Clinical application of neuroendoscopic techniques.
We treated 126 patients with different neurosurgical diseases by performing endoscopic neurosurgery, endoscopy-controlled microneurosurgery and endoscopy-assisted microneurosurgery. The indications were intracranial cysts in 51 patients, brain cysticercosis in 10 patients, hydrocephalus in 31 patients, and epidermoid cysts in 34 patients. The follow-up period ranged from 6 to 24 months (mean follow-up duration 9 months). After operation, 115 of 126 patients had improvement in their initial symptoms, 7 had no change and 4 developed complications, including subarachnoid hemorrhage (SAH), intraventricular hemorrhage, and transient cardiopulmonary dysfunction. It is concluded that (1) neuroendoscopic techniques show a distinct value in the treatment of deep-seated, intracranial diseases, or ventricle and cistern lesions; (2) neuroendoscopic techniques play an important role in microneurosurgery and consequently improve surgical quality; (3) the benefits of neuroendoscopic techniques include less surgical manipulation and trauma, milder postoperative reaction, decreased expenses and shortened hospitalizations.
Zhang
Y
Y
Beijing Neurosurgical Institute, Beijing, China.
Wang
C
C
Liu
P
P
Gao
X
X
D000293:Adolescent; D000328:Adult; D000368:Aged; D016080:Arachnoid Cysts / Q000601:surgery; D001927:Brain Diseases / Q000601:surgery*; D002543:Cerebral Hemorrhage / Q000209:etiology; D002648:Child; D002675:Child, Preschool; D002781:Cholesteatoma / Q000601:surgery; D003551:Cysticercosis / Q000601:surgery; D003560:Cysts / Q000601:surgery; D004724:Endoscopy / Q000009:adverse effects; D004814:Epidermal Cyst / Q000601:surgery; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000601:surgery; D007223:Infant; D008297:Male; D008866:Microsurgery / Q000009:adverse effects / Q000295:instrumentation; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000009:adverse effects / Q000295:instrumentation*; D011183:Postoperative Complications / Q000209:etiology; D013345:Subarachnoid Hemorrhage / Q000209:etiology; D016896:Treatment Outcome