The concept of minimally invasive neurosurgery.
Applying the concept of keyhole techniques to neurosurgery has divided the neurosurgical community. This should never have happened because keyhole refers to a philosophy not a size. This philosophy stems from a desire to minimize collateral damage without compromising the intended goal of surgery. The revolution received its impetus from technological advances in pre- and intraoperative navigation, use of surgical-friendly anesthetic agents, lower profile instruments, the introduction of hemostatic agents, and better visualization. If a smaller craniotomy compromises the goal of surgery, then the approach should be re-evaluated and modified to achieve minimal collateral damage and maximal efficacy.
Centre for Minimally Invasive Neurosurgery, POW Private Hospital, Randwick, NSW, Australia. Charlie@neuroendoscopy.info
Charles
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D001921:Brain / Q000473:pathology / Q000502:physiology / Q000601:surgery; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000639:trends*; D009493:Neurosurgery / Q000639:trends*; D019635:Neurosurgical Procedures