Side-Cutting Aspiration Device for Endoscopic and Microscopic Tumor Removal
Side-Cutting Aspiration Device for Endoscopic and Microscopic Tumor Removal
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DOI：
10.1055/s-0032-1304834
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发表时间：
2012-02-01
影响因子：
0.9
通讯作者：
Kassam, Amin B.
中科院分区：
文献类型：
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作者：
McLaughlin, Nancy;Filho, Leo F. S. Ditzel;Kassam, Amin B.
作者介绍了一种独特的侧切工具（NICO Myriad，Indianapolis，IN），具有专为肿瘤切除设计的可变抽吸功能。该研究包括对2009年10月至2011年1月收集的数据进行回顾性审查。我们详细介绍了Myriad在31例患有以下病理的患者中的使用：脑膜瘤（n=16）、脉络膜瘤（n = 3）、神经鞘瘤（n = 3）、垂体腺瘤（n = 2）、转移瘤（n = 3）、血管母细胞瘤（n = 1）、颅咽管瘤（n = 1）和鼻咽肿瘤（n = 2）。手术入路包括扩大鼻内入路（n = 19）、内窥镜脑端口（n = 3）、眶上“眉”开颅术（n = 3）、乙状窦后枕下开颅术（n = 3）、翼点开颅术（n = 1）、极远外侧开颅术（n = 1）和椎板切除术（n = 1）。30例肿瘤切除成功。仅在1例纤维性脑膜瘤中观察到器械失效。该手术工具的设计便于通过狭窄通道进行操作，同时在肿瘤切除过程中提供吸引孔的直接可视化。这些特征允许在不损伤邻近神经血管结构的情况下切除肿瘤。侧切抽吸装置可安全有效地切除肿瘤。它的低轮廓、可变抽吸和缺乏热能在通过狭窄通道（例如鼻内、端口和锁孔入路）进行肿瘤切除中特别有用。该器械的多功能性质（吸引器、剪刀和剥离器）最大限度地减少了多次交换，便于通过这些最小的通道进行肿瘤切除。
The authors present a unique side-cutting instrument (NICO Myriad, Indianapolis, IN) with variable aspiration designed specifically for tumor resection. The study included retrospective review of data collected from 10/2009 to 01/2011. We detail the use of the Myriad in 31 patients with the following pathologies: meningioma (n=16), chordoma (n = 3), schwannoma (n = 3), pituitary adenoma (n = 2), metastasis (n = 3), hemangioblastoma (n = 1), craniopharyngioma (n = 1), and nasopharyngeal tumors (n = 2). Surgical approaches included expanded endonasal approach (n = 19), endoscopic brain port (n = 3), supraorbital "eyebrow" craniotomy (n = 3), retrosigmoid suboccipital craniotomy (n = 3), pterional craniotomy (n = 1), extreme far lateral (n = 1), and laminectomy (n = 1). Successful tumor resection was achieved in 30 cases. Instrument failure was noted in only one extremely fibrous meningioma. The design of this instrument facilitated maneuvering through narrow corridors while providing direct visualization of the suction aperture during tumor resection. These features allowed for tumor removal without injury to adjacent neurovascular structures. The side-cutting aspiration device allows safe and effective tumor removal. Its low profile, variable aspiration, and lack of thermal heat energy are particularly useful in tumor resection through narrow corridors, such as endonasal, port, and keyhole approaches. The multifunctional nature of the instrument (suction, scissors, and dissectors) minimizes multiple exchanges, facilitating tumor resection through these minimal access corridors.