硬膜静脉窦外侧壁脑膜瘤的经颅内外镜两步法治疗：我的经验。
Exo- and endoscopic two-step approach for meningeal tumours invading the lateral wall of large dural venous sinuses: how I do it.
机构信息
Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Department of Neurosurgery, Aichi Medical University, Aichi, Japan.
出版信息
Acta Neurochir (Wien). 2024 Oct 7;166(1):397. doi: 10.1007/s00701-024-06298-2.
BACKGROUND
Treating meningeal tumours invading the large dural venous sinuses is a subject of debate regarding the approach for removing the intra-sinus components. Additionally, directly observing the invasion site of tumours invading the lateral wall of the sinus is difficult.
METHOD
We describe our exo- and endoscopic two-step approach (EETA): an exoscope is used to remove the extra-sinus component, while an endoscope is used to observe the invaded lateral wall and remove the intra-sinus component.
CONCLUSION
EETA can be a viable option for treating meningeal tumours invading the venous sinus owing to its high resection rate and low invasiveness.
背景
对于累及大型硬脑膜静脉窦的脑膜瘤，在切除窦内成分时，手术入路的选择仍存在争议。此外，直接观察肿瘤累及窦侧壁的侵犯部位也存在困难。
方法
我们描述了一种外窥镜和内镜两步法（EETA）：使用外窥镜切除窦外成分，使用内镜观察并切除窦内成分。
结论
EETA 可作为治疗累及静脉窦脑膜瘤的一种可行方法，因其具有较高的切除率和较低的侵袭性。
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