OBJECTIVE: To present an overview of preoperative and anatomical considerations, differential diagnoses and various approaches to consider in cases of tumors in close relationship with the VA.
METHODS: A review of recent literature was conducted to examine the anatomy of the VA, the tumors most frequently affecting it, surgical approaches, and the necessary pre-operative preparations for ensuring safe and maximal tumor resection. This review aims to underscore the principles of treatment.
CONCLUSIONS: Tumors located at the CVJ and the cervical spine intimately involved with the VA, pose a surgical challenge and increase the risk of incomplete removal of the lesion. Detailed knowledge of the patient-specific anatomy and a targeted pre-operative work-up enable optimal planning of surgical approach and management of the VA, thereby reducing surgical risks and improving extent of resection.
目的:概述术前和解剖学考虑因素,与VA密切相关的肿瘤的鉴别诊断和考虑的各种方法。
方法:对最近的文献进行了回顾,以检查VA的解剖结构。最常影响它的肿瘤,手术方法,以及必要的术前准备,以确保安全和最大程度的肿瘤切除。这篇综述旨在强调治疗原则。
结论:位于CVJ和颈椎的肿瘤与VA密切相关,构成手术挑战,并增加不完全切除病变的风险。对患者特定解剖结构的详细了解和有针对性的术前检查能够优化手术方法的计划和VA的管理,从而降低手术风险,提高切除程度。