内镜经鼻入路联合视交叉前切除第三脑室颅咽管瘤。
Combined pre-retrochiasmatic resection of third ventricle craniopharyngioma by endoscopic endonasal approach.
机构信息
Department of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, 200040, China.
Neurosurgical Institute of Fudan University, Shanghai, China.
出版信息
Acta Neurochir (Wien). 2022 Dec;164(12):3297-3301. doi: 10.1007/s00701-022-05343-2. Epub 2022 Sep 8.
BACKGROUNDS
Third ventricle craniopharyngioma (TVC) refers to the tumor originating from the tuberoinfundibular, and completely located in the third ventricle; unlike most TVCs, the retrochiasmatic-infundibulum corridor is too narrow to expose the tumor with anterior extension via an endoscopic endonasal approach.
METHODS
Retrospective analysis of two TVCs via an endoscopic endonasal combined pre-retrochiasmatic approach.
CONCLUSIONS
The tumor inside the third ventricle can be satisfactorily exposed through a combined pre-retrochiasmatic approach and be completely removed with the lowest injury of the hypothalamus and optic nerve.
背景
第三脑室颅咽管瘤（TVC）是指起源于结节漏斗部，完全位于第三脑室的肿瘤；与大多数 TVC 不同，视交叉后-漏斗间通道过于狭窄，无法通过经鼻内镜入路从前部显露并延伸的肿瘤。
方法
回顾性分析 2 例经内镜经鼻联合视交叉前入路治疗 TVC。
结论
联合视交叉前入路可充分显露第三脑室内部肿瘤，并最大限度减少下丘脑和视神经损伤，实现肿瘤全切。
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