- 【Updated on May 12, 2025】 Integration of CiNii Dissertations and CiNii Books into CiNii Research
- Trial version of CiNii Research Knowledge Graph Search feature is available on CiNii Labs
- Suspension and deletion of data provided by Nikkei BP
- Regarding the recording of “Research Data” and “Evidence Data”
Simplified Craniotomy for Aneurysm at the Anterior Circle of Willis
-
- Asakura Tetsuhiko
- Department of Neurosurgery, Faculty of Medicine, University of Kagoshima
-
- Kadota Koki
- Department of Neurosurgery, Faculty of Medicine, University of Kagoshima
-
- Uetsuhara Koichi
- Department of Neurosurgery, Faculty of Medicine, University of Kagoshima
-
- Tomosugi Tetsuzo
- Department of Neurosurgery, Faculty of Medicine, University of Kagoshima
-
- Yuhi Fumiaki
- Department of Neurosurgery, Faculty of Medicine, University of Kagoshima
Bibliographic Information
- Other Title
-
- 17. ウィリス輪前半部の脳動脈瘤に対する手術手技
Search this article
Description
Authors reported the simplified method of procedure for direct aneurysmal surgery at anterior circle of Willis.<BR>Simplified method: On operating table, the patient's head was turned to the healthy side at an angle of 45 degrees to a horizontal line. Linear scalp incision was made as seen in Fig. 1 and temporal muscles were also incised by straight fashion. Wound was retracted by two Gelpi retractors, and two key burr holes were perforated at the site of subpterion (on the spheno-squamous suture) and the site of ca 1cm postero-superior portion from fronto-zygomatico-sphenoidal junction (the site between Linea temporalis and spheno-frontal suture). The small craniotomy was done and a ca 3cm×4cm oval-shaped skull flap was removed till the time of closure. When dura was reflected, superficial Sylvian veins were seen at the center of the operative field. Then, aneurysmal neck exposure was begun. After the aneurysmal neck clipping was completed, dura was sutured and few suspending sutures and tenting suture were done. Drain at subdural or epidural space was not set up.<BR>Results: Thirty aneurysmal patients of chronic stage were treated by this simplified method, and most shortest operating time was 80 minutes of internal carotid artery (IC-PC) aneurysm. There were no significant troubles or complications produced by this method.
Journal
-
- Nosotchu no Geka Kenkyukai koenshu
-
Nosotchu no Geka Kenkyukai koenshu 12 (0), 88-90, 1983
The Japanese Society on Surgery for Cerebral Stroke
- Tweet
Details 詳細情報について
-
- CRID
- 1390001205421320832
-
- NII Article ID
- 130001932664
-
- ISSN
- 2187185X
- 03878031
-
- Text Lang
- ja
-
- Data Source
-
- JaLC
- CiNii Articles
-
- Abstract License Flag
- Disallowed