title: [Endoscopic use of the water jet dissector in the cerebral ventricle system--an experimental study].
abstract: Endoscopic surgery in the cerebral ventricle is limited by the small number of suitable instruments and bleedings obscuring the visibility. The water jet cutter allows the dissection of tissue, generally leaving vessels intact. Therefore it could be an additional instrument for neuroendoscopic purposes. In this preclinical study the employment of the water jet dissector under endoscopic conditions was evaluated. Incision-experiments (n = 80) on the ventricular system of fresh porcine brain were carried out under endoscopic view. To achieve similarity to the ventricular system, specimens were dissected in liquid medium (Ringer's-lactate, 37 degrees C). The depths of incision were measured digitally and histological examination of the tissue was performed. Depending on the applied pressure, distance from cutting nozzle to tissue and cutting velocity, the depths of incision ranged from 0.12 mm up to 2.4 mm. The water jet dissector is good to handle under endoscopic conditions and vessels are preserved. Based on these factors, this instrument is predestinated for further neuroendoscopic application. Prior to clinical application our results will have to be tested on living, perfused cerebral tissue.
authors.affiliation: Klinik für Neurochirurgie, Medizinische Universität zu Lübeck.
authors.forename: S
authors.initials: S
authors.lastname: Jakob
authors.forename: U
authors.initials: U
authors.lastname: Kehler
authors.forename: E
authors.initials: E
authors.lastname: Reusche
authors.forename: H J
authors.initials: HJ
authors.lastname: Friedrich
authors.forename: H
authors.initials: H
authors.lastname: Arnold
mesh_terms: D000818:Animals; D002552:Cerebral Ventricles / Q000601:surgery*; D004210:Dissection / Q000295:instrumentation* / Q000379:methods; D004724:Endoscopy / Q000379:methods; D004867:Equipment Design; D013552:Swine
vernacular_title: Endoskopischer Einsatz des Water Jet Dissektors im Hirnkammersystem--eine experimentelle Studie.