Endoneurosurgical Resection of Parenchymal and Intraventricular Lesions Using Tubular Retraction System

Area of Science:

• Neurosurgery
• Minimally Invasive Surgery

Background:

• Conventional microsurgery for deep-seated brain tumors often requires significant brain retraction.
• Endoscopic techniques, particularly using endoports, have emerged as alternatives to minimize brain retraction and improve visualization.

Purpose of the Study:

• To describe the surgical technique of endoscopic excision of deep-seated intra-axial brain tumors using a tubular retraction system.
• To review the literature on endoport surgery for brain tumors and discuss its feasibility and safety.

Main Methods:

• Detailed description of the endoscopic endoport technique for intraventricular and intraparenchymal brain tumors.
• Review and analysis of existing literature on brain parenchymal and intraventricular port surgery.

Main Results:

• The endoport technique offers advantages such as reduced focal brain injury, minimized white matter disruption, and enhanced surgical corridor stability.
• It also prevents inadvertent expansion of corticectomy and protects surrounding tissues from iatrogenic injuries.

Conclusions:

• Endoport-assisted endoscopic technique is a safe and minimally invasive option for resecting intraventricular and parenchymal brain lesions.
• This approach achieves outcomes comparable to other surgical methods with acceptable complication rates.