Donoho Daniel A, Aldave Guillermo
Division of Neurosurgery, Department of Surgery, Texas Children's Hospital, Houston; and.
Department of Neurosurgery, Baylor College of Medicine, Houston, Texas.
Neurosurg Focus Video. 2021 Jul 1;5(1):V11. doi: 10.3171/2021.4.FOCVID2120. eCollection 2021 Jul.
Pineal region tumors represent a formidable challenge to the neurosurgeon. Choosing the right approach is key to optimizing the extent of resection and minimizing surgical morbidity. In this video, the authors show an interhemispheric transcallosal approach to a pineal region tumor in a 15-year-old boy. The advantage of this corridor over posterior approaches is that it provides a nice view of the tumor plane with the venous complex, especially while dissecting tumor from the anterior aspect of the internal cerebral veins on their vertical path. Thus, this approach represents a safe and effective alternative for selected pineal tumors. The video can be found here: https://stream.cadmore.media/r10.3171/2021.4.FOCVID2120.
松果体区肿瘤对神经外科医生来说是一项艰巨的挑战。选择正确的手术入路是优化切除范围和将手术并发症降至最低的关键。在本视频中,作者展示了一名15岁男孩松果体区肿瘤的经胼胝体间入路。与后入路相比,该通道的优势在于能很好地观察肿瘤与静脉复合体的平面,尤其是在从大脑内静脉垂直段的前侧分离肿瘤时。因此,对于某些松果体肿瘤,该入路是一种安全有效的选择。视频链接如下:https://stream.cadmore.media/r10.3171/2021.4.FOCVID2120 。