[Endoscopy-assisted neurosurgery for intracranial operation].
OBJECTIVE
To investigate the value of endoscope-assisted neurosurgery for intracranial operation.


METHODS
37 patients with intracranial lesions including tumors, aneurysms, cysts, hematomas, hydrocephalus and nerve-vessel compression syndrome were treated with this method. Their results were compared to those of microsurgery and macrosurgery. The items analyzed included exposure and protection of brain tissue and cranial nerves, views of operation field, length of procedure etc.


RESULTS
15 patients with tumors, showed a high rate of complete removal but less complications. The 6th nerves of CPA tumors operation were preserved. Six cases of nerve-vessel compression syndrome showed excellent therapeutic effects. In 8 cases of intraventricle lesions, using endoscope easily found tumor location and the cause of hydrocephalus. As to saccular diseases, endoscope was used to deal with the major location. In 4 cases of hematomas, less blot remained and the procedure shortened. Moreover the operation field was more clear and adequate on the expenses of no more complexity of the procedure.


CONCLUSIONS
Endoscope-assisted microsurgery is helpful in intracranial operation. It might become a standard neuro-operation in near future.
Qiu
Y
Y
Department of Neurosurgery, Renji Hospital, Shanghai Second Medical University, Shanghai 200001, China.
Shen
J
J
Luo
Q
Q
Fei
Z
Z
Zhong
C
C
D000293:Adolescent; D000328:Adult; D000368:Aged; D001921:Brain / Q000601:surgery*; D001927:Brain Diseases / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D044583:Neuroendoscopy; D019635:Neurosurgical Procedures / Q000379:methods*