研究动态
Articles below are published ahead of final publication in an issue. Please cite articles in the following format: authors, (year), title, journal, DOI.

“评估拉特克裂囊肿和鞍区脑膜瘤的手术方法:影响治疗选择的因素”。

"Evaluating surgical approaches for Rathke's cleft cysts and sellar meningiomas: factors influencing treatment of choice".

发表日期:2024 Aug 15
作者: Umer Bin Shahzad, Manal Nadeem, Muhammad Ahmed, Hamza Mahmood Rana
来源: Bone & Joint Journal

摘要:

本研究基于三项关键研究的结果,回顾了 Rathke 裂囊肿 (RCC) 和鞍区脑膜瘤手术治疗的最新进展。肾细胞癌是垂体发育过程中良性的、充满液体的残余物,通常无症状,是偶然发现的。然而,当它们出现症状或体积增大时,就需要进行手术干预。 Stefan Linsler 等人的研究。等人检查了各种手术方法,包括经颅锁孔和经蝶技术治疗肾细胞癌,以及内窥镜鼻内和眶上锁孔入路治疗鞍区脑膜瘤。结果表明,经颅锁孔手术和经蝶手术治疗肾细胞癌均具有较高的成功率,且 5.7 年内无复发,但锁孔入路并发症较少。对于鞍区脑膜瘤,应根据肿瘤特征选择内镜鼻内和眶上锁孔技术,强调外科医生熟练掌握这两种方法的重要性。这些研究强调需要根据患者和肿瘤特征制定个性化治疗策略,并强调持续的手术技能发展和进一步研究以完善微创技术的重要性。这项研究强调了个性化手术方法在改善肾细胞癌和鞍区脑膜瘤患者预后方面的关键作用。© 2024。作者获得 Springer-Verlag GmbH 德国(Springer Nature 旗下公司)的独家许可。
This study reviews recent progress in the surgical treatment of Rathke's cleft cysts (RCCs) and Sellar region meningiomas, based on findings from three key studies. RCCs are benign, fluid-filled remnants from pituitary gland development that are usually asymptomatic and found by chance. However, surgical intervention is needed when they become symptomatic or increase in size. Research by Stefan Linsler et al. and others examines various surgical methods, including transcranial keyhole and transsphenoidal techniques for RCCs, and endoscopic endonasal and supraorbital keyhole approaches for Sellar meningiomas. The results show that both transcranial keyhole and transsphenoidal surgeries for RCCs have high success rates with no recurrences over 5.7 years, although the keyhole approach has fewer complications. For Sellar meningiomas, the choice between endoscopic endonasal and supraorbital keyhole techniques should be based on tumor characteristics, highlighting the importance of surgeon proficiency in both methods. These studies emphasize the need for personalized treatment strategies tailored to patient and tumor characteristics and highlight the importance of ongoing surgical skill development and further research to refine minimally invasive techniques. This study highlights the crucial role of personalized surgical approaches in improving outcomes for patients with RCCs and Sellar region meningiomas.© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.