内镜辅助眶上锁孔入路切除鞍上区肿瘤

Endoscope-assisted supraorbital keyhole approach for excision of suprasellar region tumor

目的 探讨内镜辅助眶上锁孔入路切除鞍上区肿瘤的显微手术技术 ,以最大限度地切除肿瘤 ,减少手术创伤。 方法 16例鞍上区肿瘤患者依据手术前影像学检查结果 ,制订个体化手术方案 ,采用眉部皮肤切口 ,在眶上行直径 2cm左右开颅 ,应用内镜辅助的显微手术技术切除病变。结果 16例患者经眶上锁孔入路技术获肿瘤全部切除 ,无手术并发症发生。 结论 眶上锁孔入路可明显减少手术创伤、提供鞍上区足够的手术空间 ,有利于肿瘤的全切除。

ObjectiveTo study endoscope-assisted microsurgical technique with supraorbital keyhole approach for the treatment of suprasellar region tumor so as to maximize tumor removal and minimize operative-trauma.MethodsAccording to high resolution CT and MR images before operation, individual operation schemes were worked out. Skin incision was made in the eyebrow, and the diameter of supraorbital craniotomy was approximately 2 cm. Endsocope-assisted microsurgical technique was used to resect lesions in 16 consecutive patients.ResultsTotal Tumors were removed in all of the 16 patients via the supraorbital keyhole approach. No postoperative complications occurred.ConclusionsSupraorbital keyhole approach may diminish tissue injury considerably and has proven to provide sufficient operating space in the supraseller region for tumor removal.