[Supraorbital keyhole approach for microsurgical treatment of aneurysms in the anterior circulation].
OBJECTIVE
To study the method with endoscope-assisted microsurgical technique through the supraorbital keyhole approach to treat aneurysms in the anterior circulation.


METHODS
According to preoperative diagnostic imagings, to work out of the individual operation planning. Skin incision was made in the eyebrow, and the diameter of supraorbital craniotomy was about 2 cm, endoscope-assisted microsurgical technique was used to clip aneurysm. The technique was used in the most recent 12 consecutive patients.


RESULTS
Five different kinds of aneurysms in the anterior circulation were clipped through this method and 12 patients were cured. One patient, intraoperative accidental aneurysm rupture occurred. There were no approach-related complications.


CONCLUSIONS
This endoscope-assisted microsurgical technique via supraorbital keyhole approach is a safe, minimal invasive and effective way for the treatment of aneurysms in the anterior circulation, and there is more sufficient operating space.
Department of Neurosurgery, Haikou Municipal Hospital, Haikou 570208, China.
Zuo-Wei
ZW
Cao
Ke-Shan
KS
Shi
Hu
H
Jin
Huan-Xiong
HX
Chen
Xiao-Feng
XF
Shi
Xiao-Dong
XD
Chen
Peng
P
Lin
Shan
S
Yan
Min
M
Chen
Zhi-Yong
ZY
Li
D000328:Adult; D000368:Aged; D003399:Craniotomy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D002532:Intracranial Aneurysm / Q000601:surgery*; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D044583:Neuroendoscopy; D019635:Neurosurgical Procedures / Q000379:methods*; D016896:Treatment Outcome