neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.17650/1683-3295-2024-26-1-123-129neurosurgery-1507Research ArticleЛЕКЦИЯLECTUREЗначение вариантной анатомии в нейрохирургииThe role of variant anatomy in neurosurgeryhttps://orcid.org/0000-0001-6321-4557ШнякинП. Г.ShnyakinP. G.

660022 Красноярск, ул. Партизана Железняка, 3а

660022 Красноярск, ул. Партизана Железняка, 1

   

3a Partizana Zheleznyaka St., Krasnoyarsk 660022

1 Partizana Zheleznyaka St., Krasnoyarsk 1660022

https://orcid.org/0000-0001-9390-3134РуденкоП. Г.RudenkoP. G.

660022 Красноярск, ул. Партизана Железняка, 3а

660022 Красноярск, ул. Партизана Железняка, 1

3a Partizana Zheleznyaka St., Krasnoyarsk 660022

1 Partizana Zheleznyaka St., Krasnoyarsk 1660022

https://orcid.org/0000-0002-9985-9098ГасымоваН. Д.GasimovaN.  D. 

Неля Дагларовна Гасымова 

660022 Красноярск, ул. Партизана Железняка, 3а

660022 Красноярск, ул. Партизана Железняка, 1

Nelya Daglarovna Gasymova 

3a Partizana Zheleznyaka St., Krasnoyarsk 660022

1 Partizana Zheleznyaka St., Krasnoyarsk 1660022

gasumova-nelich@mail.ruКГБУЗ «Краевая клиническая больница»; ФГБОУ ВО «Красноярский государственный медицинский университет им. проф. В. Ф. Войно-Ясенецкого» Минздрава РоссииРоссияKrasnoyarsk Regional Clinical Hospital; V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Ministry of Health of RussiaRussian Federation202405042024261123‑129Copyright © Шнякин П.Г., Руденко П.Г., Гасымова Н.Д., 20242024Шнякин П.Г., Руденко П.Г., Гасымова Н.Д.Shnyakin P.G., Rudenko P.G., Gasimova N.D.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therjn.com/jour/article/view/1507

Варианты нетипичного строения и расположения анатомических структур всегда усложняют ход оперативного доступа и приема и нередко являются причинами хирургических ошибок и осложнений. В статье представлен обзор некоторых особенностей вариантной анатомии в областях интереса нейрохирургов, в том числе приводящих к развитию интраоперационных проблем и послеоперационному неврологическому дефициту. Основной посыл статьи состоит не только в том, чтобы нейрохирурги планировали операцию с учетом индивидуальной анатомической изменчивости, начиная с формы черепа, но и в том, чтобы в случаях развития неблагоприятных периоперационных событий нетипичная анатомия учитывалась как объективный фактор риска и имела смягчающее значение при оценке работы нейрохирурга.

Цель работы – представление и анализ данных научных публикаций, а также собственных наблюдений по вариантной анатомии, определение ее роли в развитии операционных ошибок и осложнений в нейрохирургии.

Variants of atypical structure and location of anatomical structures always complicate the course of surgical access and admission and are often the causes of surgical errors and complications. This article presents an overview of some features of variant anatomy in areas of interest to neurosurgeons, including those leading to the development of intraoperative problems and postoperative neurological deficits.

The main message of the article is not only that neurosurgeons should plan surgery taking into account individual anatomical variability starting with the shape of the skull, but also that in cases of adverse perioperative events, atypical anatomy should be taken into account as an objective risk factor and have a mitigating value in the evaluation of the neurosurgeon’s performance.

The aim of this paper is to present and analyse scientific publications on variant anatomy, determining its role in the development of surgical errors and complications in neurosurgery.

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The authors declare that there are no conflicts of interest present.