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鼻内镜经鼻入路在成人侵犯第三脑室的颅咽管瘤治疗中的作用

Role of endoscopic endonasal approach for craniopharyngiomas extending into the third ventricle in adults.

作者信息

Zoli Matteo, Guaraldi Federica, Zenesini Corrado, Acciarri Nicola, Sollini Giacomo, Asioli Sofia, Faustini-Fustini Marco, Agati Raffaele, Cirillo Luigi, Tonon Caterina, Lodi Raffaele, Pasquini Ernesto, Mazzatenta Diego

机构信息

IRCCS Istituto delle Scienze Neurologiche di Bologna, Programma Neurochirurgia Ipofisi - Pituitary Unit, Bologna, Italy.

Department of Biomedical and Neuromotor Sciences, University of Bologna, Italy.

出版信息

Brain Spine. 2022 Jun 30;2:100910. doi: 10.1016/j.bas.2022.100910. eCollection 2022.

DOI:10.1016/j.bas.2022.100910
PMID:36248121
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9560538/
Abstract

•EAA is an innovative, promising, safe and effective approach for 3VCPs.•Key of success is surgeon learning curve in endoscopy and patients selection.•With correct indications, EEA gives GTR and morbidity rate similar to other routes.•Clinical, tumoral and anatomical features should be considered for EEA selection.

摘要

•内镜辅助前路手术(EAA)是一种用于三脑室底造瘘术(3VCPs)的创新、有前景、安全且有效的方法。

•成功的关键在于外科医生在内镜方面的学习曲线和患者的选择。

•在正确的适应症下,内镜辅助前路手术(EEA)的全切除率(GTR)和发病率与其他手术路径相似。

•选择内镜辅助前路手术(EEA)时应考虑临床、肿瘤和解剖学特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63f3/9560538/a3e7553b8ee8/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63f3/9560538/02f452f64dcb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63f3/9560538/845e7d3479d2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63f3/9560538/e957eef3d106/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63f3/9560538/a3e7553b8ee8/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63f3/9560538/02f452f64dcb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63f3/9560538/845e7d3479d2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63f3/9560538/e957eef3d106/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63f3/9560538/a3e7553b8ee8/gr4.jpg

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Endoscopic Transcortical-Transventricular Approach in Treating Third Ventricular Craniopharyngiomas-Case Series With Technical Note and Literature Review.内镜经皮层经脑室入路治疗第三脑室颅咽管瘤——附技术要点及文献复习的病例系列研究
Oper Neurosurg (Hagerstown). 2022 Apr 1;22(4):192-200. doi: 10.1227/ONS.0000000000000114.
2
Strictly third ventricle craniopharyngiomas: pathological verification, anatomo-clinical characterization and surgical results from a comprehensive overview of 245 cases.严格意义上的第三脑室颅咽管瘤:245 例全面回顾的病理验证、解剖临床特征及手术结果。
Neurosurg Rev. 2022 Feb;45(1):375-394. doi: 10.1007/s10143-021-01615-0. Epub 2021 Aug 27.
3
Aggressive Childhood-onset Papillary Craniopharyngioma Managed With Vemurafenib, a BRAF Inhibitor.
使用BRAF抑制剂维莫非尼治疗侵袭性儿童期起病的乳头状颅咽管瘤
J Endocr Soc. 2021 Mar 16;5(5):bvab043. doi: 10.1210/jendso/bvab043. eCollection 2021 May 1.
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Craniopharyngiomas: Challenges and Controversies.颅咽管瘤:挑战与争议。
World Neurosurg. 2020 Oct;142:593-600. doi: 10.1016/j.wneu.2020.05.172.
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Current Results of Surgical Treatment of Craniopharyngiomas: The Impact of Endoscopic Endonasal Approaches.颅咽管瘤的手术治疗现状:内镜经鼻入路的影响。
World Neurosurg. 2020 Oct;142:582-592. doi: 10.1016/j.wneu.2020.05.174.
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