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特集 下垂体腫瘍診療の新フェーズ—変革期の疫学・診断・治療における必須知識
Ⅳ 下垂体腫瘍の治療
頭蓋底腫瘍に対する内視鏡下経鼻手術—拡大経蝶形骨手術
Expanded Endoscopic Endonasal Surgery for Skull Base Tumors
石井 雄道
1
,
大村 和弘
2
Yudo ISHII
1
,
Kazuhiro OMURA
2
1東京慈恵会医科大学脳神経外科
2東京慈恵会医科大学耳鼻咽喉科
1Department of Neurosurgery, the Jikei University
2Department of Otorhinolaryngology, the Jikei University
キーワード:
拡大経蝶形骨手術
,
頭蓋底腫瘍
,
内視鏡下経鼻手術
,
extended transsphenoidal surgery
,
skull base tumors
,
endoscopic endonasal surgery
Keyword:
拡大経蝶形骨手術
,
頭蓋底腫瘍
,
内視鏡下経鼻手術
,
extended transsphenoidal surgery
,
skull base tumors
,
endoscopic endonasal surgery
pp.663-671
発行日 2023年7月10日
Published Date 2023/7/10
DOI https://doi.org/10.11477/mf.1436204799
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- Abstract 文献概要
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- 参考文献 Reference
Point
・拡大経蝶形骨手術は,基本的な開窓方法に加えて疾患ごとの工夫が必要である.
・頭蓋底の閉鎖は構造を意識した閉鎖が必要である.
With the development of endoscopic and surgical instruments, expanded endoscopic endonasal surgery for skull base tumors has been widely performed. Compared with conventional microscopic transsphenoidal surgery, endoscopic surgery provides a wider view and clearer images, owing to the introduction of a high-resolution camera. However, for safe and reliable surgery, it is necessary to create an appropriate surgical field and avoid complications. This article discusses the basic knowledge needed for expanded endoscopic endonasal surgery, focusing on surgical anatomy and techniques and how to close the skull base completely.
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