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Related Concept Videos

Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

161
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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161

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Related Experiment Video

Updated: Jun 20, 2025

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
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Fully Endoscopic Retrosigmoid Approach for Cerebellopontine Angle Tumors.

Mohamed Saied1,2, Mustafa Najibullah1, Zafdam Shabbir1

  • 1Neurosurgery Department, Ibn Sina Hospital, Al-Sabah Medical Area, Kuwait City, Kuwait.

Advances and Technical Standards in Neurosurgery
|July 17, 2024
PubMed
Summary

The fully endoscopic retrosigmoid approach offers a minimally invasive option for cerebellopontine angle tumors, proving feasible and efficient. This technique enhances visualization, overcoming limitations of traditional methods for improved surgical outcomes.

Keywords:
Cerebellopontine angleEndoscope-controlledEndoscopicRetrosigmoidRigid endoscopeTumor

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Area of Science:

  • Neurosurgery
  • Minimally Invasive Surgery
  • Endoscopic Techniques

Background:

  • Rigid endoscopes offer superior visualization in keyhole cranial surgery compared to microscopy.
  • The fully endoscopic retrosigmoid approach (FERSA) for cerebellopontine angle tumors is underutilized due to learning curve and safety concerns.
  • Current rigid endoscope design provides unique advantages for neurosurgical procedures.

Purpose of the Study:

  • To elaborate on the surgical technique and nuances of the fully endoscopic retrosigmoid approach.
  • To present an overview of published series on FERSA for cerebellopontine angle tumors.
  • To highlight the advantages of endoscopic techniques over conventional neurosurgical procedures.

Main Methods:

  • Analysis of clinical data, imaging, operative charts, and videos from a prospective database of endoscopic procedures.
  • Review of pertinent literature on the fully endoscopic retrosigmoid approach.
  • Data retrieval and analysis of cases undergoing FERSA for cerebellopontine angle tumors.

Main Results:

  • Formulation of the surgical technique for the fully endoscopic retrosigmoid approach.
  • Demonstration of the feasibility and efficiency of the FERSA.
  • Identification of the advantages of the endoscopic technique over conventional methods.

Conclusions:

  • The fully endoscopic retrosigmoid approach is a feasible, efficient, and minimally invasive technique for cerebellopontine angle tumors.
  • The endoscopic technique offers significant advantages over conventional surgical procedures.
  • The FERSA has yielded excellent results in experienced hands.