Minimal invasive endoscopic neurosurgery

Introduction and Objective: If microscope heralded a new era in delicate and precise neurosurgical procedures, endoscope introduced an element of minimal invasiveness and supplemented microscope where they could not reach. We introduced and have been improving this art in brain and spine surgery an...

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Autores principales:	Amit Thapa, Bidur KC, Bikram Shakya
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2016
Materias:	Endoscope microscope brain and spine surgery minimal invasive neurosurgery Surgery RD1-811
Acceso en línea:	https://doaj.org/article/67987122b4e54dbea44473d5015d8fd5
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spelling	oai:doaj.org-article:67987122b4e54dbea44473d5015d8fd52021-12-05T19:16:30ZMinimal invasive endoscopic neurosurgery10.3126/jssn.v18i3.153161815-39842392-4772https://doaj.org/article/67987122b4e54dbea44473d5015d8fd52016-07-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/15316https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction and Objective: If microscope heralded a new era in delicate and precise neurosurgical procedures, endoscope introduced an element of minimal invasiveness and supplemented microscope where they could not reach. We introduced and have been improving this art in brain and spine surgery and here present our experiences. Materials and Methods: We retrospectively studied patients who underwent endoscopic neurosurgery since July 2014 till January 2016 for brain and spine diseases. Endpoints for the audit were feasibility, reliability, cost effectiveness, extra time taken and morbidity. Results: We used endoscope in 42 cases. Ventriculoscopy was done for endoscopic third ventriculostomy, septoplasty, cyst aspiration and excision and biopsy. Nasal endoscopy was used to excise pituitary tumor and repair skull base CSF leaks. Spinal endoscopy was performed to remove herniated discs and canal stenosis. Endoscope helped in microscopic excision of acoustic schwannoma as well as craniopharyngioma. We did not have any mortality however CSF leaks were seen which was successfully managed. Since endoscopic procedures involve minimal incision and retraction, patients could be discharged early and mobilised. We discuss our learning phase and limitations of the endoscope with videos and case scenarios. Conclusion: A continuous phase of learning and problem solving is required to master the art of minimal invasive neurosurgery. Use of endoscope not only supplemented microscope but in cases of ventricular surgery is beyond comparison. It has minimised morbidity as well as hospital stay and is cosmetically acceptable to patients. Amit ThapaBidur KCBikram ShakyaSociety of Surgeons of NepalarticleEndoscopemicroscopebrain and spine surgeryminimal invasive neurosurgerySurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 18, Iss 3 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Endoscope microscope brain and spine surgery minimal invasive neurosurgery Surgery RD1-811
spellingShingle	Endoscope microscope brain and spine surgery minimal invasive neurosurgery Surgery RD1-811 Amit Thapa Bidur KC Bikram Shakya Minimal invasive endoscopic neurosurgery
description	Introduction and Objective: If microscope heralded a new era in delicate and precise neurosurgical procedures, endoscope introduced an element of minimal invasiveness and supplemented microscope where they could not reach. We introduced and have been improving this art in brain and spine surgery and here present our experiences. Materials and Methods: We retrospectively studied patients who underwent endoscopic neurosurgery since July 2014 till January 2016 for brain and spine diseases. Endpoints for the audit were feasibility, reliability, cost effectiveness, extra time taken and morbidity. Results: We used endoscope in 42 cases. Ventriculoscopy was done for endoscopic third ventriculostomy, septoplasty, cyst aspiration and excision and biopsy. Nasal endoscopy was used to excise pituitary tumor and repair skull base CSF leaks. Spinal endoscopy was performed to remove herniated discs and canal stenosis. Endoscope helped in microscopic excision of acoustic schwannoma as well as craniopharyngioma. We did not have any mortality however CSF leaks were seen which was successfully managed. Since endoscopic procedures involve minimal incision and retraction, patients could be discharged early and mobilised. We discuss our learning phase and limitations of the endoscope with videos and case scenarios. Conclusion: A continuous phase of learning and problem solving is required to master the art of minimal invasive neurosurgery. Use of endoscope not only supplemented microscope but in cases of ventricular surgery is beyond comparison. It has minimised morbidity as well as hospital stay and is cosmetically acceptable to patients.
format	article
author	Amit Thapa Bidur KC Bikram Shakya
author_facet	Amit Thapa Bidur KC Bikram Shakya
author_sort	Amit Thapa
title	Minimal invasive endoscopic neurosurgery
title_short	Minimal invasive endoscopic neurosurgery
title_full	Minimal invasive endoscopic neurosurgery
title_fullStr	Minimal invasive endoscopic neurosurgery
title_full_unstemmed	Minimal invasive endoscopic neurosurgery
title_sort	minimal invasive endoscopic neurosurgery
publisher	Society of Surgeons of Nepal
publishDate	2016
url	https://doaj.org/article/67987122b4e54dbea44473d5015d8fd5
work_keys_str_mv	AT amitthapa minimalinvasiveendoscopicneurosurgery AT bidurkc minimalinvasiveendoscopicneurosurgery AT bikramshakya minimalinvasiveendoscopicneurosurgery
_version_	1718371067540537344

Minimal invasive endoscopic neurosurgery

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