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Technique of Trigeminal Nucleotractotomy

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Textbook of Stereotactic and Functional Neurosurgery

Abstract

Management of certain craniofacial pain conditions, such as anesthesia dolorosa, atypical facial pain, postherpetic neuralgia, facial pain in Wallemberg’s syndrome, and pain caused by cranioorofacial malignancies represent a great therapeutic challenge. Despite the great number of medical and nonablative surgical therapies available for their treatment, ablative antialgic neurosurgical procedures are still necessary in several cases. However, the results of the many of these operations [1], when good, are only temporary, while others worsen the original clinical condition by inducing deafferentation pain syndromes or are not applicable in the treatment of neuropathic cranioorofacial pains [2].

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References

  1. Stookey B, Ransohoff F. Trigeminal neuralgia: its history and treatment. Springfield, IL: Charles C Thomas; 1959.

    Google Scholar 

  2. White JC, Sweet WH. Pain and the neurosurgeon: a forty-year experience. Springfield, IL: Charles C Thomas; 1969.

    Google Scholar 

  3. Pagni CA. Central pain and painful anesthesia. Prog Neurol Surg 1977;8:132–257.

    Google Scholar 

  4. Dallel R, Raboisson P, Auroy P, Woda A. The rostral part of the trigeminal sensory complex is involved in orofacial nociception. Brain Res 1988;448:7–19.

    Article  PubMed  CAS  Google Scholar 

  5. Sjoqvist O. Studies on pain conduction in the trigeminal nerve: contribution to surgical treatment of facial pain. Acta Psychiatr Scand Suppl 1938;17:1–139.

    Google Scholar 

  6. Weiberger LM. Experiences with intramedullary tractotomy. Arch Neurol Psychiatr 1942;48:355–81.

    Google Scholar 

  7. Stewart WA, Stoops WL, Pillone PR, King RB. An electrophysio logic study of ascending pathways from nucleus caudalis of the spinal trigeminal nuclear complex. J Neurosurg 1964;21:35–48.

    Article  PubMed  CAS  Google Scholar 

  8. Kerr FWL. The divisional organization of afferent fibers of the trigeminal nerve. Brain 1963;86:721–32.

    Article  PubMed  CAS  Google Scholar 

  9. Thelander HE. The course and distribution of the radix mesencephalica trigemini in the cat. J Comp Neurol 1924;37:207–20.

    Article  Google Scholar 

  10. Taren JA, Kahn EA. Anatomic pathways related to pain in face and neck. J Neurosurg 1962;19:116–21.

    Article  PubMed  CAS  Google Scholar 

  11. Crosby EC, Yoss RE. The phylogenetic continuity of neural mechanisms as illustrated by the spinal tract of V and its nucleus. Res Publ Assoc Res Nerv Ment Dis 1954;33:174–208.

    PubMed  CAS  Google Scholar 

  12. Sessle BJ. Trigeminal nociceptive and non-nociceptive neurones brain stem intranuclear projections modulation by orofacial periaquedutal grey and nucleus magnus stimuli. Brain Res 1979;170:547–52.

    Article  PubMed  Google Scholar 

  13. Olzewski J. On the anatomical and functional organization of the spinal trigeminal nucleus. J Comp Neurol 1950;92:401–13.

    Article  Google Scholar 

  14. Azerad J, Woda A, Albe-Fessard D. Physiological properties of neurons in different parts of the cat trigeminal sensory complex. Brain Res 1982;246:7–21.

    Article  PubMed  CAS  Google Scholar 

  15. Darian-Smith I, Yokota T. Cortically evoked depolarization of trigeminal cutaneous afferent fibers in the cat. J Neurophysiol 1966;29:170–8.

    PubMed  CAS  Google Scholar 

  16. Brodal A. Central course of afferent fibers for pain in facial, glossopharyngeal and vagus nerves. Arch Neurol Psychiatr 1947;57:292–306.

    CAS  Google Scholar 

  17. Kerr FWL. Facial, vagal and glossopharyngeal nerves in the cat: afferent connections. Arch Neurol 1962;6:264–81.

    PubMed  CAS  Google Scholar 

  18. Brodal A, Szabo T, Torvik A. Corticofugal fibers to sensory trigeminal nuclei and nucleus of solitary tract: an experimental study in the cat. J Comp Neurol 1956;06:527–55.

