Tzelnick Sharon, Rampinelli Vittorio, Sahovaler Axel, Franz Leonardo, Chan Harley H L, Daly Michael J, Irish Jonathan C
Division of Head and Neck Surgery, Princess Margaret Cancer Center, University of Toronto, Toronto, ON M5G 2M9, Canada.
Guided Therapeutics (GTx) Program, TECHNA Institute, University Health Network, Toronto, ON M5G 2C4, Canada.
J Clin Med. 2023 Apr 4;12(7):2706. doi: 10.3390/jcm12072706.
Surgical navigation technology combines patient imaging studies with intraoperative real-time data to improve surgical precision and patient outcomes. The navigation workflow can also include preoperative planning, which can reliably simulate the intended resection and reconstruction. The advantage of this approach in skull-base surgery is that it guides access into a complex three-dimensional area and orients tumors intraoperatively with regard to critical structures, such as the orbit, carotid artery and brain. This enhances a surgeon's capabilities to preserve normal anatomy while resecting tumors with adequate margins. The aim of this narrative review is to outline the state of the art and the future directions of surgical navigation in the skull base, focusing on the advantages and pitfalls of this technique. We will also present our group experience in this field, within the frame of the current research trends.
手术导航技术将患者的影像学研究与术中实时数据相结合，以提高手术精度和患者预后。导航工作流程还可包括术前规划，它能够可靠地模拟预期的切除和重建。这种方法在颅底手术中的优势在于，它可引导进入复杂的三维区域，并在术中针对关键结构（如眼眶、颈动脉和脑）对肿瘤进行定位。这增强了外科医生在切除肿瘤时保留正常解剖结构并获得足够切缘的能力。本叙述性综述的目的是概述颅底手术导航的现状和未来方向，重点关注该技术的优势和缺陷。我们还将在当前研究趋势的框架内介绍我们团队在该领域的经验。
