Endoscopic retrosigmoid keyhole approach in cerebellopontine angle tumors. A surgical cohort

Caballero-García, Joel; Morales-Pérez, Iosmill; Michel-Giol-Álvarez, Adolfo; Aparicio-García, Carlos; López-Sánchez, Misael; Huanca-Amaru, Juvenal

doi:10.1016/j.neucie.2021.02.001

Cited by 4 publications

(3 citation statements)

References 24 publications

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“…This method can adjust the depth and angle of the endoscope as the surgeon operates, and the assistant can achieve a better endoscope flexibly by handling the endoscope with both hands compared to the mechanical arm ( 30 , 31 ). Moreover, unlike the fixation arm, endoscopy can achieve “dynamic magnification” ( 32 , 33 ). The fulcrum of the assistant handling the endoscope.…”

Section: Discussionmentioning

confidence: 99%

Keyhole supraorbital eyebrow approach for fully endoscopic resection of tuberculum sellae meningioma

et al. 2022

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BackgroundThe fully endoscopic supraorbital trans-eyebrow keyhole approach is a technique utilized for the transcranial resection of tuberculum sellae meningioma (TSM). Surgery is the first choice for TSM treatment. This study aimed to summarize and analyze the safety, feasibility, limitations, and technical requirements of the fully endoscopic supraorbital trans-eyebrow keyhole approach for TSM resection.MethodsData of 19 TSM fully endoscopic supraorbital trans-eyebrow keyhole approach resections cases (six and 13 on the left and right eyebrows, respectively) were retrospectively analyzed at the Neurosurgery Department of the First Affiliated Hospital of Bengbu Medical College (Bengbu, China) from August 2015 to March 2022.ResultsAll 19 patients were diagnosed with meningioma (World Health Organization grade I), and according to the scope of tumor resection (EOR), 18 patients (94.7%) had gross total resection (GTR), and one patient (5.3%) had near-total resection (NTR). Preoperative chief complaints were symptomatic visual dysfunction (n = 12), headache and dizziness (n = 6), and accidental discovery (n = 1). Postoperative visual function improved in 83.3% of cases (10/12), and headache and dizziness were relieved in 83.3% of cases (5/6 patients). Postoperative intracranial infection occurred in one case and was cured by external drainage of the lumbar cistern and anti-infective treatment. Two cases of frontal lobe injury were discharged after conservative treatment. There was no postoperative olfactory dysfunction, eyelid ptosis, cerebrospinal fluid leakage, or death. There were no reports of disease recurrence or death during the 3-month follow-up at an outpatient clinic or by telephone.ConclusionFully endoscopic TSM resection through the keyhole approach is safe and feasible. It can be used to explore angles that cannot be seen under a microscope and show the true value of endoscopy technology. The endoscopic equipment and technical skills of the surgeon and surgical team are important in this technique.

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Section: Discussionmentioning

confidence: 99%

Keyhole supraorbital eyebrow approach for fully endoscopic resection of tuberculum sellae meningioma

et al. 2022

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“…With the recent development of neuroendoscope, whole course neuroendoscopic resection of epidermoid cysts has become feasible. Fully endoscopic surgery for neuroendoscopic resection of epidermoid cysts could decrease traction on the brain, improve total resection rates, and decrease postoperative complications [18,3,19,11]. However, there is one disadvantage in such fully endoscopic surgery.…”

Section: Discussionmentioning

confidence: 99%

“…In the past ten years, a fully endoscopic technique has also been widely used [4,3,19,6]. When endoscope was used alone, we found it possible that the neurovascular structures cannot be seen through the endoscope when endoscope passes the neurovascular structures.…”

Section: Introductionmentioning

confidence: 99%

Combined Endoscopic and Exoscopic Resection of Intracranial Epidermoid Cysts

Gui

et al. 2022

World Neurosurgery

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Introducing endoscopic assistance on routinary basis for vestibular schwannomas resection: A single centre acceptance analysis

De Marco,

Lo Bue,

Di Perna

et al. 2024

Neurochirurgie

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Endoscopic retrosigmoid keyhole approach in cerebellopontine angle tumors. A surgical cohort

Cited by 4 publications

References 24 publications

Keyhole supraorbital eyebrow approach for fully endoscopic resection of tuberculum sellae meningioma

Keyhole supraorbital eyebrow approach for fully endoscopic resection of tuberculum sellae meningioma

Combined Endoscopic and Exoscopic Resection of Intracranial Epidermoid Cysts

Introducing endoscopic assistance on routinary basis for vestibular schwannomas resection: A single centre acceptance analysis

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