Endoscope-assisted Brain Surgery: Part 2—Analysis of 380 Procedures

Abstract

Although the results reported herein cannot be compared directly with those of exclusive microsurgical procedures performed during the same period of time, videoendoscope-assisted microsurgery can be recommended as a time-saving, trauma-reducing procedure apt to improve postoperative outcomes.

An electrophysiological study on the safety of the endoscope-assisted microsurgical removal of vestibular schwannomas

“…It increases the light intensity while approaching an object, permits a clear depiction of details in close-up positions and extends the viewing angle [20]. In CPA surgery, it is used to identify important anatomic structures and their relations to the tumour.…”

Endoscopic assisted microneurosurgery for gasserian portion of trigeminal neuroma: two cases

“…When a lesion is present inside the cavernous sinus, a combined app roach is necessary. Approach to the posterior fossa has its associated morbidity: cerebellar edema and infraction, hearing loss, facial palsy, cere b ro -s p i n a l fluid leak 5 . Endoscopic assisted micro s u rg e ry (EAM) may simplify surgical approach to those lesions, and tumor removal, allowing low morbidity.…”

“…Supra-infratentorial TN (SIT) is equally distributed among posterior and middle cranial fossa. Combined a p p roaches are usually re q u i red to accomplish its total resection with opening of the lateral wall of the cavernous sinus (associated morbidity) 5 . On those patients with SIT-TN whose extra ocular movements and hearing capacity are pre s e rved, a less invasive approach is needed.…”

“…In 1999, Magnan and Sanna published an atlas with detailed surgical anatomy of the cranial n e rves of the base of the skull 9 . The endoscope has also been used in neurovascular decompressions at the posterior fossa, minimizing retraction of stru ctures and widening lateral angle of vision 5,6 .…”

“…Endoscope allows a less traumatic pro c e d u re, better light and better view of places that the microscope would not be to re a c h 5 , 6 . Also it makes possible inspection of bony orifices without tissue removal or retraction 5,[11][12][13] .…”