Journal of neurological surgery. Part A, Central European neurosurgery
-
J Neurol Surg A Cent Eur Neurosurg · Jan 2014
Case ReportsHemostasis management during completely endoscopic removal of a highly vascular intraparenchymal brain tumor: technique assessment.
Recently, stereotactic-guided removal of intraparenchymal lesions using endoscopic visualization through a brain port has been successfully reported. Although endoneurosurgical tumor resection uses the same principles as those used in microneurosurgery, the ability to control bleeding through the port requires an adapted technique. ⋯ Removal of vascular tumors is feasible through the brain port, despite a relatively narrow corridor of 11.5 mm. However, specific hemostasis techniques are required and adapted instruments are needed to ensure hemostasis through these small corridors.