高倍显微镜手术中用于高级别胶质瘤安全有效切除的解剖学标志：我的操作方法。
Anatomical landmarks during high-magnification microsurgery for a safe and effective resection of high-grade gliomas: how I do it.
机构信息
Department of Neurosurgery, IRCCS Neuromed, Pozzilli, IS, Italy.
Department of Human Neurosciences, University of Rome "La Sapienza", Rome, Italy.
出版信息
Acta Neurochir (Wien). 2023 Dec;165(12):4235-4240. doi: 10.1007/s00701-023-05723-2. Epub 2023 Sep 1.
BACKGROUND
Gross total resection, when possible, is the first crucial treatment for high-grade gliomas, as it has been demonstrated to be associated with longer survival. Different intraoperative tools, such as neuronavigation, fluorescent agents, and intra-operative ultrasound, have been developed to help neurosurgeons to extend the resection.
METHODS
We describe the high-magnification microsurgery technique used during the first surgical removal for high-grade gliomas. We illustrate the key anatomical "markers" of normal brain parenchyma, which guide the surgery.
CONCLUSION
High-magnification microsurgery is an anatomically based approach that allows the identification of key anatomical "markers" of normal brain parenchyma in order to resect high-grade gliomas safely and effectively.
背景
最大限度地切除肿瘤，当有可能时，是高级别脑胶质瘤的首要关键治疗方法，因为它已经被证明与更长的生存时间相关。不同的术中工具，如神经导航、荧光剂和术中超声，已经被开发出来，以帮助神经外科医生扩大切除范围。
方法
我们描述了用于高级别脑胶质瘤首次手术切除的高倍显微镜手术技术。我们展示了指导手术的正常脑实质的关键解剖“标志物”。
结论
高倍显微镜手术是一种基于解剖学的方法，它允许识别正常脑实质的关键解剖“标志物”，以便安全有效地切除高级别脑胶质瘤。
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