    Article  Google Scholar 

  19. Kerr FWL. Structural relation of the trigeminal spinal tract to upper cervical roots and the solitary nucleus in the cat. Exp Neurol 1961;4:134–48.

    Article  PubMed  CAS  Google Scholar 

  20. Kerr FWL. Spinal 5th nucleolysis: intractable craniofacial pain. Surg Forum 1966;17:419–21.

    PubMed  CAS  Google Scholar 

  21. Kerr FWL, Olafson RA. Trigeminal and cervical volleys. Arch Neurol 1961;5:69–76.

    Google Scholar 

  22. Hosobuchi Y, Rutkin B. Descending trigeminal tractotomy: Neurophysiological approach. Arch Neurol 1971;25:115–25.

    PubMed  CAS  Google Scholar 

  23. Wall PD, Taub A. Four aspects of trigeminal nucleus and a paradox. J Neurophysiol 1962;25:110–26.

    PubMed  CAS  Google Scholar 

  24. Broton JG, Rosenfeld JP. Rostral trigeminal projection signal perioral facial pain. Brain Res 1982;243:395–400.

    Article  PubMed  CAS  Google Scholar 

  25. Schvarcz JR. Stereotactic trigeminal tractotomy. Confin Neurol 1975;37:73–7.

    Article  PubMed  CAS  Google Scholar 

  26. Stewart WA, King RB. Fiber projections from the nucleus caudalis of the spinal trigeminal nucleus. J Comp NeuroI 1963;121:271–86.

    Article  CAS  Google Scholar 

  27. Young RF, Perryman KM. Neuronal responses in rostral trigeminal brain-stem nuclei of macaque monkeys after chronic trigeminal tractotomy. J Neurosurg 1986;65:508–16.

    Article  PubMed  CAS  Google Scholar 

  28. McKenzie KJ. Trigeminal tractotomy. Clin Neurosurg 1955;2:50–70.

    Google Scholar 

  29. Young RF. Effects of trigeminal tractotomy on dental sensation in humans. J Neurosurg 1982;56:812–18.

    Article  PubMed  CAS  Google Scholar 

  30. Young RF, Perryman KM. Pathways for orofacial pain sensation in the trigeminal brain-stem nuclear complex of the macaque monkey. J Neurosurg 1984;61:563–8.

    Article  PubMed  CAS  Google Scholar 

  31. Grigoryan YA, Slavin KV, Ogleznev KY. Ultrasonic lesion of the trigeminal nucleus caudalis for deafferentation facial pain. Acta Neurochir (Wien) 1994;131:229–35.

    Article  Google Scholar 

  32. Mosso JA, Kruger L. Spinal trigeminal neurons excited by noxious thermal stimuli. Brain Res 1972;38:206–10.

    Article  PubMed  CAS  Google Scholar 

  33. Nord SG, Ross GS. Responses of trigeminal units in the monkey bulbar lateral reticular formation to noxious and non-noxious stimulation of the face: experimental and theoretical considerations. Brain Res 1973;58:385–99.

    Article  PubMed  CAS  Google Scholar 

  34. Gordon G, Landgren S, Seed WA. The functional characteristics of single cells in the caudal part of the spinal nucleus of the trigeminal nerve of the cat. J Physiol 1961;158:544–59.

    PubMed  CAS  Google Scholar 

  35. Arvidson J, Gobel S. An HRP study of the central projections of primary trigeminal neurons which innervate both pulp in the cat. Brain Res 1981;208:1–16.

    Article  Google Scholar 

  36. Gerard MW. Afferent impulses of the trigeminal nerve: the intramedullary course of the painful, thermal and tactile impulses. Arch Neurol Psychiatr 1923;9:306–38.

    Google Scholar 

  37. Mattews B, Baxter J, Watts S. Sensory and reflex responses to tooth pulp stimulation in man. Brain Res 1976;113:83–94.

    Article  Google Scholar 

  38. Grant FC. Discussion on trigeminal tractotomy. Clin Neurosurg 1955;2:69–70.

    Google Scholar 

  39. Eskine CA, Rowbotham FG. Late changes in the brain stem following trigeminal tractotomy. Arch Neurol Psychiatr 1949;62:493–502.

