Title
Modified Pure Endoscopic Approach to Pineal Region: Proof of Concept of Efficient and Inexpensive Surgical Model Based on Laboratory Dissections
Date Issued
01 September 2018
Access level
metadata only access
Resource Type
journal article
Author(s)
Publisher(s)
Elsevier Inc.
Abstract
Objective: In recent decades endoscopic techniques have been increasingly used in neurosurgery as they may offer a valuable close-up view of the working area through a minimally invasive surgical corridor. Herein, we present an inexpensive and efficient endoscopic surgical model using a borescope, which was used for a “modified pure endoscopic approach” to the pineal region. Methods: A borescope video camera was connected to a 16-inch personal computer monitor. A standard midline suboccipital craniotomy was performed on 2 cadaveric heads in the Concorde position. Then, a “borescopic” supracerebellar infratentorial approach was executed, thus reaching the pineal region, which was exposed through an extensive arachnoid dissection. Results: Using the previously described model, we were able to provide excellent exposure of the main neurovascular structures of the pineal region, as shown by the intraoperative videos. In 1 specimen we identified an incidental pineal cyst that was meticulously dissected and removed. Conclusions: Our proposed “borescopic” surgical model may represent an inexpensive and efficient alternative to conventional endoscopic techniques and could be used for training purposes, as well as even for clinical procedures, after a proper validation, particularly in economically challenging environments.
Start page
195
End page
198
Volume
117
Language
English
OCDE Knowledge area
Cirugía
Neurología clínica
Subjects
Scopus EID
2-s2.0-85049445287
PubMed ID
Source
World Neurosurgery
ISSN of the container
18788750
Sources of information:
Directorio de Producción Científica
Scopus