What brain surgery can be done under neuroendoscope?

Neuroendoscopic surgery is one of the main minimally invasive techniques in neurosurgery. Modern technology has brought neurosurgeons a pair of "eyes"-this is neuroendoscope. The operation was carried out under the supervision of endoscope, which was very delicate, minimally invasive and effective. As a new means of diagnosis and treatment, it has improved people's understanding of some diseases and changed their treatment concepts. There are usually two surgical methods: endoscopic instrument channel surgery and extraendoscopic surgery. Intracranial lesions are often treated through bone holes or bone windows with a diameter of 2~3cm. The combination of neuroendoscope technology and other new technologies, using small incision, makes some neurosurgical operations more accurate and precise, and further reduces surgical trauma. ◆ Neuroendoscope is more advanced than microscope. Neuroendoscopic technique has the advantages of less trauma, good curative effect and less postoperative complications. Compared with microscope, endoscopic surgery has less trauma, clearer field of vision and wider exposure range, and can observe lesions at close range. The operation is precise and meticulous, which greatly reduces the surgical injury, reduces the complications and improves the surgical effect. Postoperative pain is small, recovery is quick, hospitalization time is short and cost is low. Hydrocephalus, obstructive hydrocephalus, complicated hydrocephalus, etc. Infantile hydrocephalus will have many postoperative complications if it is shunted. As the child grows up, it is necessary to replace the shunt again. Neuroendoscopic surgery is minimally invasive and effective, and there is no need to place and replace shunt tubes. ◇ Pituitary tumor Most pituitary tumors can be removed by endoscopic transnasal approach, and all the operations during the operation are carried out under the supervision of endoscope, which is safer than microsurgery, with high tumor total removal rate, less trauma, no need to pack nasal cavity and less postoperative pain for patients. ◇ Intracranial arachnoid cyst lateral fissure arachnoid cyst, cisterna magna cyst, suprasellar cyst, etc. Among them, suprasellar cyst is often misdiagnosed as hydrocephalus. After shunt treatment, the cyst continues to grow and its condition gets worse. Endoscopic surgery was used to open the cyst wall under endoscope and completely relieve hydrocephalus. Compared with traditional surgery, chronic subdural hematoma, ventricular hemorrhage and cerebral hemorrhage have less surgical trauma and fewer postoperative complications. ◇Chiari malformation is a cerebellar tonsillar hernia malformation. Some patients with hydrocephalus can have a third ventriculostomy. Other patients can undergo decompression through the foramen magnum under the endoscope, with less trauma and quick recovery after operation. In addition, neurovascular decompression can also be performed under endoscope for trigeminal neuralgia, hemifacial spasm, intractable vertigo and glossopharyngeal neuralgia. Intracerebral cysts, cerebral cysticercosis, brain abscess and ventriculitis can be treated by neuroendoscopic surgery. Chordoma clivus, Lacker cyst, cerebrospinal fluid rhinorrhea, optic nerve injury, etc. All patients can be treated by nasal endoscopic surgery through nasal approach, and there is no incision outside. For more information about brain tumor treatment, please go to the doctor's online brain tumor topic. Good article recommendation: PET-CT has three functions in diagnosing brain tumors. Whole brain radiotherapy combined with gamma knife prolongs life.