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Extended endoscopic endonasal transsphenoidal approach to the suprasellar region: anatomic study and clinical considerations

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机构: [a]Department of Neurosurgery, Second Affiliated Hospital of Soochow University, 1055 San Xiang Road, Suzhou 215004, Jiangsu Province, China [b]Department of Neurosurgery, Institute of Minimally Invasive Neurosurgery, Wuxi Second Hospital Affiliated Nanjing Medical University, Wuxi, Jiangsu Province, China
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关键词: Endoscopy Suprasellar region Surgical complications Transsphenoidal surgery

摘要:
The extended endoscopic endonasal approach to the suprasellar region was performed on 10 fresh adult cadavers to describe the anatomic landmarks and key surgical steps for safe performance of the surgical approach. The anatomic features and relationships of the sphenoidal ostia, sphenoidal sinus, and optic-carotid recess are described, as are four intradural suprasellar neurovascular structural areas, including the suprachiasmatic, subchiasmatic, retrosellar and ventricular regions. Various anatomic conditions may influence the use of the extended endoscopic endonasal approach. This approach provides a straight, midline approach to the suprasellar region and offers a multi-angled and close-up view of the relevant neurovascular structures. For clinical use, the most important surgery-related complications concern the management of operative bleeding and the prevention of postoperative cerebrospinal fluid leakage. (C) 2009 Elsevier Ltd. All rights reserved.

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出版当年[2009]版:
大类 | 4 区 医学
小类 | 4 区 临床神经病学 4 区 神经科学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 临床神经病学 4 区 神经科学
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出版当年[2008]版:
Q4 CLINICAL NEUROLOGY Q4 NEUROSCIENCES
最新[2023]版:
Q3 CLINICAL NEUROLOGY Q4 NEUROSCIENCES

影响因子: 最新[2023版] 最新五年平均 出版当年[2008版] 出版当年五年平均 出版前一年[2007版] 出版后一年[2009版]

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第一作者机构: [a]Department of Neurosurgery, Second Affiliated Hospital of Soochow University, 1055 San Xiang Road, Suzhou 215004, Jiangsu Province, China [b]Department of Neurosurgery, Institute of Minimally Invasive Neurosurgery, Wuxi Second Hospital Affiliated Nanjing Medical University, Wuxi, Jiangsu Province, China
通讯作者:
通讯机构: [a]Department of Neurosurgery, Second Affiliated Hospital of Soochow University, 1055 San Xiang Road, Suzhou 215004, Jiangsu Province, China
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