Neuroendoscopic Techniques in Intraventricular Tumor Management
Summary
Neuroendoscopic approaches have transformed the management of intraventricular tumours by enabling direct access to deep-seated lesions through minimal corridors. High-definition optics, dedicated working channels and specialised instruments allow for targeted tumour biopsy, fenestration of cystic components and, in select cases, complete or near-total resection. Concomitant procedures such as endoscopic third ventriculostomy permit simultaneous treatment of obstructive hydrocephalus, reducing the need for permanent shunts. Recent advances in instrument design—including ultrasonic aspirators and tubular retractors—have broadened the spectrum of treatable pathologies. Integration of stereotactic navigation further refines trajectory planning and intraoperative safety. Although tumour size, consistency and vascularity remain limiting factors, neuroendoscopy consistently demonstrates reduced tissue trauma, shorter hospital stays and favourable functional outcomes when compared with conventional microsurgical approaches.
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Neuroendoscopic Techniques in Intraventricular Tumor Management publication trend
The graph below shows the total number of articles in neuroendoscopic techniques in intraventricular tumor management across all publications each year (not limited to Nature Index journals).
Technical terms
Neuroendoscope: A slender, rigid or flexible instrument with integrated optics and illumination for visualising the ventricular system.
Endoport: A tubular retractor system used to stabilise a surgical corridor for endoscopic instrumentation.
Endoscopic third ventriculostomy (ETV): A procedure creating an opening in the floor of the third ventricle to divert cerebrospinal fluid and treat hydrocephalus.
Neuroendoscopic ultrasonic aspirator (NUA): An ultrasonic device adapted for endoscopic resection of intraventricular lesions, allowing concurrent aspiration and tissue fragmentation.
Stereotactic navigation: A computer-assisted guidance system that correlates preoperative imaging with real-time surgical anatomy to enhance precision.
References
- Specialised Surgical Instruments for Endoscopic and Endoscope-Assisted Neurosurgery: A Systematic Review of Safety, Efficacy and Usability. Cancers (2022).
- Application of endoport-assisted neuroendoscopic techniques in lateral ventricular tumor surgery. Frontiers in Oncology (2023).
- Endoscopic and Endoscopically-Assisted Resection of Intraventricular Lesions Using a Neuroendoscopic Ultrasonic Aspirator. Journal of Clinical Medicine (2021).
- Concomitant, Single Burr Hole Endoscopic Third Ventriculostomy and Tumor Biopsy for Pineal Lesions: Feasibility, Safety, and Benefits. World Neurosurgery (2023).
- Assessment of the efficacy and safety of neuroendoscopic procedures for intracranial pathologies: A single-centre retrospective study with 318 intracranial endoscopic procedures. Brain and Spine (2024).
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