神经内镜在经颅治疗脑室相关深部肿瘤手术中的应用

张鑫海; 王晓澍; 杨刚; 钟东; 夏海坚; 霍钢

doi:10.16016/j.1000-5404.202009137

您当前的位置：

首页 >

文章列表页 >

神经内镜在经颅治疗脑室相关深部肿瘤手术中的应用

神经科学 | 更新时间：2026-01-09

- 神经内镜在经颅治疗脑室相关深部肿瘤手术中的应用
- Application of neuroendoscopy in transcranial treatment of ventricle-related deep-seated tumors
- 第三军医大学学报 2021年43卷第5期页码：376-382
- 作者机构：
- 作者简介：
- 基金信息：
- DOI：10.16016/j.1000-5404.202009137
  中图分类号：
- 收稿：2020-09-17，
  
  纸质出版：2021-03-15
- 稿件说明：
移动端阅览
张鑫海, 王晓澍, 杨刚, 等. 神经内镜在经颅治疗脑室相关深部肿瘤手术中的应用[J]. 第三军医大学学报, 2021,43(5):376-382.

Xinhai ZHANG, Xiaoshu WANG, Gang YANG, et al. Application of neuroendoscopy in transcranial treatment of ventricle-related deep-seated tumors[J]. Journal of Third Military Medical University, 2021, 43(5): 376-382.
张鑫海, 王晓澍, 杨刚, 等. 神经内镜在经颅治疗脑室相关深部肿瘤手术中的应用[J]. 第三军医大学学报, 2021,43(5):376-382. DOI： 10.16016/j.1000-5404.202009137.

Xinhai ZHANG, Xiaoshu WANG, Gang YANG, et al. Application of neuroendoscopy in transcranial treatment of ventricle-related deep-seated tumors[J]. Journal of Third Military Medical University, 2021, 43(5): 376-382. DOI： 10.16016/j.1000-5404.202009137.

摘要

Abstract

Objective

To explore the application of neuroendoscopy in transcranial treatment of ventricle-related deep-seated tumors.

Methods

We retrospectively analyzed the clinical data of 21 patients with ventricle-related deep-seated tumors treated with neuroendoscopy and its auxiliary technologies in our hospital from January 2016 to March 2019

and evaluated their total surgical resection rate

incidence of postoperative complications and neurological function.

Results

The tumors of 15 patients achieved total resection

and the tumors of 6 patients achieved subtotal resection. After operation

3 cases experienced intracranial infection

1 case had new hydrocephalus and underwent secondary operation

1 case presented epileptic seizure

and 3 cases manifested with subcutaneous effusion

but no complications such as severe hematoma and edema occurred. During the 18~36 months' follow-up

no tumor recurrence was observed in the total resection group

and 2 cases in the subtotal resection group experienced tumor recurrence and operation again.

Conclusion

Neuroendoscopy has a good visualization effect in the operation area and is helpful for the reconstruction of the cerebrospinal fluid circulation in transcranial treatment of ventricle-related deep tumors. Combined with the use of intraoperative auxiliary tools

neuroendoscopy provides a guarantee for the efficiency of tumor resection and the safety of surgery.

关键词

Keywords

references

TOMLINSON S B HENDRICKS B K TORREGROSSA F Innovations in the art of microneurosurgery for reaching deep-seated cerebral lesions World Neurosurg 2019 131 321 327 10.1016/j.wneu.2019.06.210 TOMLINSON S B, HENDRICKS B K, TORREGROSSA F, et al . Innovations in the art of microneurosurgery for reaching deep-seated cerebral lesions[J ] . World Neurosurg, 2019, 131: 321-327. DOI:10.1016/j.wneu.2019.06.210.

KIM M H Transcortical endoscopic surgery for intraventricular lesions J Korean Neurosurg Soc 2017 60 3 327 334 10.3340/jkns.2017.0101.008 KIM M H. Transcortical endoscopic surgery for intraventricular lesions[J]. J Korean Neurosurg Soc, 2017, 60(3): 327-334. DOI:10.3340/jkns.2017.0101.008.

