不同类型的内窥镜和经颅联合方法治疗复杂的巨大垂体腺瘤：我是怎么做的。

IF 1.9 3区医学 Q3 CLINICAL NEUROLOGY Acta Neurochirurgica Pub Date : 2024-11-22 DOI:10.1007/s00701-024-06371-w

Ao Shen, Dongjie Zhou, Yue Min, Liang Lyu, Peizhi Zhou

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引用次数: 0

摘要

背景：巨大垂体腺瘤（GPAs）的手术带来了巨大的挑战，尤其是当肿瘤无法仅通过内窥镜鼻内径入路（EEA）或显微镜下经颅入路（MTCA）完全切除时：方法：我们对复杂的 GPA 采用了两种联合方法：方法：我们对复杂的GPA采用了两种联合方法：1）扩大内窥镜鼻内膜入路（EEEA）联合显微镜下蝶孔入路（MPA）；2）扩大内窥镜鼻内膜入路联合内窥镜经蝶孔入路（ETVA）：结论：联合方法是治疗复杂性GPA的有效手术技术。结论：EEEA-MPA方法适用于上部和外侧扩展的GPA，而EEEA-ETVA方法适用于侧脑室侵犯的肿瘤。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Different types of combined endoscopic and transcranial approaches for complex giant pituitary adenomas: how I do it

Background

Surgery for giant pituitary adenomas (GPAs) poses significant challenges, particularly when the tumor cannot be fully addressed using either the endoscopic endonasal approach (EEA) or the microscopic transcranial approach (MTCA) alone.

Method

We utilized two combined approaches for complex GPAs: 1) expanded endoscopic endonasal approach (EEEA) combined with microscopic pterional approach (MPA), and 2) EEEA combined with endoscopic transventricular approach (ETVA).

Conclusion

The combined approach is an effective surgical technique for complex GPAs. The EEEA-MPA approach is suitable for GPAs with superior and lateral extension, while the EEEA-ETVA approach is beneficial for tumors with lateral ventricular invasion.

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来源期刊

Acta Neurochirurgica 医学-临床神经学

CiteScore

4.40

自引率

4.20%

发文量

342

审稿时长

1 months

期刊介绍： The journal "Acta Neurochirurgica" publishes only original papers useful both to research and clinical work. Papers should deal with clinical neurosurgery - diagnosis and diagnostic techniques, operative surgery and results, postoperative treatment - or with research work in neuroscience if the underlying questions or the results are of neurosurgical interest. Reports on congresses are given in brief accounts. As official organ of the European Association of Neurosurgical Societies the journal publishes all announcements of the E.A.N.S. and reports on the activities of its member societies. Only contributions written in English will be accepted.