Application of CUSA Excel ultrasonic aspiration system in resection of skull base meningiomas

Application of CUSA Excel ultrasonic aspiration system in resection of skull base meningiomas
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CUSA Excel 超声抽吸系统在颅底脑膜瘤切除术中的应用

DOI:
10.3978/j.issn.1000-9604.2014.12.10
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发表时间:
2014-12-01
影响因子:
5.1
通讯作者:
Zhou, Liangfu
Zhou, Liangfu
中科院分区:
医学3区
文献类型:
--
作者:
Tang, Hailiang;Zhang, Haishi;Zhou, Liangfu

文献摘要

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背景:本文介绍Integra Lifesciences公司提供的新型CUSA Excel超声抽吸系统在颅底脑膜瘤切除术中的应用经验。方法:2014年8月至2014年10月在上海华山医院神经外科应用CUSA Excel超声抽吸系统对10例颅底前、中、蝶脊脑膜瘤患者进行手术治疗。男6例,女4例,年龄38 ~ 61岁,平均年龄48.5岁。前颅底肿瘤5例,中颅底肿瘤3例,蝶脊肿瘤2例。结果:所有患者均成功切除脑膜瘤,术中保留了重要的脑血管和神经。所有患者术后均恢复良好。结论:新型CUSA Excel超声抽吸系统在颅底脑膜瘤切除术中具有保留重要脑动脉和脑神经的优点,对颅底肿瘤手术具有重要意义。这一关键步骤将确保患者预后良好。我们希望神经外科医生能从这种技术中受益。
Background: Here, we introduced our short experience on the application of a new CUSA Excel ultrasonic aspiration system, which was provided by Integra Lifesciences corporation, in skull base meningiomas resection.Methods: Ten patients with anterior, middle skull base and sphenoid ridge meningioma were operated using the CUSA Excel ultrasonic aspiration system at the Neurosurgery Department of Shanghai Huashan Hospital from August 2014 to October 2014. There were six male and four female patients, aged from 38 to 61 years old (the mean age was 48.5 years old). Five cases with tumor located at anterior skull base, three cases with tumor on middle skull base, and two cases with tumor on sphenoid ridge.Results: All the patents received total resection of meningiomas with the help of this new tool, and the critical brain vessels and nerves were preserved during operations. All the patients recovered well after operation.Conclusions: This new CUSA Excel ultrasonic aspiration system has the advantage of preserving vital brain arteries and cranial nerves during skull base meningioma resection, which is very important for skull base tumor operations. This key step would ensure a well prognosis for patients. We hope the neurosurgeons would benefit from this kind of technique.