神经内镜:最先进的技术状态
Umberto Tosi1, Sergio W Guadix1, Mark M Souweidane1
1Department of Neurological Surgery, NewYork-Presbyterian Weill Cornell Medicine, New York, New York, USA.
World neurosurgery
|October 7, 2023
概括
神经内镜提供最少的侵入性神经外科手术,但在血液静止,大质量切除和有限的利用方面面临挑战. 为了在神经外科培训中得到广泛采用和技术掌握,需要进一步发展.
科学领域:
- 神经外科 神经外科
- 最少侵入性的手术
- 医疗技术 医疗技术 医学技术
背景情况:
- 在上个世纪,神经内镜已经成为现代神经外科实践的基石.
- 它允许对关键区域进行最小侵入性访问,例如心室,头骨底部和脊柱.
研究的目的:
- 审查神经内镜在神经外科实践中的当前状态和挑战.
- 确定神经内镜技术和培训的未来发展和改进领域.
主要方法:
- 关于神经内镜开发和应用的文献综述.
- 分析当前的技术限制及其对外科手术程序的影响.
- 讨论神经外科培训和技能获取方面的挑战.
主要成果:
- 尽管光学和微创方法的进步,挑战仍然存在.
- 小的内镜通道阻碍了有效的血液静止和切除大型瘤.
- 开放式切仍然在3D可视化和双手解剖方面具有优势,仍然是神经外科训练的组成部分.
结论:
- 由于固有的技术限制,神经内镜的全部潜力尚未实现.
- 有限的利用和培训挑战阻碍了广泛的采用和掌握.
- 未来的创新必须解决这些挑战,以增强神经内镜能力和融入标准神经外科实践.
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