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首页> 外文期刊>Journal of neurosurgical sciences >The endoscopic endonasal approach for the management of craniopharyngiomas
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The endoscopic endonasal approach for the management of craniopharyngiomas

机译：颅咽管管理的内窥镜内切术方法

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摘要

Craniopharyngiomas are disembryogenetic, benign, tumors that origin from squamous epithelial remnants of Rathke's pouch, developing from any segment of its course, virtually from rhino-pharynx to the hypothalamus. Historically, different microscopic transcranial routes, have been advocated as possible surgical options for the treatment of craniopharyngiomas. The endonasal technique offers a direct approach that permits access to the suprasellar, retrosellar and retroclival space, obviating brain retraction; it provides the advantage of appraoching cranioopharyngi-omas without optic nerve manipulation and/or retraction. We herein present the surgical nuances of the endoscopic endonasal approach for the treatment of craniopharyngiomas, highlighting hints, advantages and drawbacks, also in regards of the anatomy dealt with. The endoscopic endonasal technique has been emerging as a viable approach/alternative for the treatment of this disease as the endoscope itself increased its safety and effectiveness. It allows the removal of both infra and supradiaphragmatic lesions - eventually involving the third ventricle chamber but not extending laterally off the ICA out of the visibility and maneuverability of the instruments - avoiding brain and optic nerve manipulation and retraction, with good visualization of the pituitary gland and stalk and the main neurovascular structures.
机译：Craniopharyngiomas是脱蚁霉素的，良性，肿瘤，从Rathke的袋子的鳞状上皮残留，从其过程的任何一段发展，几乎从犀牛咽部到下丘脑。历史上，不同的微观经纪路线已被提倡作为治疗颅咽管瘤的可能的手术选择。型技术技术提供了一种直接的方法，允许进入宿舍，封膜和逆转期空间，消除脑收缩;它提供了在没有视神经操纵和/或缩回的情况下批准颅Cranioopharyngi-OMA的优势。我们在本文中介绍了用于治疗颅咽管瘤的内镜型型嗜疗法的手术细微差异，突出显示提示，优点和缺点，也在解剖学中涉及解剖学。由于内窥镜本身提高其安全性和有效性，因此已经成为一种可行的方法/替代这种疾病的可行方法/替代方法。它允许去除红外线和超大术病变 - 最终涉及第三脑室室，但没有横向地延伸ICA的仪器的可见性和机动性 - 避免大脑和视神经操纵和缩回，垂体垂体良好可视化和茎和主要的神经血管结构。

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