技术与尸体解剖
Basal Cisternostomy for Severe TBI: Surgical Technique and Cadaveric Dissection.
作者信息
Giammattei L, Starnoni D, Messerer M, Daniel R T
机构信息
Department of Neurosurgery, Lausanne University Hospital, Lausanne, Switzerland.
Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland.
出版信息
Front Surg. 2022 May 6;9:915818. doi: 10.3389/fsurg.2022.915818. eCollection 2022.
INTRODUCTION
Cisternostomy is emerging as a novel surgical technique in the setting of severe brain trauma. Different surgical techniques have been proposed with a variable degree of epidural bone work. We present here the surgical technique as it is currently performed in our Institution.
METHODS
Anatomical dissection of one adult cadaveric head, injected and non-formalin fixed was perfomed. A large right fronto-temporo-parietal craniotomy was accomplished. Extradural sphenoidal drilling till opening of the superior orbital fissure was performed. The microsurgical anatomy of basal cisternostomy was then explored.
RESULTS
A step by step description of the surgical technique, enriched with cadaveric and intraoperative images, was made.
CONCLUSION
Basal cisternostomy is a promising surgical technique that does not necessarily include complex surgical maneuvers. Trained neurosurgeon can safely implement it in their clinical practice.
引言
在严重脑外伤的情况下，脑池造瘘术正成为一种新型手术技术。已经提出了不同的手术技术，其硬膜外骨质处理程度各不相同。我们在此介绍我们机构目前所施行的手术技术。
方法
对一个成年尸体头部进行解剖，该头部已注射且未用福尔马林固定。完成了一次大型的右侧额颞顶开颅手术。进行硬膜外蝶骨钻孔直至眶上裂开放。然后探索了基底脑池造瘘术的显微手术解剖结构。
结果
对手术技术进行了逐步描述，并配有尸体和术中图像。
结论
基底脑池造瘘术是一种有前景的手术技术，不一定包括复杂的手术操作。训练有素的神经外科医生可以在临床实践中安全地实施该技术。
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