Skip to main content
SpringerLink
Log in
Book cover

Trends in the Management of Cerebrovascular Diseases pp 19–24Cite as

Endoscope-Assisted Microneurosurgery for Intracranial Aneurysms: Operative Technique, Reliability, and Feasibility Based on 14 Years of Personal Experience

  • Conference paper
  • First Online:

Part of the book series: Acta Neurochirurgica Supplement ((NEUROCHIRURGICA,volume 129))

Abstract

Endoscope-assisted microneurosurgery (EAM) combines endoscopic and microsurgical techniques for the treatment of deeply located intracranial lesions. During aneurysm surgery, endoscopic assistance may aid in the visualization of perforating arteries, especially when minimally invasive approaches are used. Between 2002 and 2015, a total of 183 patients with 208 intracranial aneurysms were surgically treated in our department. EAM was performed in 191 procedures. In all, 159 aneurysms were located in the anterior circulation and 49 in the posterior circulation. Of these, 135 aneurysms were ruptured. Lesions were exposed through standard skull base microsurgical approaches. The endoscope was employed during three steps: initial inspection, true operative time, and final inspection. Complications directly related to endoscopic procedures were rare; no surgical mortality was observed in this series. A retrospective analysis of each procedure showed that the usefulness of EAM depended on the anatomical location and size of the lesions. Its advantages were especially evident when dedicated scopes and holders were used.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   219.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   219.00
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Apuzzo ML, Heifetz MD, Weiss MH, Kurze T. Neurosurgical endoscopy using the side-viewing telescope. J Neurosurg. 1977;46(3):398–400.

    Article  CAS  Google Scholar 

  2. Halves E, Bushe KA. Transsphenoidal operation on craniopharyngiomas with extrasellar extensions. The advantage of the operating endoscope [proceedings]. Acta Neurochir Suppl. 1979;28(2):362.

    CAS  PubMed  Google Scholar 

  3. Matula C, Tschabitscher M, Day JD, Reinprecht A, Koos WT. Endoscopically assisted microneurosurgery. Acta Neurochir. 1995;134(3–4):190–5.

    Article  CAS  Google Scholar 

  4. Perneczky A, Fries G. Endoscope-assisted brain surgery: part 1—evolution, basic concept, and current technique. Neurosurgery. 1998;42(2):219–24.

    Article  CAS  Google Scholar 

  5. Kim Y, Yoo C-J, Park CW, Kim MJ, Choi DH, Kim YJ, Park K. Modified supraorbital keyhole approach to anterior circulation aneurysms. J Cerebrovasc Endovasc Neurosurg. 2016;18(1):5–11.

    Article  Google Scholar 

  6. Ormond DR, Hadjipanayis CG. The supraorbital keyhole craniotomy through an eyebrow incision: its origins and evolution. Minim Invasive Surg. 2013;2013:296469.

    PubMed  PubMed Central  Google Scholar 

  7. Reisch R, Perneczky A, Filippi R. Surgical technique of the supraorbital key-hole craniotomy. Surg Neurol. 2003;59(3):223–7.

    Article  Google Scholar 

  8. Fries G, Perneczky A. Endoscope-assisted brain surgery: part 2—analysis of 380 procedures. Neurosurgery. 1998;42(2):226–31.

    Article  CAS  Google Scholar 

  9. Fischer G, Oertel J, Perneczky A. Endoscopy in aneurysm surgery. Neurosurgery. 2012;70(2 Suppl Operative):184–90.

    PubMed  Google Scholar 

  10. Perneczky A, Boecher-Schwarz HG. Endoscope-assisted microsurgery for cerebral aneurysms. Neurol Med Chir. 1998;38(Suppl):33–4.

    Article  Google Scholar 

  11. Fischer J, Mustafa H. Endoscopic-guided clipping of cerebral aneurysms. Br J Neurosurg. 1994;8(5):559–65.

    Article  CAS  Google Scholar 

  12. Kalavakonda C, Sekhar LN, Ramachandran P, Hechl P. Endoscope-assisted microsurgery for intracranial aneurysms. Neurosurgery. 2002;51(5):1119–26.

    Article  Google Scholar 

  13. Kato Y, Sano H, Nagahisa S, Iwata S, Yoshida K, Yamamoto K, Kanno T. Endoscope-assisted microsurgery for cerebral aneurysms. Minim Invasive Neurosurg. 2000;43(2):91–7.

    Article  CAS  Google Scholar 

  14. Taniguchi M, Takimoto H, Yoshimine T, Shimada N, Miyao Y, Hirata M, Maruno M, Kato A, Kohmura E, Hayakawa T. Application of a rigid endoscope to the microsurgical management of 54 cerebral aneurysms: results in 48 patients. J Neurosurg. 1999;91(2):231–7.

    Article  CAS  Google Scholar 

Download references

Conflict of Interest Statement

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

  1. Department of Life, Health and Environmental Sciences (MESVA), University of L’Aquila, L’Aquila, Italy

    Massimo Gallieni M.D., Mattia Del Maestro M.D. & Renato Galzio M.D.

  2. Department of Neurosurgery, San Salvatore City Hospital, L’Aquila, Italy

    Sabino Luzzi M.D., Alessandro Ricci M.D. & Renato Galzio M.D.

  3. Department of Anesthesiology, San Salvatore City Hospital, L’Aquila, Italy

    Donatella Trovarelli M.D.

Authors
  1. Massimo Gallieni M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mattia Del Maestro M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Sabino Luzzi M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Donatella Trovarelli M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Alessandro Ricci M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Renato Galzio M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Neurosurgery, University Hospital Zurich, University of Zurich, Zurich, Switzerland

    Giuseppe Esposito

  2. Department of Neurosurgery, University Hospital Zurich, University of Zurich, Zurich, Switzerland

    Luca Regli

  3. Department of Neurosurgery, Asahi Uni Murakami Memorial Hospital, Gifu, Japan

    Yasuhiko Kaku

  4. Department of Neurosurgery, National Hospital Organization, Kyoto Medical Center, Kyoto, Japan

    Tetsuya Tsukahara

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Gallieni, M., Del Maestro, M., Luzzi, S., Trovarelli, D., Ricci, A., Galzio, R. (2018). Endoscope-Assisted Microneurosurgery for Intracranial Aneurysms: Operative Technique, Reliability, and Feasibility Based on 14 Years of Personal Experience. In: Esposito, G., Regli, L., Kaku, Y., Tsukahara, T. (eds) Trends in the Management of Cerebrovascular Diseases. Acta Neurochirurgica Supplement, vol 129. Springer, Cham. https://doi.org/10.1007/978-3-319-73739-3_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-73739-3_3

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-73738-6

  • Online ISBN: 978-3-319-73739-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation