松果体区肿瘤的枕下经天幕入路：我的手术方法。
The sub-occipital transtentorial approach for pineal region tumors: how I do it.
机构信息
Department of Pediatric Neurosurgery, Hôpital Femme Mère Enfant, Hospices Civils de Lyon, 69500, Bron, France.
Université Claude Bernard, Lyon 1, 69100, Villeurbanne, France.
出版信息
Acta Neurochir (Wien). 2023 Nov;165(11):3461-3465. doi: 10.1007/s00701-023-05813-1. Epub 2023 Sep 25.
BACKGROUND
Two major approaches exist for the surgical removal of pineal region tumors: the supracebellar infratentorial and the sub-occipital transtentorial.
METHODS
We present the Lyon's technique of the sub-occipital transtentorial approach for pineal region tumors and our tricks to avoid complications. The principle is to expose the pineal region under the occipital lobe and not through the interhemispheric fissure.
CONCLUSIONS
The sub-occipital transtentorial approach is a direct, extra cerebral, safe, and effective way to access tumors of the pineal region.
背景
松果体区肿瘤的手术切除有两种主要方法：幕上小脑下和枕下入路经天幕。
方法
我们介绍了里昂的枕下入路经天幕松果体区肿瘤切除术及其避免并发症的技巧。原则是在枕叶下而不是在大脑半球间裂暴露松果体区。
结论
枕下入路经天幕是一种直接、脑外、安全、有效的进入松果体区肿瘤的方法。
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