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首页> 外文期刊>Neurosurgery >Water Jet Dissection in Neurosurgery: An Update After 208 Procedures With Special Reference to Surgical Technique and Complications
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Water Jet Dissection in Neurosurgery: An Update After 208 Procedures With Special Reference to Surgical Technique and Complications

机译：神经外科中的水射流解剖：208例手术后的更新，特别涉及外科手术技术和并发症

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摘要

Water jet dissection represents a promising technique for precise brain tissue dissection with preservation of blood vessels. In the past, the water jet dissector has been used for various pathologies. A detailed report of the surgical technique is lacking.OBJECTIVE: The authors present their results after 208 procedures with a special focus on surgical technique, intraoperative suitability, advantages, and disadvantages. METHODS: Between March 1997 and April 2009, 208 patients with various intracranial neurosurgical pathologies were operated on with the water jet dissector. Handling of the device and its usefulness and extent of application were assessed. The pressures encountered, potential risks, and complications were documented. The patients were followed 1 to 24 months postoperatively.RESULTS: A detailed presentation of the surgical technique is given. Differences and limitations of the water jet dissection device in the various pathologies were evaluated. The water jet dissector was intensively used in 127 procedures (61.1%), intermittently used in 56 procedures (26.9%), and scarcely used in 25 procedures (12%). The device was considered to be very helpful in 166 procedures (79.8%) and helpful to some extent in 33 procedures (15.9%). In 8 (3.8%) procedures, it was not helpful, and in 1 procedure (0.5%), the usefulness was not documented by the surgeon.CONCLUSION: The water jet dissector can be applied easily and very safely. Precise tissue dissection with preservation of blood vessels and no greater risk of complications are possible. However, the clinical consequences of the described qualities need to be demonstrated in a randomized clinical trial.
机译：水射流解剖代表了一种有希望的技术，可以在保留血管的情况下进行精确的脑组织解剖。过去，喷水分离器已用于各种病理。目的：作者对208例手术后的结果进行了介绍，特别关注手术技术，术中适用性，优缺点。方法：1997年3月至2009年4月，对208名颅内神经外科手术病理不同的患者进行了水刀解剖。评估了设备的使用及其用途和范围。记录所遇到的压力，潜在的风险和并发症。术后1〜24个月对患者进行了随访。结果：详细介绍了手术技术。评估了水射流解剖装置在各种病理中的差异和局限性。水射流解剖器在127个步骤中被大量使用（占61.1％），在56个步骤中被间歇性使用（占26.9％），而在25个步骤中很少使用（占12％）。该设备被认为对166例手术非常有帮助（79.8％），对33例程序有一定帮助（15.9％）。在8例（3.8％）的手术中，它没有帮助，而在1例（0.5％）的手术中，外科医生并未证明其有用性。结论：喷水分离器可以轻松，安全地使用。精确的组织解剖并保留血管，没有更大的并发症风险。但是，需要在随机临床试验中证明所描述质量的临床后果。

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