Practical Aspects of Neuroendoscopic Techniques and Complication Avoidance: A Systematic Review

Area of Science:

• Neurosurgery
• Minimally Invasive Surgery

Background:

• Endoscopic techniques offer enhanced visualization but present unique challenges.
• Neuroendoscopy requires specialized skills beyond traditional microsurgery.

Purpose of the Study:

• To review practical aspects for reducing complications in neuroendoscopic procedures.
• To discuss the management of complications in endoscopic neurosurgery.

Main Methods:

• Personal experience from over 2000 neuroendoscopic procedures.
• PubMed literature search using keywords: Neuroendoscopy, complications, complication avoidance, endoscopic neurosurgery, minimally invasive neurosurgery.

Main Results:

• Limitations include instrument manipulation obstruction, steep learning curve, visualization issues, and disorientation.
• Controlling bleeding, working in confined spaces, and longer operative times are challenges.
• Training methods like workshops, simulators, and observation can mitigate these difficulties.

Conclusions:

• Neuroendoscopy, while beneficial for certain indications, has significant limitations.
• Acquiring specialized neuroendoscopic skills is crucial for improving surgical results and patient outcomes.