    Google Scholar 

  40. Denny-Brown D, Yanagisawa N. The function of the descending root of the fifth nerve. Brain 1973;96:783–814.

    Article  PubMed  CAS  Google Scholar 

  41. Shigenaga Y, Chen IC, Suemune S, et al. Oral and facial representation within medullary and upper cervical dorsal horn in the cat. J Comp NeuroI 1986;243:388–408.

    Article  CAS  Google Scholar 

  42. Hochfield S, Gobel S. An anatomical demonstration of projections to the medullar dorsal horn (trigeminal nucleus caudalis) from rostral trigeminal nuclei and the contralateral caudal medulla. Brain Res 1982;252:203–11.

    Article  Google Scholar 

  43. Hodge CJ Jr, King RB. Medical modification of sensation. J Neurosurg 1976;44:21–8.

    Article  PubMed  Google Scholar 

  44. Sessle BJ, Greenwood LF. Inputs to trigeminal brain stem neurons from facial, oral tooth pulp and pharyngolaryngeal tissues. I. Responses to innocuous and noxious stimuli. Brain Res 1976;117:221–6.

    Article  Google Scholar 

  45. Raney R, Raney AA, Hunter C. Treatment of major trigeminal neuralgia through section of the trigeminospinal tract in the medulla. Am J Surg 1950;80:11–17.

    Article  PubMed  CAS  Google Scholar 

  46. Harrison F, Corbin KB. Oscillographic studies on the spinal tract of the fifth cranial nerve. J Neurophysiol 1942;5:465–82.

    Google Scholar 

  47. MacKinley WA, Magoun HW. The bulbar projection of the trigeminal nerve. Am J Physiol 1942;137:217–24.

    Google Scholar 

  48. Fox JL. Intractable facial pain relieved by percutaneous trigeminal tractotomy. JAMA 1971;218:1940–1.

    Article  PubMed  CAS  Google Scholar 

  49. Falconer MA. Intratuedullary trigeminal tractotomy and its place in the treatment of facial pain. J Neurol Neurosurg Psychiatry 1949;12:297–311.

    Article  PubMed  CAS  Google Scholar 

  50. Kunc Z. Treatment of essential neuralgia of the 9th nerve by selective tractotomy. J Neurosurg 1965;23:494–500.

    Article  PubMed  CAS  Google Scholar 

  51. Kunc Z. Significance of fresh anatomic data on spinal trigeminal tract for possibility of selective tractotomies. In: Knigton RS, Dumke PR, editors. Pain: Henry Ford Hospital International Symposium. Boston: Little Brown; 1966. p. 351–63.

    Google Scholar 

  52. Olivecrona H. Tractotomy for relief of trigeminal neuralgia. Arch Neurol Psychiatr 1942;47:544–654.

    Google Scholar 

  53. Hitchcock E. Stereotactic trigeminal tractotomy. Ann Clin Res 1970;2:131–5.

    PubMed  CAS  Google Scholar 

  54. Hamby WB, Shinners BM, Marsh IA. Trigeminal tractotomy. Arch Surg 1948;57:171–7.

    PubMed  CAS  Google Scholar 

  55. Schvarcz JR. Spinal cord stereotaxic techniques for trigeminal nucleotomy and extralemniscal myelotomy. Appl Neurophysiol 1978;41:99–112.

    PubMed  CAS  Google Scholar 

  56. Grant FC. Complications accompanying surgical relief of pain in trigeminal neuralgia. Am J Surg 1948;75:42–47.

    Article  PubMed  CAS  Google Scholar 

  57. Siqueira JM. A method for bulbospinal trigeminal nucleotomy in the treatment of facial deafferentation pain. Appl Neurophysiol 1985;48:277–80.

    PubMed  CAS  Google Scholar 

  58. Hitchcock E, Teixeira MJ. Pontine stereotactic surgery and facial nociception. Neurol Res 1987;9:113–17.

    PubMed  CAS  Google Scholar 

  59. Guidetti B. Tractotomy for relief of trigeminal neuralgia: observations in 124 cases. J Neurosurg 1950;7:499–508.

    Article  PubMed  CAS  Google Scholar 

  60. Grant FC, Weinberger LM. Experiences with intramedullary tractotomy. IV. Surgery of the brain stem and its operative complications. Arch Surg 1941;42:747–54.

