Giammattei L, Starnoni D, Messerer M, Daniel R T
Department of Neurosurgery, Lausanne University Hospital, Lausanne, Switzerland.
Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland.
Front Surg. 2022 May 6;9:915818. doi: 10.3389/fsurg.2022.915818. eCollection 2022.
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.
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.
A step by step description of the surgical technique, enriched with cadaveric and intraoperative images, was made.
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.
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。
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。
对手术技术进行了逐步描述，并配有尸体和术中图像。
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。
