neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.63769/1683-3295-2017-0-1-32-35neurosurgery-415Research ArticleОРИГИНАЛЬНАЯ РАБОТАORIGINAL REPORTТРАНСЦИЛИАРНЫЙ СУПРАОРБИТАЛЬНЫЙ KEYHOLE-ДОСТУП КАК МЕТОД ВЫБОРА ПРИ НЕРАЗОРВАВШИХСЯ АНЕВРИЗМАХ ПЕРЕДНЕГО ОТДЕЛА АРТЕРИАЛЬНОГО КРУГА БОЛЬШОГО МОЗГА: КЛИНИЧЕСКИЙ ПРИМЕР, ХИРУРГИЧЕСКАЯ ТЕХНИКА, ПОКАЗАНИЯ, ПРОТИВОПОКАЗАНИЯTransciliary supraorbital keyhole-approach as the method of choice for surgery of unruptured cerebral aneurysms of anterior circulation: clinical case, surgical technique, indications and contraindicationsДжинджихадзеРеваз СеменовичDzhindzhikhadzeR. S.brainsurg77@gmail.comДревальОлег НиколаевичDreval’O. N.noemail@neicon.ruЛазаревВалерий АлександровичLazarevV. A.noemail@neicon.ruКамбиевРенат ЛеонидовичKambievR. L.noemail@neicon.ruГБОУ ДПО РМАПО Минздрава РФ; ГКБ им. Ф.И. ИноземцеваRussian FederationГБОУ ДПО РМАПО Минздрава РФRussian FederationГКБ им. Ф.И. ИноземцеваRussian Federation201724112017013235Copyright © Джинджихадзе Р.С., Древаль О.Н., Лазарев В.А., Камбиев Р.Л., 20172017Джинджихадзе Р.С., Древаль О.Н., Лазарев В.А., Камбиев Р.Л.Dzhindzhikhadze R.S., Dreval’ O.N., Lazarev V.A., Kambiev R.L.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/415

Цель. Авторами представлено клиническое наблюдение использования трансцилиарной супраорбиталь-ной краниотомии при неразорвавшейся аневризме в области задней соединительной артерии. Материалы и методы. Обсуждены показания и противопоказания к мини-инвазивной хирургии аневризм, а также хирургическая техника. Результаты. В условиях опытной бригады нейрохирургов супраорбитальный keyhole-доступ при адекватном отборе пациентов доказал свою высокую эффективность и безопасность. Заключение. Несмотря на малые размеры краниотомии супраорбитальный доступ позволяет адекватно визуализировать необходимые интракраниальные структуры.

Objective. to present the clinical case of transciliary supraorbital craniotomy for the clipping of unruptured aneurysm of the posterior communicating artery. Material and methods. The indications and contraindications for minimally invasive surgery of aneurysms as well as surgical technique are discussed. Results. The supraorbital keyhole approach to anterior circulation aneurysms under condition of adequate patients’ selection has confirmed its high efficacy and safety in the hand of experienced neurosurgical team. Conclusion. The supraorbital craniotomy allows adequately visualizing the necessary intracranial structures despite its small dimensions.

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