相关实验视频

Updated: Jun 17, 2026

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms

Published on: August 11, 2015

侧向超轨道方法:二维操作视频

Hugo Andrade-Barazarte^1,2, Juha Hernesniemi²

¹Department of Neurosurgery, Toronto Western Hospital, University of Toronto, Toronto, Canada.

Operative neurosurgery (Hagerstown, Md.)

|December 29, 2023

概括

侧面上轨道方法 (LSO) 是治疗脑动脉瘤和瘤的最小侵入性技术. 仔细的外科规划和执行是避免并发症和确保最佳暴露的关键.

科学领域:

神经外科神经外科
最少侵入性的手术
头骨底部手术头骨底部手术

背景情况:

体方法是一种传统的方法,用于访问前部循环动脉瘤和细胞/细胞上瘤.
最少侵入性技术在减少外科手术致病率方面具有潜在的优势.
侧面超轨道方法 (LSO) 已成为特定神经外科病理的替代方案.

研究的目的:

描述横向超轨道方法 (LSO) 的技术细微差别和应用.
突出LSO的基本步骤,解剖学考虑和潜在的陷.
讨论LSO在骨底部神经外科手术中的变化和局限性.

主要方法:

LSO涉及头发线后面的皮肤切口和一个小的骨切割.
一个单层肌肌皮被前部收缩,暴露了上线和斜过程.
切割的下限与西尔维亚裂对齐,可以进入前侧骨底部.

主要成果:

这种LSO适用于前部循环动脉瘤 (不包括远部ACA),一些后部循环动脉瘤以及细胞/细胞上瘤.
关键的解剖学里程碑包括上线和斜腿过程.
潜在的并发症包括额头鼻腔开口,轨道入口和暴露不足,可以通过仔细规划和神经导航来缓解.

结论:

侧面上轨道方法是对精选的神经外科病例的一种有价值的最小入侵技术.
熟悉解剖学地标和精细的外科手术技术对于成功的LSO手术至关重要.
变化和扩展的技术允许在复杂的头骨底部病理中更广泛地应用LSO.

更多相关视频

Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery

Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery

Published on: July 5, 2021

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy

Published on: May 12, 2023

相关概念视频

Cranial Bones: Lateral View

Cranial Bones: Lateral View

The lateral view of the cranium is dominated by temporal, sphenoid, and ethmoid bones.
The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...

Endoscopic Procedures III: Video Capsule Endoscopy

Endoscopic Procedures III: Video Capsule Endoscopy

Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers, unexplained...