内镜辅助切除囊性小脑血管母细胞瘤。
Endoscope-Assisted Resection for Cystic Cerebellar Hemangioblastomas.
机构信息
Department of Neurosurgery, Oxford University Hospital NHS Foundation Trust, John Radcliffe Hospital, Oxford, Oxfordshire, United Kingdom.
Department of Neurosurgery, Oxford University Hospital NHS Foundation Trust, John Radcliffe Hospital, Oxford, Oxfordshire, United Kingdom.
出版信息
World Neurosurg. 2022 Nov;167:e217-e221. doi: 10.1016/j.wneu.2022.07.132. Epub 2022 Aug 6.
BACKGROUND
Hemangioblastomas are benign, often cystic tumors occurring most commonly in the cerebellum. We describe resection of cystic cerebellar hemangioblastomas using an endoscope-assisted technique.
METHODS
We present a series of 9 cases and discuss the endoscopic technique for resection of cystic hemangioblastoma. Frameless neuronavigation was used in all cases. A small 1- to 1.5-cm corticotomy lined with Surgicel and patties allows access to the peritumoral cyst. Using bimanual microsurgical techniques and the 30-degree rigid endoscope to provide visualization, the mural nodule can be resected and the cyst cavity inspected.
RESULTS
Complete resection of the mural nodule was achieved in all cases. One patient had a postsurgery pseudomeningocele requiring ventriculoperitoneal shunt. Hospital length of stay was short for all the patients.
CONCLUSIONS
Endoscope-assisted resection is a safe and effective technique for surgical resection of cystic hemangioblastoma.
背景
血管母细胞瘤是一种良性、常为囊性的肿瘤，最常发生于小脑。我们描述了使用内镜辅助技术切除囊性小脑血管母细胞瘤。
方法
我们介绍了一系列 9 例病例，并讨论了内镜切除囊性血管母细胞瘤的技术。所有病例均使用无框架神经导航。一个 1 至 1.5 厘米的带有 Surgicel 和 patties 的皮质切开术可以进入肿瘤周围的囊肿。使用双手显微外科技术和 30 度刚性内镜进行可视化，可以切除壁结节并检查囊腔。
结果
所有病例均实现了壁结节的完全切除。1 例患者术后出现假性脑膜膨出，需要脑室-腹腔分流术。所有患者的住院时间均较短。
结论
内镜辅助切除是一种安全有效的囊性血管母细胞瘤手术切除技术。
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