神经内镜技术临床应用专家共识编写组神经内镜手术技术治疗脑室脑池系统疾病中国专家共识中华神经外科杂志 2016 32 8 757 766 10.3760/cma.j.issn.1001-2346.2016.08.001 神经内镜技术临床应用专家共识编写组. 神经内镜手术技术治疗脑室脑池系统疾病中国专家共识[J]. 中华神经外科杂志, 2016, 32(8): 757-766. DOI: 10.3760/cma.j.issn.1001-2346.2016.08.001.

Consensus Working Group for Clinical Application of Neuroendoscopy Consensus of Chinese expert panel on neuroendoscopic surgery techniques for treatment of ventricular and cistern system diseases Chin J Neurosurg 2016 32 8 757 766 Consensus Working Group for Clinical Application of Neuroendoscopy. Consensus of Chinese expert panel on neuroendoscopic surgery techniques for treatment of ventricular and cistern system diseases[J]. Chin J Neurosurg, 2016, 32(8): 757-766. 10.3760/cma. j. issn. 1001-2346.2016.08.001.

王强徐维林张宏伟术中超声联合术中磁共振对脑深部肿瘤切除的初步探讨解放军医学院学报 2016 37 6 576 578 10.3969/j.issn.2095-5227.2016.06.014 王强, 徐维林, 张宏伟, 等. 术中超声联合术中磁共振对脑深部肿瘤切除的初步探讨[J]. 解放军医学院学报, 2016, 37(6): 576-578.

WANG Q XU W L ZHANG H W Intraoperative ultrasound combined magnetic resonance imaging in resection of deep-seated brain leisions Acad J Pla Postgrad Med Sch 2016 37 6 576 578 10.3969/j.issn.2095-5227.2016.06.014 WANG Q, XU W L, ZHANG H W, et al . Intraoperative ultrasound combined magnetic resonance imaging in resection of deep-seated brain leisions[J ] . Acad J Pla Postgrad Med Sch, 2016, 37(6): 576-578.

AKIYAMA Y WANIBUCHI M MIKAMI T Rigid endoscopic resection of deep-seated or intraventricular brain tumors Neurol Res 2015 37 3 278 282 10.1179/1743132814y.0000000439 AKIYAMA Y, WANIBUCHI M, MIKAMI T, et al . Rigid endoscopic resection of deep-seated or intraventricular brain tumors[J ] . Neurol Res, 2015, 37(3): 278-282. DOI:10.1179/1743132814y.0000000439.

SCHROEDER H W General principles and intraventricular neuroendoscopy: endoscopic techniques World Neurosurg 2013 79 2 suppl S14. e23 S14. e28 10.1016/j.wneu.2012.02.031 SCHROEDER H W. General principles and intraventricular neuroendoscopy: endoscopic techniques[J]. World Neurosurg, 2013, 79(2 suppl): S14. e23-S14. e28. DOI:10.1016/j.wneu.2012.02.031.

GAAB M R Instrumentation: endoscopes and equipment World Neurosurg 2013 79 2 suppl S14. e11 S14. e21 10.1016/j.wneu.2012.02.032 GAAB M R. Instrumentation: endoscopes and equipment[J]. World Neurosurg, 2013, 79(2 suppl): S14. e11-S14. e21. DOI:10.1016/j.wneu.2012.02.032.

AKIYAMA O MATSUSHIMA K GUNGOR A Microsurgical and endoscopic approaches to the pulvinar J Neurosurg 2017 127 3 630 645 10.3171/2016.8.jns16676 AKIYAMA O, MATSUSHIMA K, GUNGOR A, et al . Microsurgical and endoscopic approaches to the pulvinar[J ] . J Neurosurg, 2017, 127(3): 630-645. DOI:10.3171/2016.8.jns16676.

SHOAKAZEMI A EVINS A I BURRELL J C A 3D endoscopic transtubular transcallosal approach to the third ventricle J Neurosurg 2015 122 3 564 573 10.3171/2014.11.jns14341 SHOAKAZEMI A, EVINS A I, BURRELL J C, et al . A 3D endoscopic transtubular transcallosal approach to the third ventricle[J ] . J Neurosurg, 2015, 122(3): 564-573. DOI:10.3171/2014.11.jns14341.

