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经皮质入路至侧脑室:打开潘多拉魔盒。

The parietal transcortical approach to the lateral ventricle: Opening Pandora's box.

作者信息

Drapkin Allan J

机构信息

Department of Neurosurgery, Rutgers Medical and Health Sciences University, Newark, United States.

出版信息

Surg Neurol Int. 2025 May 2;16:169. doi: 10.25259/SNI_213_2025. eCollection 2025.

Abstract

BACKGROUND

Intraventricular tumors present a difficult decision regarding the selection of the optimal surgical approach for their resection. Among various possibilities, the parietal transcortical approach (PTA) is currently used in this endeavor.

METHODS

A comprehensive literature review was conducted on the surgical approaches used for the resection of intraventricular tumors, focusing on the PTA.

RESULTS

This approach presents multiple potential sequelae, some of them clinically recognized, sequelae that have varying clinical significance.

CONCLUSION

The PTA should be replaced by other safer ones.

摘要

背景

对于脑室内肿瘤,在选择最佳手术切除方法时面临艰难抉择。在各种可能的方法中,目前在这项工作中采用顶叶经皮质入路(PTA)。

方法

对用于切除脑室内肿瘤的手术入路进行了全面的文献综述,重点是PTA。

结果

这种入路存在多种潜在后遗症,其中一些在临床上已得到认识,这些后遗症具有不同的临床意义。

结论

PTA应由其他更安全的入路取代。

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