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Endoscope and neuronavigational assistance in acoustic neurinoma microsurgery

Endoscope and neuronavigational assistance in acoustic neurinoma microsurgery
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摘要 The present report summarizes our experience using endoscopes and neuronavigational tech-niques as an assistance in minimally invasive tool in acoustic neurinoma surgery.Based on the experience in about 100cases done during the last5years using these additional techniques the significant benefit by using both techniques could be proven as absolutely helpful.In our patient collective until now no compli-cations could been detected regarding the use of these options as well as the effectiveness was from very high value.These,for one hand in detecting residual tumor as well as the possibility of controlling the re-sult after the resection using rigid angled endoscopes and for the other hand by the clear efficiency in us-ing neuronavigational systems in planning and performing the approach as well as doing safety drilling by removing the posterior part of the inner auditory channel.Special remarks and recommendations of the technical equipment which has been used are given as well as personal experiences in the operating room set up.Based on our results and experience the use of this two well known techniques in addition to well trained microsurgical techniques can be highly recommended. The present report summarizes our experience using endoscopes and neuronavigational tech-niques as an assistance in minimally invasive tool in acoustic neurinoma surgery.Based on the experience in about 100cases done during the last5years using these additional techniques the significant benefit by using both techniques could be proven as absolutely helpful.In our patient collective until now no compli-cations could been detected regarding the use of these options as well as the effectiveness was from very high value.These,for one hand in detecting residual tumor as well as the possibility of controlling the re-sult after the resection using rigid angled endoscopes and for the other hand by the clear efficiency in us-ing neuronavigational systems in planning and performing the approach as well as doing safety drilling by removing the posterior part of the inner auditory channel.Special remarks and recommendations of the technical equipment which has been used are given as well as personal experiences in the operating room set up.Based on our results and experience the use of this two well known techniques in addition to well trained microsurgical techniques can be highly recommended.
出处 《中国微侵袭神经外科杂志》 CAS 2002年第1期5-8,共4页 Chinese Journal of Minimally Invasive Neurosurgery
关键词 听神经瘤 显微外科 神经导航系统 外科手术 神经内镜 neuronavigation endoscope assisted acoustic neurinoma
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参考文献13

  • 1Koos W Th, Matula C, Lang J. ColorAtlas of Acoustic Neurinoma Microneurosurgery[M]. Thieme Vlg. StuttgartNew York, 2001. inpress.
  • 2Matula C, Schoeggl A, Bertalanfv A, et al. Decision making in acoustic neurinomatreatment: a management plan for microsurgery, radiosurgery or wait and see[A].//McCullochGAJ, Reilly PL. Proceedings of the 12th world congress of neurosurgery by[C]. Australia:Openbook Publishers, 2001.561-564.
  • 3MATULAC,KOOSW.TH.Minimally invasive techniques inAcoustic Neurinoma Microneurosurgery[J].中国微侵袭神经外科杂志,2001,6(1):43-46. 被引量:2
  • 4Matula C, Tschabitscher M, Day JD, et al. Endoscopically AssistedMicroneurosurgery[J]. Acta Neurochir, 1995, 134:190-195.
  • 5Matula C, Day JD, Czech Th, et al. The retrosigmoid approach to acousticneurinomas: technical, strategic, and future concepts[J]. Acta Neurochir, 1995, 134:139-147.
  • 6Samii M, Matthies C. Management of 1000 vestibular schwannomas (acoustic neuromas):the facial nerve-preservation and restitution of function[J]. Neurosurgery 1997, 40(4):684-694.
  • 7Samii M, Matthies C. Management of 1000 vestibular schwannomas (acoustic neuromas):hearing function in 1000 tumor resections[J]. Neurosurgery, 1997, 40(2): 248-260.
  • 8Samii M, Matthies C. Management of 1000 vestibular schwannomas (acoustic neuromas):surgical management and resuits with an emphasis on complications and how to avoidthem[J]. Neurosurgery, 1997, 40(1):11-21.
  • 9Samii M, Tatagiba M, Matthies C. Vestibular schwannomas:surgical approach[J]. JNeurosurg, 2001, 94(1):144-146.
  • 10Day JD, Koos W Th, Matula C, et al. Color atlas of microsurgical anatomy:approaches to the cranial base and intracranial midline [M]. Vlg. Thieme Stuttgart-NewYork.1997.

二级参考文献8

  • 1Day J.D., Koos W. Th., Matula C., Lang J. Color Atlas ofMicrosurgical Anatomy: Approaches to the Cranial Base and Intracranial Midline. (eds) Vlg.Thieme, 1997, Stuttgart-New York.
  • 2Day J.D., Tschabitscher M. (eds) with contributions by Matula C. MicrosurgicalDissection of the Cranial Base. Churchill Livingston Vlg., 1995, London -Madrid-New York.
  • 3Koos W. Th., Matula C., Levy D., Kitz K. Microsurgery Versus Radiosurgery in theTreatment of Small Acoustic Neurinomas. Acta Neurochir, 1995, 63:73-80.
  • 4Koos W.T., Day J.D., Matula C., Levy D.I. Neurotopographic considerations in themicrosurgical treatment of small acoustic Neurinomas. J Neurosurg, 1998, 88:506-512.
  • 5Koos W.Th., Spetzler R.F, J.Lang (eds) Color Atlas of Microneurosurgery. Volume 1:Intracranial Tumors. Vlg. Thieme, 1993, Stuttgart-New.
  • 6Koos W.Th., C. Matula, J. Lang (eds). Color Atlas of Acoustic NeurinomaMicroneurosurgery. Thieme Vlg., Stuttgart-New York, 2001, in press.
  • 7Matula C., Day J.D., Czech Th., Koos W. Th. The Retrosigmoid Approach to AcousticNeurinomas: Technical, Strategic, and Future Concepts. Acta Neurochir, 1995, 134:139-147.
  • 8Matula C., Tschabitscher M., Day J.D., Reinprecht A., Koos W. Th. EndoscopicallyAssisted Microneurosurgery. Acta Neurochir, 1995, 134: 190-195.

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