Church Ephraim W, Steinberg Gary K
Department of Neurosurgery and Stanford Stroke Center, Stanford University School of Medicine, Stanford, California.
Neurosurg Focus Video. 2019 Jul 1;1(1):V7. doi: 10.3171/2019.7.FocusVid.19163. eCollection 2019 Jul.
This operative technique video demonstrates laser microsurgery for brainstem cavernous malformations (CMs). In case 1 we demonstrate CO laser microsurgery for a symptomatic pontine CM using far lateral craniotomy and olivary zone entry. Case 2 demonstrates the subtemporal approach and removal of a paratrigeminal CM, and case 3 is a dorsal midbrain CM. We illustrate several advantages of laser microsurgery including improved visualization in narrow corridors, precise cutting with reduced thermal damage, and effective sealing of small vessels. Over the past decade at Stanford University School of Medicine, over 120 brainstem CMs have been removed using laser microsurgery with good results. The video can be found here: https://youtu.be/DwwqWGv_vzo.
这段手术技术视频展示了用于脑干海绵状畸形（CMs）的激光显微手术。在病例1中，我们展示了使用远外侧开颅术和橄榄区入路对有症状的脑桥CM进行CO激光显微手术。病例2展示了颞下入路和三叉神经旁CM的切除，病例3是中脑背侧CM。我们阐述了激光显微手术的几个优点，包括在狭窄通道中改善可视化、精确切割并减少热损伤，以及有效封闭小血管。在过去十年里，斯坦福大学医学院使用激光显微手术切除了120多个脑干CM，效果良好。视频可在此处查看：https://youtu.be/DwwqWGv_vzo 。
