Combined Exoscopic and Endoscopic Two-Step Keyhole Approach for Intracranial Meningiomas
The advantages of neuroendoscopic surgery are the wide viewing angle and the freedom of an axis of view with minimal surgical trauma. With the advent of the exoscope, which has similar advantages to endoscopy, such as a small body and ergonomically superior heads-up surgery, it has become possible t...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-07-01
|
| Series: | Current Oncology |
| Subjects: | |
| Online Access: | https://www.mdpi.com/1718-7729/29/8/426 |
| _version_ | 1797410735110750208 |
|---|---|
| author | Tadashi Watanabe Kenichiro Iwami Yugo Kishida Tetsuya Nagatani Hiroshi Yatsuya Shigeru Miyachi |
| author_facet | Tadashi Watanabe Kenichiro Iwami Yugo Kishida Tetsuya Nagatani Hiroshi Yatsuya Shigeru Miyachi |
| author_sort | Tadashi Watanabe |
| collection | DOAJ |
| description | The advantages of neuroendoscopic surgery are the wide viewing angle and the freedom of an axis of view with minimal surgical trauma. With the advent of the exoscope, which has similar advantages to endoscopy, such as a small body and ergonomically superior heads-up surgery, it has become possible to add a field of view that is similar to that of microsurgery to endoscopic surgery. By taking advantage of the features of these scopes, we report the usefulness of the minimally invasive combined exoscopic and endoscopic two-step keyhole approach (EEKA) for various types of meningiomas. We reviewed data from 34 consecutive cases of EEKA for various types of intracranial meningiomas compared with that of conventional microsurgery. All of the tumors were resected as planned without severe complications. Significantly better outcome data were obtained in terms of the blood loss and the surgical time in the EEKA group, in addition to the craniotomy size. The well-illuminated fine vision in the deep corners by the endoscope enabled radical resection of the tumors with minimum burden on the patients. This technique has the potential for minimally invasive surgery in intracranial meningioma patients, including the older population. |
| first_indexed | 2024-03-09T04:34:30Z |
| format | Article |
| id | doaj.art-0ab8b278740e421c96dce2eb055635be |
| institution | Directory Open Access Journal |
| issn | 1198-0052 1718-7729 |
| language | English |
| last_indexed | 2024-03-09T04:34:30Z |
| publishDate | 2022-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Current Oncology |
| spelling | doaj.art-0ab8b278740e421c96dce2eb055635be2023-12-03T13:30:40ZengMDPI AGCurrent Oncology1198-00521718-77292022-07-012985370538210.3390/curroncol29080426Combined Exoscopic and Endoscopic Two-Step Keyhole Approach for Intracranial MeningiomasTadashi Watanabe0Kenichiro Iwami1Yugo Kishida2Tetsuya Nagatani3Hiroshi Yatsuya4Shigeru Miyachi5Department of Neurosurgery, Aichi Medical University, Nagakute 480-1195, JapanDepartment of Neurosurgery, Aichi Medical University, Nagakute 480-1195, JapanDepartment of Neurosurgery, Japanese Red Cross Nagoya Daini Hospital, Nagoya 466-8650, JapanDepartment of Neurosurgery, Japanese Red Cross Nagoya Daini Hospital, Nagoya 466-8650, JapanDepartment of Public Health and Health Systems, Graduate School of Medicine, Nagoya University, Nagoya 466-8550, JapanDepartment of Neurosurgery, Aichi Medical University, Nagakute 480-1195, JapanThe advantages of neuroendoscopic surgery are the wide viewing angle and the freedom of an axis of view with minimal surgical trauma. With the advent of the exoscope, which has similar advantages to endoscopy, such as a small body and ergonomically superior heads-up surgery, it has become possible to add a field of view that is similar to that of microsurgery to endoscopic surgery. By taking advantage of the features of these scopes, we report the usefulness of the minimally invasive combined exoscopic and endoscopic two-step keyhole approach (EEKA) for various types of meningiomas. We reviewed data from 34 consecutive cases of EEKA for various types of intracranial meningiomas compared with that of conventional microsurgery. All of the tumors were resected as planned without severe complications. Significantly better outcome data were obtained in terms of the blood loss and the surgical time in the EEKA group, in addition to the craniotomy size. The well-illuminated fine vision in the deep corners by the endoscope enabled radical resection of the tumors with minimum burden on the patients. This technique has the potential for minimally invasive surgery in intracranial meningioma patients, including the older population.https://www.mdpi.com/1718-7729/29/8/426endoscopeexoscopemeningiomakeyhole approach |
| spellingShingle | Tadashi Watanabe Kenichiro Iwami Yugo Kishida Tetsuya Nagatani Hiroshi Yatsuya Shigeru Miyachi Combined Exoscopic and Endoscopic Two-Step Keyhole Approach for Intracranial Meningiomas Current Oncology endoscope exoscope meningioma keyhole approach |
| title | Combined Exoscopic and Endoscopic Two-Step Keyhole Approach for Intracranial Meningiomas |
| title_full | Combined Exoscopic and Endoscopic Two-Step Keyhole Approach for Intracranial Meningiomas |
| title_fullStr | Combined Exoscopic and Endoscopic Two-Step Keyhole Approach for Intracranial Meningiomas |
| title_full_unstemmed | Combined Exoscopic and Endoscopic Two-Step Keyhole Approach for Intracranial Meningiomas |
| title_short | Combined Exoscopic and Endoscopic Two-Step Keyhole Approach for Intracranial Meningiomas |
| title_sort | combined exoscopic and endoscopic two step keyhole approach for intracranial meningiomas |
| topic | endoscope exoscope meningioma keyhole approach |
| url | https://www.mdpi.com/1718-7729/29/8/426 |
| work_keys_str_mv | AT tadashiwatanabe combinedexoscopicandendoscopictwostepkeyholeapproachforintracranialmeningiomas AT kenichiroiwami combinedexoscopicandendoscopictwostepkeyholeapproachforintracranialmeningiomas AT yugokishida combinedexoscopicandendoscopictwostepkeyholeapproachforintracranialmeningiomas AT tetsuyanagatani combinedexoscopicandendoscopictwostepkeyholeapproachforintracranialmeningiomas AT hiroshiyatsuya combinedexoscopicandendoscopictwostepkeyholeapproachforintracranialmeningiomas AT shigerumiyachi combinedexoscopicandendoscopictwostepkeyholeapproachforintracranialmeningiomas |