    Google Scholar 

  61. Anderson L, Black RG, Abraham J, Ward AA Jr. Neuronal hyperactivity in experimental trigeminal deafferentation. J Neurosurg 1971;35:444–52.

    Article  PubMed  CAS  Google Scholar 

  62. Plangger CA, Fischer J, Grunert V, Moshsenipour I. Tractotomy and partial vertical nucleotomy for treatment of special forms of trigeminal neuralgia and cancer pain of face and neck. Acta Neurochirurg Suppl (Wien) 1987;39:147–50.

    CAS  Google Scholar 

  63. Grant FC. Surgical methods for relief of pain. Bull NY Acad Med 1943;19:373–85.

    CAS  Google Scholar 

  64. Kunc Z. Vertical trigeminal partial nucleotomy. Adv Pain Res Ther 1979;3:325–9.

    Google Scholar 

  65. Penzholz H, Menzel J, Hagenlocher HU. Results of surgical treatment of idiopathic trigeminal neuralgia using different operative techniques (a cooperative study). Adv Neurosurg 1975;3:320–7.

    Google Scholar 

  66. Bernard EJ, Nashold BS Jr, Caputti F. Clinical review of nucleus caudalis dorsal root entry zone lesions for facial pain. Appl Neurophysiol 1988;51:218–24.

    PubMed  Google Scholar 

  67. Moffie D. Late results of bulbar trigeminal tractotomy: some remarks on recovery of sensibility. J Neurol Neurosurg Psychiatry 1971;34:270–4.

    Article  PubMed  CAS  Google Scholar 

  68. Grant FC, Groff RA, Lewy FH. Section of the descending spinal root of the fifth cranial nerve. Arch Neurol Psychiatr 1940;498-509.

    Google Scholar 

  69. Grant FC, Weinberger IM. Experiences with intramedullary tractotomy: relief of facial pain and summary of operative results. Arch Surg 1941;42:681–92.

    Google Scholar 

  70. Bernard EJ Jr, Nashold BS Jr, Caputti F, Mossy JJ. Nucleus caudalis DREZ lesions for facial pain. Br J Neurosurg 1987;1:81–92.

    Article  PubMed  Google Scholar 

  71. Crue BL, Todd EM, Carregal EJA, Kilham O. Percutaneous trigeminal tractotomy. Bull LA Neurol Soc 1967;32;86–92.

    CAS  Google Scholar 

  72. Schvarcz JR. Tractolisis trigeminal estereotaxica. Bol Asoc Arg Neurocir 1972;13:31.

    Google Scholar 

  73. Teixeira MJ. A lesão do trato de Lissauer e do como posterior da substância cinzenta da medula espinal e a estimulação elétrica do sistema nervoso central para o tratamento da dor por desaferentaçäo. Ph.D. Thesis. Faculdade de Medicina of University of Sao Paulo; 1990.

    Google Scholar 

  74. Todd EM, Crue BL, Carregal EJA. Posterior percutaneous tractotomy and cordotomy. Confin Neurol 1969;31: 106–15.

    Article  PubMed  CAS  Google Scholar 

  75. Hitchcock ER, Schvarcz JR. Stereotaxic trigeminal tractotomy for post-herpetic facial pain. J Neurosurg 1972;37:412–17.

    Article  Google Scholar 

  76. Crue BL, Carre gal EJA, Felsoory A. Percutaneous stereotactic radiofrequency trigeminal tractotomy with neurophysiological recordings. Clin Neurol 1972;34:389–97.

    Google Scholar 

  77. Crue BL, Lasby V, Kenton B, Felsoory A. Needle scope to stereotactic frame for inspection of cysterna magna during percutaneous radiofrequency trigeminal tractotomy. Appl Neurophysiol 1976/77;139:58–64.

    Google Scholar 

  78. Sampson JH, Nashold BS. Facial pain due to vascular lesions of the brain stem relieved by dorsal root entry zone lesions in the nucleus caudalis: report of two cases. J Neurosurg 1992;77:473–5.

