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内镜辅助下桥小脑角表皮样囊肿切除术

How I do it: cerebellopontine angle epidermoid cyst removal with endoscopic assistance.

机构信息

Department of Neurosurgery, Laval University Hospital Center (CHU de Québec - Hôpital Enfant-Jésus), 1401 18ème Rue, Québec, QC, G1J 1Z4, Canada.

Laval University Neurosurgical Innovation Laboratory, Quebec, Canada.

出版信息

Acta Neurochir (Wien). 2023 Jul;165(7):1761-1765. doi: 10.1007/s00701-022-05296-6. Epub 2022 Jul 9.

Abstract

BACKGROUND

Epidermoid cyst in the cerebellopontine angle (CPA) can involve numerous critical structures. Endoscopic assistance following microscopic removal via a retrosigmoid approach can expand the surgical corridor, allowing for more complete resection.

METHOD

We describe in a stepwise fashion the surgical steps for the microscopic removal of an epidermoid cyst of the CPA with endoscopic assistance.

CONCLUSION

Endoscopically assisted microscopic removal for CPA epidermoid cysts provides wide access to the CPA and its adjacent structures and shows to be an effective option in selected cases.

摘要

背景

桥小脑角(CPA)的表皮样囊肿可累及众多关键结构。通过乙状窦后入路显微镜切除后,内镜辅助可扩大手术通道,从而实现更彻底的切除。

方法

我们以逐步的方式描述了内镜辅助显微镜切除CPA 表皮样囊肿的手术步骤。

结论

内镜辅助显微镜切除 CPA 表皮样囊肿可广泛进入 CPA 及其毗邻结构,在某些病例中是一种有效的选择。

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