Journal of Shandong University (Health Sciences) ›› 2019, Vol. 57 ›› Issue (9): 104-108.doi: 10.6040/j.issn.1671-7554.0.2019.424

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Standardized operation procedure of bloodless rapid craniotomy via the retrosigmoid approach

MA Xiangyu1, LIU Shibao2, LI Weiguo1, XU Shujun1, LI Xingang1, ZHANG Lei3   

  1. 1. Department of Neurosurgery, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China;
    2. Second Department of Surgery, Hospital of Traditional Chinese Medicine of Lingcheng District of Dezhou City, Dezhou 253000, Shandong, China;
    3. Department of Immunology, Basic Medical College of Shandong University, Jinan 250012, Shandong, China
  • Published:2022-09-27

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Abstract: The retrosigmoid approach is the main approach to the cerebellopontine angle, which is suitable for microneurosurgery for acoustic neuroma, dorsal petrosal meningioma and cholesteatoma. What often perplexes surgeons is how to quickly carry out retrosigmoid craniotomy to achieve good intraoperative exposure, avoid excessive bleeding and venous sinus injury, reduce postoperative complications and other problems. The authors began to perform bloodless rapid craniotomy via the retrosigmoid approach in 2014, and established the standardized operation procedure in 2015. This technique is fast and simple, and able to provide clean and tidy view with little bleeding. In addition, it can effectively avoid venous sinus injury, and greatly shorten the operation time. The standardized operation procedure is helpful to the popularization of this modified retrosigmoid approach.

Key words: Cerebellopontine area, Retrosigmoid approach, Bloodless rapid craniotomy technique, Standardized operation procedure

CLC Number: 

  • R651
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