Comparison of endoscope- versus microscope-assisted resection of deep-seated intracranial lesions using a minimally invasive port retractor system

Journal of Neurosurgery
Christopher S HongJ Bradley Elder

Abstract

Tubular brain retractors may improve access to deep-seated brain lesions while potentially reducing the risks of collateral neurological injury associated with standard microsurgical approaches. Here, microscope-assisted resection of lesions using tubular retractors is assessed to determine if it is superior to endoscope-assisted surgery due to the technological advancements associated with modern tubular ports and surgical microscopes. Following institutional approval of the tubular port, data obtained from the initial 20 patients to undergo transportal resection of deep-seated brain lesions were analyzed in this study. The pathological entities of the resected tissues included metastatic tumors (8 patients), glioma (7), meningioma (1), neurocytoma (1), radiation necrosis (1), primitive neuroectodermal tumor (1), and hemangioblastoma (1). Surgery incorporated endoscopic (5 patients) or microscopic (15) assistance. The locations included the basal ganglia (11 patients), cerebellum (4), frontal lobe (2), temporal lobe (2), and parietal lobe (1). Cases were reviewed for neurological outcomes, extent of resection (EOR), and complications. Technical data for the port, surgical microscope, and endoscope were analyzed. EOR was consid...Continue Reading

References

Jul 1, 1977·Stroke; a Journal of Cerebral Circulation·M H BennettP J Jannetta
Sep 1, 1991·Journal of Cerebral Blood Flow and Metabolism : Official Journal of the International Society of Cerebral Blood Flow and Metabolism·E H Lo, G K Steinberg
Jan 1, 1990·Journal of Cerebral Blood Flow and Metabolism : Official Journal of the International Society of Cerebral Blood Flow and Metabolism·M JacewiczW A Pulsinelli
Jan 1, 1989·Acta neurochirurgica. Supplementum·L ZamoranoM Dujovny
Apr 1, 1987·Journal of Neurosurgery·L LeksellL Steiner
Jun 1, 1995·Neurosurgery·Z FeldmanA A Artru
Jul 11, 2007·Neurosurgery·Yaron A MoshelPatrick J Kelly
Apr 11, 2009·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Jörg FrankeF Awiszus
Dec 21, 2010·Journal of Neurosurgery·Amin B KassamMichael B Horowitz
Apr 22, 2011·Minimally Invasive Neurosurgery : MIN·S M RazaA Quinones-Hinojosa
May 3, 2011·Journal of Neurosurgery. Pediatrics·Pablo F RecinosViolette Renard Recinos
May 2, 2012·Advances in Orthopedics·Victor Popov, David G Anderson
Sep 12, 2012·Journal of Spinal Disorders & Techniques·Suhel KotwalFederico Girardi
Dec 18, 2012·Journal of Neurosurgery·Nancy McLaughlinDaniel F Kelly
Jan 8, 2013·Journal of Neurological Surgery. Part A, Central European Neurosurgery·Jason Van RompaeyArturo C Solares
Jul 31, 2013·World Neurosurgery·Yusuke TakemuraAlbert L Rhoton

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Citations

Mar 28, 2018·Journal of Neurosurgical Sciences·Juan M Revuelta BarberoDaniel M Prevedello
Sep 11, 2020·Journal of Neurological Surgery. Part A, Central European Neurosurgery·Nirmeen ZagzoogKesava Reddy
Dec 16, 2020·Journal of Neurological Surgery. Part A, Central European Neurosurgery·Mohamed OkashaSurash Surash
Mar 11, 2021·Journal of Neurological Surgery. Part A, Central European Neurosurgery·Martina PiloniPietro Mortini

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Methods Mentioned

BETA
dissections
dissection
total resection
biopsy
surgical resection

Software Mentioned

GraphPad Prism
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