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管状牵开器辅助微创束旁入路中的O型臂导航：技术说明

O-ARM navigation in tubular retractor-assisted minimal invasive parafascicular approach: technical note.

作者信息

Genel Oktay, Price Sally, Marchi Francesco, Elhag Ali, WroeWright Oliver, Mirallave-Pescador Ana, Bibby Steven, Ashkan Keyoumars, Vergani Francesco, Bhangoo Ranjeev, Lavrador José

机构信息

School of Medicine, King's College London, London SE1 1UL, United Kingdom.

Department of Neurosurgery, King's College Hospital Foundation Trust, London SE5 9RS, United Kingdom.

出版信息

J Surg Case Rep. 2024 Aug 7;2024(8):rjae036. doi: 10.1093/jscr/rjae036. eCollection 2024 Aug.

DOI:10.1093/jscr/rjae036
PMID:39119532
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11305985/
Abstract

Trans-sulcal minimally invasive parafascicular surgery is an emerging technique to approach deep lesions with minimal brain retraction. Localization of the tubular retractor during surgery is critical, and intraoperative magnetic resonance imaging and neuronavigation present limitations. We describe the intraoperative use of O-Arm® coupled with pre-operative tractography to precisely localize the tubular retractor. With air acting as contrast, the tubular retractor was localized in three dimensions, without any additional disruption to white matter tracts or nearby vascular structures. We conclude that visualization of tubular retractor using an intraoperative computerized tomography scan is a safe and feasible adjunct in resection of deep lesions via a minimally invasive approach.

摘要

经脑沟微创束旁手术是一种采用最小限度脑牵拉来处理深部病变的新兴技术。手术过程中管状牵开器的定位至关重要，而术中磁共振成像和神经导航存在局限性。我们描述了术中使用O-Arm®结合术前纤维束成像来精确地定位管状牵开器。以空气作为对比剂，管状牵开器在三维空间中得以定位，且对白质纤维束或附近血管结构没有任何额外的破坏。我们得出结论，在通过微创方法切除深部病变时，使用术中计算机断层扫描来可视化管状牵开器是一种安全可行的辅助手段。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9a3/11305985/dc973511ea34/rjae036f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9a3/11305985/81f6e18c5594/rjae036f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9a3/11305985/f25744c68003/rjae036f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9a3/11305985/911e6f8576ac/rjae036f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9a3/11305985/a4a812730525/rjae036f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9a3/11305985/dc973511ea34/rjae036f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9a3/11305985/81f6e18c5594/rjae036f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9a3/11305985/f25744c68003/rjae036f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9a3/11305985/911e6f8576ac/rjae036f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9a3/11305985/a4a812730525/rjae036f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9a3/11305985/dc973511ea34/rjae036f5.jpg

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本文引用的文献

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Oper Neurosurg (Hagerstown). 2021 Mar 15;20(4):373-382. doi: 10.1093/ons/opaa407.
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Minimally invasive resection of intracranial lesions using tubular retractors: a large, multi-surgeon, multi-institutional series.使用管状牵开器进行颅内病变的微创切除术：一项大型、多术者、多机构研究系列
J Neurooncol. 2020 Aug;149(1):35-44. doi: 10.1007/s11060-020-03500-0. Epub 2020 Jun 18.
3
The Use of BrainPath Tubular Retractors in the Management of Deep Brain Lesions: A Review of Current Studies.
BrainPath管状牵开器在深部脑病变治疗中的应用：当前研究综述
World Neurosurg. 2020 Feb;134:155-163. doi: 10.1016/j.wneu.2019.08.218. Epub 2019 Sep 9.
4
Utility of Tubular Retractors Augmented with Intraoperative Ultrasound in the Resection of Deep-seated Brain Lesions: Technical Note.术中超声辅助管状牵开器在深部脑病变切除中的应用：技术说明
Cureus. 2019 Mar 19;11(3):e4272. doi: 10.7759/cureus.4272.
5
First United Kingdom Experience of Navigated Transcranial Magnetic Stimulation in Preoperative Mapping of Brain Tumors.英国首次将导航经颅磁刺激用于脑肿瘤术前定位的经验。
World Neurosurg. 2019 Feb;122:e1578-e1587. doi: 10.1016/j.wneu.2018.11.114. Epub 2018 Nov 23.
6
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8
Brain shift in neuronavigation of brain tumors: A review.脑肿瘤神经导航中的脑移位：综述。
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9
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