Prof. Dr. Erkan Kaptanoğlu

Use of Endoscope in Brain Surgery

In neurosurgery, the endoscope (neuroendoscope) is used because it causes minimal damage to normal tissue, has a low complication rate and has good results. A surgeon using an endoscope and instruments specially designed for endoscopes can perform complex operations on the brain through a small incision as a minimally invasive procedure. The use of technology in surgical practice is increasing day by day.

The most common area of endoscope use in neurosurgical routine practice is pituitary tumors. The endoscope has almost become the first choice for the endonasal (through the nose) treatment of pituitary tumors. It is also used in third ventriculostomy for hydrocephalus due to aquaductus stenosis, craniosynostosis, skull base tumors, ventricle and pineal tumors for biopsy and tumor removal.To far, neuroendoscopes have worked best in the ventricles, the fluid-filled cavities of the brain, and in the space between the brain and the bones of the skull, where the camera can see in front of it. Recently, neuroendoscopes have also been used in some surgeries inside brain tissue. In selected cases, successful results have been obtained with neuronavigation in cases such as bleeding into brain tissue (intraparenchymal hematomas) and brain abscesses.

Neuroendoscopy assisted microsurgery

Neuroendoscopy assisted microsurgery is a procedure performed on the basis of microsurgery. Most of the surgery is performed with a microscope with high resolution, stereoscopic image, excellent color and light quality. However, when working with a microscope that provides a flat view, if it is necessary to see behind corners and tissues, the endoscope can be inserted into the field and the remaining parts of the lesion can be seen. This method is considered to be very effective in many surgeries.

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