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首页> 外文期刊>Neurosurgical focus >Use of a side-cutting aspiration device for resection of tumors during endoscopic endonasal approaches
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Use of a side-cutting aspiration device for resection of tumors during endoscopic endonasal approaches

机译：内窥镜鼻腔入路期间使用侧切抽吸装置切除肿瘤

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摘要

Object: Accessing intra- and extradural tumors via an endonasal approach requires working safely in a relatively narrow area with unobstructed visibility. The authors describe their experience to highlight the utility of a side-cutting aspiration device for endoscopic endonasal resection of skull base tumors. Methods: The authors used this device in 13 nonconsecutive endoscopic endonasal procedures for different skull base tumors (8 pituitary macroadenomas, 2 craniopharyngiomas, 1 chordoma, 1 recurrent ependymoma, and 1 lymphoma). Illustrative cases and video are presented to demonstrate its use. Results: The instrument was easy to use and effective in the removal of the lesions presented in this series. In 10 patients (77%), gross-total resection was possible; in the other 3 patients (23%), more than 80% of the tumor was resected. No collateral tissue damage or any other complication resulted from device-related debulking or aspiration. Conclusions: The side-cutting tissue resector is a safe, easy to use, and effective tool for internal debulking and extracapsular dissection of nonvascularized tumors that are too firm for bimanual suction or blunt ring curette dissection. It is particularly useful when working through a deep and narrow corridor such as is encountered in endoscopic endonasal skull base surgery.
机译：目的：通过鼻内途径进入硬膜内和硬膜外肿瘤需要在相对狭窄的区域内安全地工作，且视野不被遮挡。作者描述了他们的经验，以突出侧切抽吸装置在颅底肿瘤内窥镜鼻腔内切除术中的实用性。方法：作者在13种不连续的内窥镜鼻内窥镜手术中使用了该装置，用于不同的颅底肿瘤（8例垂体大腺瘤，2例颅咽管瘤，1例脊索瘤，1例复发性室管膜瘤和1例淋巴瘤）。演示性案例和视频演示了其用法。结果：该仪器易于使用，可有效去除本系列中介绍的病变。在10例患者中（77％），可以进行全切除。在其他3例患者（23％）中，超过80％的肿瘤被切除。与设备相关的减量或抽吸不会导致任何附带组织损伤或任何其他并发症。结论：侧切组织切除器是一种安全，易于使用且有效的工具，可用于非血管化肿瘤的内部减瘤和囊外剥离，这些血管对于双手抽吸或钝环刮匙剥离太牢固。当穿过深而狭窄的走廊（例如在内窥镜鼻腔内颅底手术中遇到的情况）时，此功能特别有用。

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