イシグロ　タイチ   ISHIGURO Taichi   石黒　太一    所属   医学部 医学科（附属八千代医療センター）    職種   准教授
論文種別	原著
言語種別	日本語
査読の有無	査読あり
表題	[Advantages and Pitfalls of the Lateral Supraorbital Approach as Less Invasive Surgery for Unruptured Anterior Circulation Aneurysms].
掲載誌名	正式名：No shinkei geka. Neurological surgery 略　 称：No Shinkei Geka ISSNコード：03012603/03012603
掲載区分	国内
巻・号・頁	48(11),1005-1012頁
著者・共著者	Ishiguro Taichi, Kawashima Akitsugu, Nomura Shunsuke, Hashimoto Kazutoshi, Hodotsuka Kenichi, Kim Kilsoo, Momosaki Nobuhiko, Kawamata Takakazu
担当区分	筆頭著者,責任著者
発行年月	2020/11
概要	The lateral supraorbital approach(LSOA)is widely accepted as a less invasive surgical technique compared with the conventional pterional approach(PA). However, only a few studies have reported less invasiveness associated with LSOA. To evaluate this issue, we retrospectively investigated the surgical outcomes in 133 patients who underwent LSOA and 28 patients who underwent PA for unruptured anterior circulation aneurysms. We analyzed operation time, postoperative symptoms and complications, and the length of postoperative hospitalization(in days)for each method. All aneurysms were successfully clipped regardless of the approach. The operation time was significantly shorter, the postoperative headache rate was lower, resumption of oral intake was more rapid, and length of hospitalization was shorter in the LSOA group. Statistical significance was not observed in the postoperative complication rates. Compared with conventional PA, LSOA was associated with less invasiveness and better patient satisfaction. LSOA is a safe and effective alternative to conventional PA, following optimal patient selection.
DOI	10.11477/mf.1436204313
PMID	33199657