联合入路切除巨型颅咽管瘤

Combined Operative Approach to Resect Giant Craniopharyngiomas

采用联合入路切除巨型颅咽管瘤(>6cm)7例,其中4例全切除,无1例死亡。根据肿瘤生长方向可分为横轴生长型和纵轴生长型。前者采用额下-翼点-颞下联合入路,后者采用额下-侧脑室联合入路。尽管肿瘤巨大,但采用联合入路和显微外科技术也能做到全切除。

The combined operative approaches were used to resect giant craniopharyngiomas in 7 patients. Total removal of the tumors was underwent in 4 of 7 patients. None of them were aead. The tumors were divided two types according to extension of them. The combined subfrontal-pterional-subtemporal approach should be chosen for transversal extension of the tumors and the combined subfrontallaterl ventricular approach for longitudinal extension of the tumors. It is possible even for giant craniopharyngioma to be resected completely by combined approach with microneurosurgical skill.