    Article  PubMed  CAS  Google Scholar 

  79. Hitchcock ER, Tsukamoto Y. Physiological correlates in stereotactic spinal surgery. Acta Neurochir Suppl (Wien) 1974;21:119–23.

    Google Scholar 

  80. Westrum LE. Changes in the synapses of the spinal trigeminal nucleus after ipsilateral rhizotomy. Brain Res 1968;11:706–9.

    Article  PubMed  CAS  Google Scholar 

  81. Black R. Trigeminal pain. In: Crue BL, editor. Pain and suffering. Springfield, IL: Thomas; 1970. p. 119–37.

    Google Scholar 

  82. Schvarcz JR. Craniofacial postherpetic neuralgia managed by stereotactic spinal trigeminal nucleotomy. Acta Neurochir Suppl (Wien) 1989;46:62–4.

    CAS  Google Scholar 

  83. Schvarcz JR. Stereotactic trigeminal nucleotomy for dysesthesic facial pain. Adv Pain Res Ther 1979;3:331–3.

    Google Scholar 

  84. Ishijima B, Shimoji K, Shimizu H, et al. Lesions of spinal and trigeminal dorsal root entry zone for deafferentation pain. Appl NeurophysioI 1988;51:175–87.

    CAS  Google Scholar 

  85. Hitchcock E. Stereotactic spinal surgery. Neurol Surg 1977;433:271–9.

    Google Scholar 

  86. Schvarcz JR. Post-herpetic craniofacial dysesthesiae: their management by stereotactic trigeminal nucleotomy. Acta Neurochir (Wien) 1977;38:65–72.

    Article  CAS  Google Scholar 

  87. Hitchcock E. Electrophysiological exploration of the cervicomedullary region. In Proceedings of a Symposium held in Paris at the Faculte des Sciences, International Congress Series 253. Amsterdam: Excerpta Medica; 1971. p. 237–45.

    Google Scholar 

  88. Teixeira MJ, Lepski G, Aguiar PH, Cescato VA, Rogano L, Alaminos AB. Bulbar trigeminal stereotactic nucleotractotomy for treatment of facial pain. Stereotact Funct Neurosurg 2003;81(1-4):37–42.

    Article  PubMed  CAS  Google Scholar 

  89. Iskandar B, Nashold B. Spinal and trigeminal DREZ lesions. In: Gildenberg PL, Tasker RR, editors. Textbook of stereotactic and functional neurosurgery. New York: McGraw-Hill Co; 1998. p. 1573–83.

    Google Scholar 

  90. Fox JL. Percutaneous trigeminal tractotomy for facial pain. Acta Neurochir (Wien) 1973;29:83–8.

    Article  CAS  Google Scholar 

  91. Kanpolat Y, Deda H, Akyar S, et al. CT-guided trigeminal tractotomy. Acta Neurochirurg (Wien) 1989;100: 112–14.

    Article  CAS  Google Scholar 

  92. Kanpolat Y, Cosman ER. Special radiofrequency electrode system for computed tomography-guided pain-relieving procedures. Neurosurgery 1996;38:600–3.

    Article  PubMed  CAS  Google Scholar 

  93. Kanpolat y, Akyar S, Caglar S. Diametral measurements of the upper spinal cord for stereotactic pain procedures: experimental and clinical study. Surg Neurol 1995;34:478–83.

    Article  Google Scholar 

  94. Kanpolat Y, Caglar S, Akyar S, Temiz C. CT-guided pain procedures for intractable pain in malignancy. Acta Neurochir Suppl (Wien) 1995;64:88–91.

    CAS  Google Scholar 

  95. Kanpolat Y, Savas A, Batay F, Sinav A. Computed tomography-guided trigeminal tractotomy-nucleotomy in the management of vagoglossopharyngeal and geniculate neuralgias. Neurosurgery 1998;484-9.

    Google Scholar 

  96. Kanpolat Y, Savas A, Akyar S, Cosman E. Percutaneous computed tomography-guided spinal destructive procedures for pain control. Neurosurg Q 2004;14(4):229–38.

