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Neurological Surgery 脳神経外科50巻6号

2022年11月発行

文献概要

特集 小児脳神経外科—エキスパートはこうしている Ⅷ小児脳腫瘍

テント上腫瘍(鞍上部以外)—小児テント上腫瘍手術のコツと注意点

著者: 石田穣治1 伊達勲1

所属機関: 1岡山大学学術研究院医歯薬学域脳神経外科

ページ範囲:P.1314 - P.1322

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・小児脳腫瘍手術においては,開頭から閉頭に至るまで丁寧な手術を行い,手術以外の治療もスムーズに進行させるための計画を行う.
・特に術後は髄液トラブルが多いため,それを予防するtipsが存在する.
・後療法,複数回手術や,その後の成長を見据えた開頭,閉頭を行う.

参考文献

1)Marugame T, et al;Japan Cancer Surveillance Research Group:The Japan cancer surveillance report:incidence of childhood, bone, penis and testis cancers. Jpn J Clin Oncol 37:319-323, 2007
2)Katanoda K, et al:Childhood, adolescent and young adult cancer incidence in Japan in 2009-2011. Jpn J Clin Oncol 47:762-771, 2017
3)Ostrom QT, et al:CBTRUS statistical rReport:Pediatric Brain Tumor Foundation childhood and adolescent primary brain and other central nervous system tumors diagnosed in the United States in 2014-2018. Neuro Oncol 24:iii1-iii38, 2022 doi:10.1093/neuonc/noac161
4)Jinkins JR, et al:Proton relaxation enhancement associated with iodinated contrast agents in MR imaging of the CNS. AJNR Am J Neuroradiol 13:19-27, 1992
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6)Mirone G, et al:Cortical gluing and Ringer lactate solution inflation to avoid cortical mantle collapse and subdural fluid collections in pediatric neurosurgery:safety and feasibility. Childs Nerv Syst 31:945-951, 2015
7)Eguchi S, et al:Postoperative extra-axial cerebrospinal fluid collection:its pathophysiology and clinical management. Pediatr Neurosurg 47:125-132, 2011
8)von Lehe M, et al:A comprehensive analysis of early outcomes and complication rates after 769 craniotomies in pediatric patients. Childs Nerv Syst 29:781-790, 2013
9)Hosainey SA, et al:Cerebrospinal fluid disturbances after 381 consecutive craniotomies for intracranial tumors in pediatric patients. J Neurosurg Pediatr 14:604-614, 2014
10)Lassen B, et al:Surgical mortality and selected complications in 273 consecutive craniotomies for intracranial tumors in pediatric patients. Neurosurgery 70:936-943;discussion 943, 2012
11)Alshareef M, et al:Prevalence of visible subdural spaces in benign enlargement of subarachnoid spaces in infancy:a retrospective analysis utilizing magnetic resonance imaging. World Neurosurg 164:e973-e979, 2022 doi:10.1016/j.wneu.2022.05.079

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1251

印刷版ISSN:0301-2603

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