Summary
This paper describes our technique of interventional endoscopy of the ventricular system through a 10-mm burr hole. This minimally invasive technique requires special tools developed in our clinic for comfortable and safe procedures.
Following MR image reconstruction, a 10-mm burr hole is placed frontally 3 cm parasagittally, and a working sleave is carefully inserted. With a 30° angled endoscope, intraventricular lesions can be identified and, if necessary, removed through the sleave.
This technique has been used for treatment of 14 patients: six with colloid cysts, six with hydrocephalus due to blocking of the foramen of Monro, and two on whom tumor biopsies were performed with partial or total tumor removal. Thirteen patients had either minimal or significant improvement. Due to bleeding (one patient), morbidity was 6%.
Interventional endoscopy with its minimal surgical trauma and short intra-operative time span represents an effective alternative treatment for intraventricular lesions to be completely resected.
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© 1998 Springer-Verlag Berlin Heidelberg
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Oppel, F., Hoff, H.J., Pannek, H.W. (1998). Endoscopy of the Ventricular System: Indications, Operative Procedure, and Technical Aspects. In: Hellwig, D., Bauer, B.L. (eds) Minimally Invasive Techniques for Neurosurgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-58731-3_16
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DOI: https://doi.org/10.1007/978-3-642-58731-3_16
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