    Article  Google Scholar 

  97. Spiegelmann R, Friedman WA, Ballinger WE, Tedeschi H. Anatomic examination of a case of open trigeminal nucleotomy (nucleus caudalis dorsal root entry zone lesions) for facial pain. Stereotact Funct Neurosurg. 1991;56(3):166-78.

    Article  PubMed  CAS  Google Scholar 

  98. Nashold BS Jr, Caputi F, Bernard E. Trigeminal DREZ: Caudalis nuclear lesions for relief of facial pain. Neurosurgery 1984;19:150.

    Google Scholar 

  99. Abdennebi B, Bouatta F, Bougatene B. Nucléotomie du noyau spinal do trijumeau: a propos de deux névralgies trigéminales post-traumatiques opérées. Neurochirurgie 1993;39:231–4.

    PubMed  CAS  Google Scholar 

  100. Rossitch E Jr, Zeidman SM, Nashold BS Jr. Nucleus caudalis D.R.E.Z. for facial pain due to cancer. Br J Neurosurg 1989;3:45–9.

    Article  PubMed  Google Scholar 

  101. Young IN, Nashold BS, Cosman ER. A new insulated caudalis nucleus D.R.E.Z. electrode: technical note. J Neurosurg 1989;70:283–4.

    Article  PubMed  CAS  Google Scholar 

  102. Gorecki JP, Nashold BS. The Duke experience with the nucleus caudalis DREZ operation. Acta Neurochir Suppl (Wien) 1995;64:128–31.

    CAS  Google Scholar 

  103. Morita M, Hosobuchi Y. Desending trigeminal tractotomy for trigeminal neuralgia after surgical failure. Steretact Funct Neurosurg 1992;59:52-55 (DOI: 10. 1159/000098917).

    Article  CAS  Google Scholar 

  104. Spiegelmann R, Friedman WA, Ballinger WE, Tedeshi H. Anatomic examination of a case of open trigeminal nucleotomy (nucleus caudalis dorsal root entry zone lesions) for facial pain. Stereotact Funct Neurosurg 1991;56:166–78.

    Article  PubMed  CAS  Google Scholar 

  105. Nashold BS Jr, EI-Naggar AO, Ovelman-Levitt J, Muwaffak A. A new design of radiofrequency lesion electrodes for use in caudalis DREZ operations. J Neurol 1994;80:1116–20.

    Google Scholar 

  106. Nashold BS Jr, El-Naggar AO, Ovelmen-Levitt J, et al. A new design or radiofrequency lesion electrodes for use in the caudalis nucleus DREZ operation. Technical note. J Neurosurg 1994;80:1116–20.

    Article  PubMed  Google Scholar 

  107. Young RF, Oleson M, Perryman KM. Effect of trigeminal tractotomy on behavioural response to dental pulp stimulation in the monkey. J Neurosurg 1981;55:420–30.

    Article  PubMed  CAS  Google Scholar 

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Authors
  1. M. J. Teixeira
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  2. E. T. Fonoff
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Editor information

Editors and Affiliations

  1. Canadian Research Chair in Neuroscience (Tier 1), 399 Bathurst St. WW 4-447, Toronto, Ontario, M5T 2S8, Canada

    Andres M. Lozano (Professor of Surgery and RR Tasker Chair in Functional Neurosurgery University of Toronto Senior Scientist, Toronto Western Research Institute President, World Society for Stereotactic and Functional Neurosurgery) (Professor of Surgery and RR Tasker Chair in Functional Neurosurgery University of Toronto Senior Scientist, Toronto Western Research Institute President, World Society for Stereotactic and Functional Neurosurgery)

  2. Houston Stereotactic Concepts, Inc., 2260 West Holcombe Boulevard Suite 309, Houston, Texas, 77030, USA

    Philip L. Gildenberg

  3. University of Toronto, 399 Bathurst St. WW 4-447, Toronto, Ontario, M5T 2S8, Canada

    Ronald R. Tasker

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Teixeira, M.J., Fonoff, E.T. (2009). Technique of Trigeminal Nucleotractotomy. In: Lozano, A.M., Gildenberg, P.L., Tasker, R.R. (eds) Textbook of Stereotactic and Functional Neurosurgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-69960-6_124

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  • DOI: https://doi.org/10.1007/978-3-540-69960-6_124

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