• Home
  • NEW DAY MEDICINE
  • 1(39)2022
  • 7 -1 (39) 2022 — Ro‘ziqulov M.M, Kariyev G.M, — DEVELOPMENT OF MINIMALLY INVASIVE SURGICAL ACCESS OF CEREBRAL ANEURYSMS TO THE ANTERIOR AND MEDIUM CRANIAL FOUSES: FROM EXTENDED CRANIOTOMY TO SUPERORBITAL KEYHOLE ACCESS

7 -1 (39) 2022 — Ro‘ziqulov M.M, Kariyev G.M, — DEVELOPMENT OF MINIMALLY INVASIVE SURGICAL ACCESS OF CEREBRAL ANEURYSMS TO THE ANTERIOR AND MEDIUM CRANIAL FOUSES: FROM EXTENDED CRANIOTOMY TO SUPERORBITAL KEYHOLE ACCESS

DEVELOPMENT OF MINIMALLY INVASIVE SURGICAL ACCESS OF CEREBRAL ANEURYSMS TO THE ANTERIOR AND MEDIUM CRANIAL FOUSES: FROM EXTENDED CRANIOTOMY TO SUPERORBITAL KEYHOLE ACCESS

Ro‘ziqulov M.M, Republican Specialized Scientific Practical Medical Center of Neurosurgery

Kariyev G.M, Republican Specialized Scientific Practical Medical Center of Neurosurgery Tashkent Pediatric Medical Institute

Raxmanov R.N. Tashkent Pediatric Medical Institute

Resume

The evolution of surgical approaches to cerebral aneurysms can be conditionally divided into 2 main stages: the stage before the introduction of the microscope and the microsurgical stage. At the initial stage of the development of vascular neurosurgery, insufficient illumination of the operating field, limited visualization, and the lack of accurate preoperative diagnostics required the performance of large craniotomies. In those days, this was a necessary measure. A large craniotomy was planned not only to search for a pathological formation, but also to facilitate traction of the brain. With technological progress and the appearance of adequate technical means of neuroimaging, microsurgery and neuroendoscopy, it became possible to minimize neurosurgical approaches and, accordingly, the associated complications. The philosophy of minimally invasive surgery is gaining special relevance in our time, since small accesses contribute to the rapid recovery of patients and reduce the duration of inpatient treatment.

Keywords:  surgical approaches, keyhole surgery, minimally invasive surgery

First page

38

Last page

42

For citation: Ro‘ziqulov M.M.  Kariyev G.M, Raxmanov R.N. DEVELOPMENT OF MINIMALLY INVASIVE SURGICAL ACCESS OF CEREBRAL ANEURYSMS TO THE ANTERIOR AND MEDIUM CRANIAL FOUSES: FROM EXTENDED CRANIOTOMY TO SUPERORBITAL KEYHOLE ACCESS //New DAy in Medicine 1(39)2022 38-42 https://cutt.ly/EU7JS06

LIST OF REFERENCES:

  1. Gaydar B.V. Operativnyye dostupy v neyrokhirurgii. T. 1 Golova /Pod red. B.V. Gaydara. – SPb.: SpetsLit, T, 2015. – 239 s.
  2. Dzhindzhikhadze R.S., Dreval’ O.N., Lazarev V.A. Kratkiy istoricheskiy ocherk stanovleniya sosudistoy neyrokhirurgii. Tserebral’nyye anevrizmy i SAK. Neyrokhirurgiya. 2009; (4):71-77.
  3. Krylov V.V. So stranits zhurnala «Neyrokhirurgiya», ne tol’ko o neyrokhirurgii stat’i, ocherki i esse, posvyashchennyye istorii mirovoy i otechestvennoy neyrokhirurgii i kul’ture k pyatnadtsatiletiyu zhurnala «Neyrokhirurgiya» (1998—2012). /M: BETA-Freym. 2013.
  4. Kolotvinov V.S. Pterional’nyy keyhole-dostup v khirurgii intrakranial’nykh anevrizm: avtoref. diss. … kand. med. nauk: 14.00.28 /Kolotvinov Vladimir Sergeyevich. – M., 2003. – 27 s.
  5. Krylov V.V. Khirurgiya anevrizm golovnogo mozga. Tom III. / Pod red.V.V. Krylova – M.: Novoyevremya, 2012. – 431 C.
  6. Eliava SH.SH. Khirurgicheskoye lecheniye anevrizm golovnogo mozga vostrom periode krovoizliyaniya / SH. SH. Eliava – M.: IP T.A. Alekseyeva, 2019. – 383 s.
  7. Cohen-Gadol A, Spencer D. The Legacy of Harvey Hushing. Profiles of patient care. AANS Thieme. 2007.  doi: 10.1007/s00381-007-0502-7
  8. Yasargil MG, Fox JL, Ray MW. The operative approach to aneurysms of the anterior communicating artery, in Krayenbühl H (ed): Advances and Technical Standards in Neurosurgery. Vienna: Springer Verlag. 1975;2:113-170.  doi: 10.1007/978-3-7091-7088-5
  9. Smith RR, Al-Mefty O, Middleton TH. An orbitocranial approach to complex aneurysms of the anterior circulation. Neurosurgery. 1989; 24:385391. doi: 10.1227/00006123-198903000-00013
  10. ZabramskiJM, KirisT, SankhlaSK, CaniolJ, SpetzlerRF. Orbitozygomatic approach: Technical note. J Neurosurg. 1998; 89:336-341. doi: 10.3171/jns.1998.89.2.0336
  11. Ramos-ZúñigaR, VelázquezH, BarajasMA, LópezR, SánchezE, TrejoS. Trans-supraorbitalapproachtosupratentorialaneurysms. Neurosurgery. 2002;51:125-131.doi: 10.1097/00006123-200207000-00019
  12. Lan Q, Gong Z, Kang D, Zhang H, Qian Z, Chen J, Huang Q. Microsurgical experience with keyhole operations on intracranial aneurysms. Surg Neurol. 2006; 66:S1:2-S1:9. doi: 10.1016/j.surneu.2006.06.039
  13. Park HS, Park SK, Han YM. Microsurgical experience with supraorbital keyhole operations on anterior circulation aneurysms. J Korean Neurosurg Soc. 2009; 46:103-108.  doi: 10.1055/s-2005-915599
  14. Reisch R, Stadie A, Kockro R, Hopf N. Keyhole concept in neurosurgery. World Neurosurgery. 2013; 79:s17.e9-s17.e13. doi:10.1016/j.wneu.2012.02.024
  15. Teo C, Sugrhue M. Principles and practice of keyhole brain surgery. Georg ThiemeVerlag. 2015.  doi: 10.1055/b-003-104211
  16. Wang H, Luo L, Ye Z, Li W,Chen C, Ba Y, Ning X, Guo Y. Clipping of anterior communicating artery aneurysms in the early post-rupture stage via transorbital keyhole approach – Chinese neurosurgical experience. British Journal of Neurosurgery. 2015; 29(5):644-649.
  17. Wong JHY, Tymanski R, Radovanovic I, Tymianski M.  Minimally invasive microsurgery for cerebral aneurysms. Stroke. 2015; (46):2699-2706.  doi:10.1161/strokeaha.115.008221

file

download