付强李绍山刘力豪幕上脑室及脑室旁肿瘤术后继发梗阻性脑积水的预防及治疗新疆医学 2019 49 6 545 550 https://www.cnki.com.cn/Article/CJFDTOTAL-XJYI201906003.htm 付强, 李绍山, 刘力豪, 等. 幕上脑室及脑室旁肿瘤术后继发梗阻性脑积水的预防及治疗[J]. 新疆医学, 2019, 49(6): 545-550.

FU Q LI S S LIU L H Prevention and treatment of postoperative obstructive hydrocephalus to supratentorial intraventricular and paraventricular tumors Xinjiang Med 2019 49 6 545 550 https://www.cnki.com.cn/Article/CJFDTOTAL-XJYI201906003.htm FU Q, LI S S, LIU L H, et al . Prevention and treatment of postoperative obstructive hydrocephalus to supratentorial intraventricular and paraventricular tumors[J ] . Xinjiang Med, 2019, 49(6): 545-550.

DEMERDASH A ROCQUE B G JOHNSTON J Endoscopic third ventriculostomy: a historical review Br J Neurosurg 2017 31 1 28 32 10.1080/02688697.2016.1245848 DEMERDASH A, ROCQUE B G, JOHNSTON J, et al . Endoscopic third ventriculostomy: a historical review[J ] . Br J Neurosurg, 2017, 31(1): 28-32. DOI:10.1080/02688697.2016.1245848.

ZHONG J DUJOVNY M PERLIN A R Brain retraction injury Neurol Res 2003 25 8 831 838 10.1179/016164103771953925 ZHONG J, DUJOVNY M, PERLIN A R, et al . Brain retraction injury[J ] . Neurol Res, 2003, 25(8): 831-838. DOI:10.1179/016164103771953925.

EICHBERG D G BUTTRICK S BRUSKO G D Use of tubular retractor for resection of deep-seated cerebral tumors and colloid cysts: single surgeon experience and review of the literature World Neurosurg 2018 112 e50 e60 10.1016/j.wneu.2017.12.023 EICHBERG D G, BUTTRICK S, BRUSKO G D, et al . Use of tubular retractor for resection of deep-seated cerebral tumors and colloid cysts: single surgeon experience and review of the literature[J ] . World Neurosurg, 2018, 112: e50-e60. DOI:10.1016/j.wneu.2017.12.023.

SHARIF S SHAIKH M Y ALI S M Novel tool for minimally invasive brain surgery: syringe port system World Neurosurg 2019 131 339 345 10.1016/j.wneu.2019.06.202 SHARIF S, SHAIKH M Y, ALI S M. Novel tool for minimally invasive brain surgery: syringe port system[J]. World Neurosurg, 2019, 131: 339-345. DOI:10.1016/j.wneu.2019.06.202.

JO K W SHIN H J NAM D H Efficacy of endoport-guided endoscopic resection for deep-seated brain lesions Neurosurg Rev 2011 34 4 457 463 10.1007/s10143-011-0319-4 JO K W, SHIN H J, NAM D H, et al . Efficacy of endoport-guided endoscopic resection for deep-seated brain lesions[J ] . Neurosurg Rev, 2011, 34(4): 457-463. DOI:10.1007/s10143-011-0319-4.

黄海常农胜德陆明雄超声吸引器在颅内肿瘤显微外科手术中的应用进展中外医学研究 2019 17 2 172 174 https://www.cnki.com.cn/Article/CJFDTOTAL-YJZY201902087.htm 黄海常, 农胜德, 陆明雄, 等. 超声吸引器在颅内肿瘤显微外科手术中的应用进展[J]. 中外医学研究, 2019, 17(2): 172-174.

HUANG H C NONG S D LU M X Application progress of cavitron ultrasonic surgical aspirator in microsurgery of intracranial tumor Chin Foreign Med Res 2019 17 2 172 174 https://www.cnki.com.cn/Article/CJFDTOTAL-YJZY201902087.htm HUANG H C, NONG S D, LU M X, et al . Application progress of cavitron ultrasonic surgical aspirator in microsurgery of intracranial tumor[J ] . Chin Foreign Med Res, 2019, 17(2): 172-174.

