Abstract:
OBJECTIVE:The contralateral interhemispheric transprecuneus approach (CITP) and the supracerebellar transtentorial transcollateral sulcus approach (STTC) are 2 novel approaches to access the atrium of the lateral ventricle. We quantitatively compared the 2 approaches. METHODS:Both approaches were performed in 6 sides of fixed and color-injected cadaver heads. We predefined the 6 targets in the atrium for measurement and standardization of the approaches. Using a navigation system, we quantitatively measured the working distance, cortical transgression, angle of attack, area of exposure, and surgical freedom. RESULTS:The distances from the craniotomy edge to the posterior pole of the choroid plexus of the CITP (mean ± standard deviation, 67 ± 5.3 mm) and STTC (mean, 57 ± 4.0 mm) differed significantly (P < 0.01). Cortical transgression with the CITP (mean, 27 ± 2.8 mm) was significantly greater than that with the STTC (mean, 21 ± 6.7 mm; P = 0.03). The CITP showed a significantly wider rostrocaudal angle of attack than that with the STTC (P = 0.01). The STTC showed a significantly wider mediolateral angle (P < 0.01). No significant difference was found for surgical freedom of any target except for point E, for which the CITP was larger. The exposure area did not differ significantly between the 2 approaches (P = 0.07). CONCLUSIONS:Both approaches were feasible for accessing the atrium. The STTC provided a shorter working distance and wider mediolateral angle, CITP provided a wider rostrocaudal angle of attack and better exposure and maneuverability to the anterior and superior atrium. In contrast, the STTC was more favorable for the inferior and posterior regions.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Zhao X,Borba Moreira L,Cavallo C,Belykh E,Gandhi S,Labib MA,Tayebi Meybodi A,Mulholland CB,Liebelt BD,Lee M,Nakaji P,Preul MCdoi
10.1016/j.wneu.2018.09.214subject
Has Abstractpub_date
2019-02-01 00:00:00pages
e215-e225eissn
1878-8750issn
1878-8769pii
S1878-8750(18)32269-1journal_volume
122pub_type
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journal_title:World neurosurgery
pub_type: 杂志文章
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journal_title:World neurosurgery
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更新日期:2018-12-30 00:00:00
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更新日期:2020-02-01 00:00:00
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更新日期:2019-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:2018-11-01 00:00:00
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更新日期:2017-03-01 00:00:00