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Modified Pure Endoscopic Approach to Pineal Region: Proof of Concept of Efficient and Inexpensive Surgical Model Based on Laboratory Dissections.
Choque-Velasquez, Joham; Miranda-Solis, Franklin; Colasanti, Roberto; Ccahuantico-Choquevilca, Luis Angel; Hernesniemi, Juha.
Afiliación
  • Choque-Velasquez J; Department of Neurosurgery, Helsinki University Hospital, University of Helsinki, Helsinki, Finland; Alto Andina Anatomy and Physiology Research Center, National University of San Antonio Abad, Cusco, Italy. Electronic address: johchove@hotmail.com.
  • Miranda-Solis F; Alto Andina Anatomy and Physiology Research Center, National University of San Antonio Abad, Cusco, Italy; Microneuroanatomy Laboratory, University Andina, National University of San Antonio Abad, Cusco, Italy.
  • Colasanti R; Umberto I General Hospital, Politechnic University of Marche, Ancona, Italy; Ospedali Riuniti Marche Nord, Pesaro, Italy.
  • Ccahuantico-Choquevilca LA; National Plastination Center and Anatomical Tecnhiques, National University of San Antonio Abad, Cusco, Italy.
  • Hernesniemi J; Department of Neurosurgery, Helsinki University Hospital, University of Helsinki, Helsinki, Finland.
World Neurosurg ; 117: 195-198, 2018 Sep.
Article en En | MEDLINE | ID: mdl-29935314
OBJECTIVE: In recent decades endoscopic techniques have been increasingly used in neurosurgery as they may offer a valuable close-up view of the working area through a minimally invasive surgical corridor. Herein, we present an inexpensive and efficient endoscopic surgical model using a borescope, which was used for a "modified pure endoscopic approach" to the pineal region. METHODS: A borescope video camera was connected to a 16-inch personal computer monitor. A standard midline suboccipital craniotomy was performed on 2 cadaveric heads in the Concorde position. Then, a "borescopic" supracerebellar infratentorial approach was executed, thus reaching the pineal region, which was exposed through an extensive arachnoid dissection. RESULTS: Using the previously described model, we were able to provide excellent exposure of the main neurovascular structures of the pineal region, as shown by the intraoperative videos. In 1 specimen we identified an incidental pineal cyst that was meticulously dissected and removed. CONCLUSIONS: Our proposed "borescopic" surgical model may represent an inexpensive and efficient alternative to conventional endoscopic techniques and could be used for training purposes, as well as even for clinical procedures, after a proper validation, particularly in economically challenging environments.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Glándula Pineal / Neuroendoscopía Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Humans Idioma: En Revista: World Neurosurg Asunto de la revista: NEUROCIRURGIA Año: 2018 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Glándula Pineal / Neuroendoscopía Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Humans Idioma: En Revista: World Neurosurg Asunto de la revista: NEUROCIRURGIA Año: 2018 Tipo del documento: Article Pais de publicación: Estados Unidos