title: [Image-guided neuroendoscopy].
abstract: OBJECTIVE
  By definition, image-guided neuroendoscopy is a connection between a neuroendoscope and a neuronavigational system creating a computer-guided instrument. Our objective was to adapt our rigid endoscope with our neuronavigation system to perform computer-guided endoscopy.
  
  
  RESULTS
  The rigid neuroendoscope, equipped with light emitting diodes, was connected to the work station. We report our early results with this device in 17 patients: 8 ventriculocisternostomies, 5 ventriculocisternostomies with biopsies of tumors of the posterior part of the third ventricule, 4 biopsies or tumor removal like colloid cysts. No technical complications were encountered.
  
  
  CONCLUSIONS
  The development of image-guided neuroendoscopy has modified our approach to neuroendoscopy because the surgical procedure is facilitated. The use of fluoroscopy becomes unnecessary. The surgeon can choose, independent of the preestablish surgical technique, the entry point, the target and, of course, the optimal trajectory. The technique is adaptable to the individual anatomy of each patient, the location and the nature of the target. It is an undeniably useful teaching tool and represents a real progress in minimally invasive neurosurgery.
authors.affiliation: Service de Neurochirurgie, CHU Dupuytren, 87042 Limoges Cedex, France. moreau@unilim.fr
authors.forename: J J
authors.initials: JJ
authors.lastname: Moreau
authors.forename: M
authors.initials: M
authors.lastname: Ghorbel
authors.forename: A
authors.initials: A
authors.lastname: Moufid
authors.forename: P
authors.initials: P
authors.lastname: Hallacq
authors.forename: J F
authors.initials: JF
authors.lastname: Lagarrigue
authors.forename: M
authors.initials: M
authors.lastname: Alibenali
authors.forename: J
authors.initials: J
authors.lastname: Vidal
mesh_terms: D000328:Adult; D000368:Aged; D001921:Brain / Q000473:pathology*; D001932:Brain Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D003560:Cysts / Q000601:surgery; D019723:Endoscopes; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000295:instrumentation / Q000379:methods*; D012189:Retrospective Studies
vernacular_title: Neuroendoscopie guidée par ordinateur.