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特集 一生使える頭蓋底外科の“知”と“技”—〔特別付録Web動画付き〕
Ⅲ基本的頭蓋底手術アプローチの概要とコツ—代表的症例の手術ビデオとともに
Combined petrosal approach
The Combined Petrosal Approach
後藤 剛夫
1
Takeo GOTO
1
1大阪市立大学大学院医学研究科脳神経外科学
1Department of Neurosurgery, Osaka City University Graduate School of Medicine
キーワード：
経錐体到達法
,
頭蓋底到達法
,
transpetrosal approach
,
skull base approach
Keyword:
経錐体到達法
,
頭蓋底到達法
,
transpetrosal approach
,
skull base approach
pp.605-613
発行日 2022年5月10日
Published Date 2022/5/10
DOI https://doi.org/10.11477/mf.1436204593
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- 参考文献 Reference
Point
・必要最低限の骨削除でcombined petrosal approachを行うための解剖の理解
・手術手技に合わせた側頭骨解剖の理解
・テント切開とメッケル腔開放の重要性の理解
The combined petrosal approach can provide a wide and shallow surgical field around the ventral surface of the brain stem and the petroclival area. The minimal anterior and posterior combined petrosal approach（MAPCPA）is one modification of the combined petrosal approach. It offers the same wide surgical space in the subdural area and limits bone works and surgical time. Each surgical step of the MAPCPA is demonstrated in detail using several figures and a surgical video.
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