Department of Neurosurgery, Okazaki Medical Center, Fujita Health University, Harisaki-Cho, 1 Gotanda, Okazaki, Aichi, 444-0827, Japan.
Department of Neurosurgery, Fujita Health University, Toyoake, Aichi, 470-1192, Japan.
Acta Neurochir (Wien). 2024 Jan 29;166(1):44. doi: 10.1007/s00701-024-05948-9.
In intraventricular surgery using a flexible endoscope, the lesion is usually aspirated via the working channel. However, the surgical view during aspiration is extremely poor because the objective lens is located adjacent to the working channel.
To address this issue, we developed a novel surgical procedure using an angiographic catheter. In this procedure, the catheter is inserted into the working channel, and the lesion is aspirated through the catheter. Besides, continuous intraventricular irrigation is performed via the gap between the catheter and the working channel.
This procedure maintains a clear view during surgery and reduces complications.
在使用软性内窥镜进行脑室内手术时，通常通过工作通道抽吸病变组织。然而，由于物镜位于工作通道旁边，抽吸时的手术视野极差。
为了解决这个问题，我们开发了一种使用血管造影导管的新手术程序。在该程序中，将导管插入工作通道，通过导管抽吸病变组织。此外，通过导管和工作通道之间的间隙进行持续的脑室内灌洗。
该程序在手术过程中保持清晰的视野，并减少了并发症。
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