[Development and clinical application of a brain stereotactic endoscope].
OBJECTIVE
To investigate the feasibility, indications and advantages of endoscopic surgery for brain neoplasms and hypertensive haematoma.


METHODS
A self-designed brain endoscope with a wide working channel was used for resection of deep-seated brain neoplasm or other cranial cerebral operations of 30 patients operated on endoscopically, 13 had intracranial tumor, 15 hypertensive intracerebral haematoma, 1 thalamic abscess, and 1 cysticercosis.


RESULTS
Total removal of tumor was achieved in 4 patients, subtotal or major partial removal in 7, and biopsy in 2. Completely evacuation of haematoma was achieved in 7 patients and partial evacuation in 8 (over 80%). The abscess was evacuated and the solitary cysticercosis focus was removed with our endoscope. No obvious postoperative complications were noted.


CONCLUSIONS
The advantages of stereotactic endoscopy for deep-seated brain neoplasm include accurate intraoperative localization, minimal invasion, good recovery, no or a few complications. The indications for this intervention are small lesions deep in the brain parenchyma with well-defined boundary and light vascularity. Intracerebral haematoma can be evacuated under direct vision endoscopically, without damage to the haematoma cavity wall.
Wan
J
J
Department of Neurosurgery, Huashan Hospital, Shanghai Medical University, Shanghai 200040.
Jiang
C
C
D001932:Brain Neoplasms / Q000473:pathology / Q000601:surgery*; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006406:Hematoma / Q000473:pathology / Q000601:surgery; D006801:Humans; D020299:Intracranial Hemorrhage, Hypertensive / Q000473:pathology / Q000601:surgery; D008297:Male; D013238:Stereotaxic Techniques / Q000295:instrumentation*; D016896:Treatment Outcome