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使用氩离子凝固器手术切除脉络丛腺瘤:技术病例报告

Surgical removal of a choroid plexus adenoma using the argon beam coagulator: technical case report.

作者信息

Sutton L N, Golden J A, Needle M, Bonner K, Benetez R

机构信息

Department of Neurosurgery, Children's Hospital of Philadelphia and the University of Pennsylvania School of Medicine, USA.

出版信息

Neurosurgery. 1998 Jul;43(1):171-3; discussion 173-4. doi: 10.1097/00006123-199807000-00119.

Abstract

OBJECTIVE AND IMPORTANCE

Choroid plexus tumors may be extremely vascular, limiting surgical resection. A case of a choroid plexus adenoma is presented in which the argon beam coagulator (System 6500; ConMed Corp., Utica, NY) was used as a surgical adjunct.

CLINICAL PRESENTATION

A 12-year-old male patient with a giant tumor of the lateral ventricle presented with visual loss and was found to have a large intraventricular tumor. At surgery, the tumor was extremely vascular, and the pathological finding was consistent with a choroid plexus adenoma.

TECHNIQUE

Because of its vascularity, the tumor was resected in stages with the aid of the argon beam coagulator.

CONCLUSION

We conclude that this device may have application in selected neurosurgical operations.

摘要

目的及重要性

脉络丛肿瘤血管极为丰富,限制了手术切除。本文报道1例脉络丛腺瘤病例,术中使用氩离子凝固器(6500型系统;康美公司,纽约尤蒂卡)作为手术辅助设备。

临床表现

一名12岁男性患者,患有侧脑室巨大肿瘤,出现视力丧失,经检查发现脑室内有一个大肿瘤。手术中,肿瘤血管极为丰富,病理检查结果符合脉络丛腺瘤。

技术

由于肿瘤血管丰富,借助氩离子凝固器分阶段切除肿瘤。

结论

我们认为该设备可能在某些神经外科手术中具有应用价值。

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