Abstract:
Management of lateral and third ventricular tumors has been a challenge for neurosurgeons. Advances in imaging and pathology have helped in a better understanding of the treatment options. Technical refinement of microsurgical technique and addition of endoscopy has enabled more radical excision of tumors, when indicated, and added more safety.A proper understanding of the pathology at various ages and treatment options is continuously evolving. Many pediatric tumors are amenable to conservative surgical methods with effective complementary treatments. However, radical surgery is required in many adults as the main treatment and for many benign tumors. Various intraventricular lesions encountered and their surgical management is reviewed here for their efficacy, safety, and outcome, encompassing changes in our practice over the last 20 years.
摘要:
侧脑室和第三脑室肿瘤的治疗一直是神经外科医师的挑战。影像学和病理学的进步有助于更好地理解治疗方案。显微外科技术的技术改进和内窥镜检查的增加使得肿瘤能够更彻底地切除,当指示时,增加了更多的安全性。对不同年龄的病理学和治疗选择的正确理解正在不断发展。许多儿科肿瘤适合于保守的手术方法和有效的补充治疗。然而,许多成年人需要根治性手术作为主要治疗方法,许多良性肿瘤也需要根治性手术。本文对所遇到的各种脑室内病变及其手术治疗的疗效进行了综述。安全,和结果,包括过去20年我们实践的变化。