IBÁÑEZ-BOTELLA G SEGURA M DE MIGUEL L Purely neuroendoscopic resection of intraventricular tumors with an endoscopic ultrasonic aspirator Neurosurg Rev 2019 42 4 973 982 10.1007/s10143-018-1011-8 IBÁÑEZ-BOTELLA G, SEGURA M, DE MIGUEL L, et al . Purely neuroendoscopic resection of intraventricular tumors with an endoscopic ultrasonic aspirator[J ] . Neurosurg Rev, 2019, 42(4): 973-982. DOI:10.1007/s10143-018-1011-8.

QIAO L SOUWEIDANE M M Purely endoscopic removal of intraventricular brain tumors: a consensus opinion and update Minim Invasive Neurosurg 2011 54 4 149 154 10.1055/s-0031-1284386 QIAO L, SOUWEIDANE M M. Purely endoscopic removal of intraventricular brain tumors: a consensus opinion and update[J]. Minim Invasive Neurosurg, 2011, 54(4): 149-154. DOI:10.1055/s-0031-1284386.

SCHROEDER H W S Intraventricular tumors World Neurosurg 2013 79 2 S17. e15 S17. e19 10.1016/j.wneu.2012.02.023 SCHROEDER H W S. Intraventricular tumors[J]. World Neurosurg, 2013, 79(2): S17. e15-S17. e19. DOI:10.1016/j.wneu.2012.02.023.

詹潮鸿张向阳肖格磊脑积水发病机制的研究进展中南大学学报(医学版) 2019 44 10 1188 1195 https://www.cnki.com.cn/Article/CJFDTOTAL-HNYD201910018.htm 詹潮鸿, 张向阳, 肖格磊. 脑积水发病机制的研究进展[J]. 中南大学学报(医学版), 2019, 44(10): 1188-1195.

ZHAN C H ZHANG X Y XIAO G L Advances in research on the pathogenesis of hydrocephalus J Central South Univ Med Sci 2019 44 10 1188 1195 https://www.cnki.com.cn/Article/CJFDTOTAL-HNYD201910018.htm ZHAN C H, ZHANG X Y, XIAO G L. Advances in research on the pathogenesis of hydrocephalus[J]. J Central South Univ Med Sci, 2019, 44(10): 1188-1195.

EBNER F H ROSER F RODER C Rigid, variable-view endoscope in neurosurgery: first intraoperative experience Surg Innov 2015 22 4 390 393 10.1177/1553350614543382 EBNER F H, ROSER F, RODER C, et al . Rigid, variable-view endoscope in neurosurgery: first intraoperative experience[J ] . Surg Innov, 2015, 22(4): 390-393. DO I:10.1177/1553350614543382.

YADAV Y R BAJAJ J PARIHAR V Practical aspects of neuroendoscopic techniques and complication avoidance: a systematic review Turk Neurosurg 2018 28 3 329 340 10.5137/1019-5149.JTN.18923-16.1 YADAV Y R, BAJAJ J, PARIHAR V, et al . Practical aspects of neuroendoscopic techniques and complication avoidance: a systematic review[J ] . Turk Neurosurg, 2018, 28(3): 329-340. DOI: 10.5137/1019-5149.JTN.18923-16.1.

YADAV Y R PARIHAR V S RATRE S Avoiding complications in endoscopic third ventriculostomy J Neurol Surg A Cent Eur Neurosurg 2015 76 6 483 494 10.1055/s-0035-1551828 YADAV Y R, PARIHAR V S, RATRE S, et al . Avoiding complications in endoscopic third ventriculostomy[J ] . J Neurol Surg A Cent Eur Neurosurg, 2015, 76(6): 483-494. DOI:10.1055/s-0035-1551828.

浏览量

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

儿童先天性心脏病手术后重症肺炎的风险预测研究

134例凝血功能障碍所致脑出血的临床特点分析