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首页> 外文期刊>Neurosurgical focus >Microscopic versus endoscopic approaches for craniopharyngiomas: choosing the optimal surgical corridor for maximizing extent of resection and complication avoidance using a personalized, tailored approach
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Microscopic versus endoscopic approaches for craniopharyngiomas: choosing the optimal surgical corridor for maximizing extent of resection and complication avoidance using a personalized, tailored approach

机译：显微与内镜法治疗颅咽管瘤：使用个性化的量身定制方法选择最佳手术通道，以最大程度地切除和避免并发症

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Resection remains the mainstay of treatment for craniopharyngiomas with the goal of radical resection, if safely possible, to minimize the rate of recurrence. Endoscopic endonasal and microscopic transcranial surgical approaches have both become standard methods for the treatment for craniopharyngiomas. However, the approach selection paradigm for craniopharyngiomas is still a point of discussion. Choosing the optimal surgical approach can play a significant role in maximizing the extent of resection and surgical outcome while minimizing the risks of potential complications. Craniopharyngiomas can present with a variety of different sizes, locations, and tumor consistencies, and each individual tumor has distinct features that favor one specific approach over another. The authors review standard cranial base techniques applied to craniopharyngioma surgery, using both the endoscopic endonasal approach and traditional open microsurgical approaches, and analyze factors involved in approach selection. They discuss their philosophy of approach selection based on the location and extent of the tumor on preoperative imaging as well as the advantages and limitations of each surgical corridor, and they describe the operative nuances of each technique, using a personalized, tailored approach to the individual patient with illustrative cases and videos.
机译：切除仍然是颅咽管瘤治疗的主要手段，目的是在可行的情况下进行根治性切除，以最大程度地降低复发率。内窥镜鼻内和显微经颅外科手术方法均已成为治疗颅咽管瘤的标准方法。然而，颅咽管瘤的选择方法仍是讨论的焦点。选择最佳的手术方法可以在最大程度地扩大切除范围和手术结果的同时，将潜在并发症的风险降至最低，发挥重要作用。颅咽管瘤可以表现为多种不同的大小，位置和肿瘤稠度，并且每个单独的肿瘤都有不同的特征，它们倾向于一种特定的方法而不是另一种特定的方法。作者回顾了使用鼻内窥镜鼻腔入路和传统的开放式显微手术入路对颅咽管瘤手术应用的标准颅底技术，并分析了入路选择的相关因素。他们讨论了基于术前成像中肿瘤的位置和范围以及每个手术通道的优势和局限性来选择治疗方法的理念，并使用个性化的量身定制方法描述了每种技术的操作细微差别具有说明性案例和视频的患者。

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