Hybrid Microscopic-Endoscopic Surgery for Craniopharyngioma in Neurosurgical Suite: Technical Notes

World Neurosurgery
Tomotsugu IchikawaIsao Date

Abstract

The best chance of curing craniopharyngioma is achieved by microsurgical total resection; however, its location adjacent to critical structures hinders complete resection without neurologic deterioration. Unrecognized residual tumor within microscopic blind spots might result in tumor recurrences. To improve outcomes, new techniques are necessary to visualize tissue within these blind spots. We examined the success of hybrid microscopic-endoscopic neurosurgery for craniopharyngioma in a neurosurgical suite. Four children with craniopharyngiomas underwent microscopic resection. When the neurosurgeon was confident that most of the visible tumor was removed but was suspicious of residual tumor within the blind spot, he or she used an integrated endoscope-holder system to inspect and remove any residual tumor. Two ceiling monitors were mounted side by side in front of the surgeon to display both microscopic and endoscopic views and to view both monitors simultaneously. Surgery was performed in all patients via the frontobasal interhemispheric approach. Residual tumors were observed in the sella (2 patients), on the ventral surface of the chiasm and optic nerve (1 patient), and in the third ventricle (1 patient) and were resected to...Continue Reading

References

Jan 1, 1992·International Journal of Radiation Oncology, Biology, Physics·W F Regine, S Kramer
Feb 9, 1999·Journal of Neurosurgery·R FahlbuschM Buchfelder
Feb 16, 2002·Neurosurgery·S C CarpentieriS L Pomeroy
Jul 22, 2005·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Reizo ShiraneTeiji Tominaga
Dec 6, 2008·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Matthieu VinchonPatrick Dhellemmes
Dec 9, 2008·Minimally Invasive Neurosurgery : MIN·R EskandariW T Couldwell
May 19, 2009·Clinical Neurology and Neurosurgery·Yavor EnchevVentzeslav Bussarsky
Nov 13, 2010·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Juraj SteňoViktor Matejčík
Mar 13, 2014·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Koichi YoshidaIsao Date
May 3, 2014·Journal of Neurosurgery·Luigi Maria CavalloErnesto Pasquini
Apr 25, 2015·Journal of Neurosurgery·Mohammad AbolfotohOssama Al-Mefty

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Citations

Jul 28, 2020·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Abd El Rahman EnayetMohamed A El Beltagy

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