Virtual Simulation of Neuroendoscopic Procedures: Early Clinical Experience with Ventricular Lesions

Bussarsky, A.; Marinov, Marin B; Bussarsky, V.; Kalyonsky, R.; Tonchev, Z; Wassmann, H.

doi:10.1055/s-2006-933535

Cited by 2 publications

(1 citation statement)

References 16 publications

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“…Many courses and hands-on workshops are offered by high-level centers and international foundations to enable younger neurosurgeons a safer and more effective entry into neuroendoscopy. Furthermore, with ongoing development of technology and virtual reality, even more effective training and planning opportunities can be offered [ 24 , 25 ]. Continuous education, simulated training, and mentorship, as well as a continued commitment to skill development ensure patient’s safety and optimal outcomes, fostering the dissemination of best practices in the field.…”

Section: Discussionmentioning

confidence: 99%

Considerations on surgical strategies and associated risk profiles for endoscopic tumor biopsies within the third ventricle and periaqueductal region

Teping,

Oertel

2023

Childs Nerv Syst

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Introduction Neuroendoscopic techniques have proven to be a successful and minimally-invasive technique for tumor biopsies within the third ventricle in pediatric patients. However, a comprehensive assessment of associated surgical strategies, techniques, and morbidity is essential to optimize patient outcomes. Methods This retrospective study analyzed full endoscopic tumor biopsies in pediatric patients with tumors in the third ventricle and periaqueductal region. Data from 1995 to 2022 were collected from medical records, imaging, and intraoperative video documentation. Results In this study, 16 shear endoscopic tumor biopsies were performed using the transventricular transforaminal approach. Tumors were located in the anterior or mid part of the third ventricle (50%) or in the periaqueductal and pineal recess region (50%). Preoperative hydrocephalus was seen in 81.25%. Tumor biopsies were harvested successfully in all cases. Simultaneous ETV was performed in 12 (75%) cases and additional septostomy in 3 (18.75%). Significant intraoperative bleeding occurred in 3 cases (18.75%). All bleeding situations could be successfully managed with continuous irrigation. Histopathology revealed astrocytoma as the predominant diagnosis (75%). No new neurologic deficits were observed, except for one case of transient oculomotor nerve paralysis after ETV. Hydrocephalus persisted in 18.6% of all cases with the need of urgent ventriculoperitoneal shunting in two patients. Conclusion In conclusion, neuroendoscopy emerges as an effective technique for tumor biopsies within the third ventricle in pediatric patients, offering the added advantage of simultaneous treatment of obstructive hydrocephalus. However, it is essential to acknowledge the specific intra- and postoperative risks associated with various surgical strategies. The safe management and achievement of favorable clinical results demand extensive experience and expertise.

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Section: Discussionmentioning

confidence: 99%

Considerations on surgical strategies and associated risk profiles for endoscopic tumor biopsies within the third ventricle and periaqueductal region

Teping,

Oertel

2023

Childs Nerv Syst

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The impact of neuroendoscopy in the emergency setting—A retrospective study of imaging, intraoperative findings, and surgical outcome in 55 patients

Jiménez-Vázquez¹,

Nagore

2008

Clinical Neurology and Neurosurgery

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Virtual Simulation of Neuroendoscopic Procedures: Early Clinical Experience with Ventricular Lesions

Abstract: VE has proved to be an important adjunct to the preoperative planning of neuroendoscopic procedures and its routine application is suggested.

Cited by 2 publications

References 16 publications

Considerations on surgical strategies and associated risk profiles for endoscopic tumor biopsies within the third ventricle and periaqueductal region

Considerations on surgical strategies and associated risk profiles for endoscopic tumor biopsies within the third ventricle and periaqueductal region

The impact of neuroendoscopy in the emergency setting—A retrospective study of imaging, intraoperative findings, and surgical outcome in 55 patients

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