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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.

DOI:10.1007/s00701-022-05296-6
PMID:35809146
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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How I do it: cerebellopontine angle epidermoid cyst removal with endoscopic assistance.内镜辅助下桥小脑角表皮样囊肿切除术
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本文引用的文献

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Correction to: Long‑term surgical oncological and functional outcome of large petroclival and cerebellopontine angle epidermoid cysts: a multicenter study.对《大型岩斜区及桥小脑角表皮样囊肿的长期外科肿瘤学及功能预后：一项多中心研究》的勘误
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Endoscopic Resection of a Cerebellopontine Angle Epidermoid Cyst via a Retrosigmoid Approach.经乙状窦后入路内镜下切除桥小脑角表皮样囊肿
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The modified retrosigmoid approach: a how I do it.
改良经岩骨乙状窦后入路：方法介绍。
Acta Neurochir (Wien). 2019 Feb;161(2):417-423. doi: 10.1007/s00701-018-3764-9. Epub 2018 Dec 19.
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Endoscope-Assisted Retrosigmoid Approach for Cerebellopontine Angle Epidermoid Tumor.内窥镜辅助乙状窦后入路治疗桥小脑角表皮样囊肿
J Neurol Surg B Skull Base. 2018 Dec;79(Suppl 5):S409-S410. doi: 10.1055/s-0038-1669983. Epub 2018 Oct 16.
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Cerebellopontine angle epidermoid cysts: clinical presentations and surgical outcome.桥小脑角表皮样囊肿：临床表现与手术结果
Neurosurg Rev. 2016 Apr;39(2):259-66; discussion 266-7. doi: 10.1007/s10143-015-0684-5. Epub 2015 Nov 14.
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The cerebellopontine angle and posterior fossa cranial nerves by the retrosigmoid approach.经乙状窦后入路显露小脑脑桥角及后颅窝脑神经。
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