微创外科治疗神经肿瘤既要最大程度保护神经不受损害,又要彻底或相对彻底清除肿瘤。这是20世纪末刚发展起来的以高科技为基础的新领域,已经建立的手术平台有锁孔(Keyhole)显微、神经导航和神经内镜等,对于良性肿瘤是以肿瘤组织与正常组织为界面的清除肿瘤;对于无法找到界面、呈浸润性生长的神经胶质瘤还应辅于针对肿瘤发生、发展的分子进行治疗。我国的微创神经外科治疗相对滞后,仅有少数单位已经起步,多数单位尚处在准备阶段,期望本刊特约的专家笔谈对推动我国微创神经外科发展有所裨益。 Minimally invasive surgical treatment of nerve tumors should not only maximize the protection of nerve damage, but also completely or relatively complete removal of the tumor. This is a new hi-tech field just developed in the late 20th century. The established surgical platforms include Keyhole Microscopy, Neuronavigation, and Neuroendoscopy. For benign tumors, tumor tissues and normal tissues are Interface to clear the tumor; for unable to find the interface, was invasive growth of glioma should also be supplemented with tumor development, development of molecules for treatment. In our country, the minimally invasive neurosurgical treatment lags behind. Only a few units have already started. Most of the units are still in the preparation stage. It is hoped that the author’s special expert talk can help to promote the development of minimally invasive neurosurgery in our country.