Olszewski Adam M, Tranmer Bruce I, Liebelt Brandon D
Department of Neurosurgery, University of Vermont Medical Center, Burlington, Vermont.
Neurosurg Focus Video. 2022 Jan 1;6(1):V11. doi: 10.3171/2021.10.FOCVID21195. eCollection 2022 Jan.
Maximum safe resection remains a primary goal in the treatment of glioblastoma, with gross-total resection conveying additional survival benefit. Multiple intraoperative visualization techniques have been developed to improve the extent of resection. Herein, the authors describe the use of fluorescein and endoscopic assistance with a novel microinspection device in achieving a gross-total resection of a deep seated precuneal glioblastoma. An interhemispheric transfalcine approach was utilized and microsurgical resection was completed with fluorescein guidance. A 45° endoscope was then used to inspect the resection bed, and remaining areas of concern were then resected under endoscopic visualization. The video can be found here: https://stream.cadmore.media/r10.3171/2021.10.FOCVID21195.
最大安全切除仍然是胶质母细胞瘤治疗的主要目标，全切除可带来额外的生存益处。已开发出多种术中可视化技术以提高切除范围。在此，作者描述了使用荧光素和一种新型显微检查设备辅助内镜，实现对深部楔前叶胶质母细胞瘤的全切除。采用经胼胝体间经大脑镰入路，并在荧光素引导下完成显微手术切除。然后使用45°内镜检查切除腔，随后在内镜直视下切除其余可疑区域。视频可在此处查看：https://stream.cadmore.media/r10.3171/2021.10.FOCVID21195 。
