Microroll Retractor for Surgical Resection of Brainstem Cavernomas

作者：Ichinose Tsutomu^*; Goto Takeo; Morisako Hiroki; Takami Toshihiro; Ohata Kenji

来源：World Neurosurgery, 2010, 73(5): 520-522.

DOI：10.1016/j.wneu.2010.06.049

• Brainstem cavernoma
• Retractor
• Surgery

BACKGROUND: Safe and complete surgical resection of brainstem cavernoma is difficult without injury surrounding normal structures because the lesions are deep and intra-axial. In this article, the authors describe the "microroll retractor" technique for brainstem cavernoma surgery.
METHODS: The microroll retractor is made of expanded polytetrafluoroethylene sheet. The sheet is cut in several sizes of square piece and transformed into a tubular shape. We insert this roll retractor via minimal brain incision and keep surgical corridor without usual spatulas during lesionectomy.
RESULTS: This technique was adopted for 7 patients with brainstem cavernomas. In all patients, we achieved total excision; improvement was recorded in 6 patients, and no change was recorded in 1 patient.
CONCLUSIONS: The microroll retractor is extremely simple but provides enough surgical corridors for safe total resection of brainstem cavernomas.

• 出版日期2010-5