Aldea Sorin, Halimi Floriana, Le Guerinel Caroline
Department of Neurosurgery, Adolphe de Rothschild Foundation Hospital, 25 Rue Manin, 75019, Paris, France.
Acta Neurochir (Wien). 2025 May 14;167(1):138. doi: 10.1007/s00701-025-06502-x.
Tumours of the parasellar area may engulf the internal carotid artery(ICA) and its branches which may preclude complete resection and may be a risk factor for ischemic complications.
We present a surgical technique based on a stepwise identification of the arterial branches which may enable a complete resection in selected cases even when complete encasement of the ICA is present on preoperative images.
Resection of tumours encasing the major vascular structures should be systematically attempted while continuously weighing the delicate balance between the risk of vascular injury and the extent of resection.
鞍旁区域肿瘤可能包绕颈内动脉（ICA）及其分支，这可能妨碍肿瘤的完整切除，并且可能是缺血性并发症的危险因素。
我们提出一种基于逐步识别动脉分支的手术技术，即使术前影像学显示ICA完全被包绕，该技术也可能使部分病例实现肿瘤的完整切除。
在系统性尝试切除包绕主要血管结构的肿瘤时，应持续权衡血管损伤风险与切除范围之间的微妙平衡。
