Stachura Krzysztof, Libionka Witold
Klinika Neurochirurgii Collegium Medicum, Uniwersytetu Jagiellońiskiego.
Przegl Lek. 2007;64(2):118-20.
Almost 200 years ago, German doctor Philipp Bozzini introduced the idea of endoscopy as a method of permitting visualisation of body cavities through their natural openings. First experiences with the use of this new method in different fields of medicine began in the early 20th century. Development of neuroendoscopy was related to the treatment of hydrocephalus. In 1910 Victor Lespinasse conducted the first neuroendoscopic intervention. He executed coagulation of choroid plexus in two children diagnosed with communicating hydrocephalus. The method was further developed by Walter Dandy who implemented ventriculography, worked out by himself in 1918, into the procedure of choroid plexus removal in hydrocephalic patients. For many, he is considered the father of neuroendoscopy. In 1923, William Mixter executed the first successful endoscopic ventriculostomy of the third ventricle. Spinal endoscopy began in the 1930's, but did not excite such interest as intracranial interventions. Introduction of the so-called shunt surgery for the treatment of hydrocephalus and application of operating microscopes in neurosurgery delayed progress of neuroendoscopy. It was not until the technical advances in optics and related fields of physics, that the neuroendoscopy resurged and has added a new dimension to neurosurgery. In 1963 GBrard Guiot described widespread possibilities of using endoscope in neurosurgery. In 1966 Harold Hopkins applied solid rod lenses in the construction of the endoscope, bringing it to its current standard of excellence. The introduction of the neurofiberoscope in 1973 by Takanori Fukushima opened further possibilities in the field of neuroendoscopy. The renaissance of endoscopy observed nowadays results from a general intention to limit invasiveness in neurosurgery.
大约200年前,德国医生菲利普·博齐尼提出了内窥镜检查的概念,即通过人体自然开口来观察体腔内部的方法。20世纪初,人们开始在医学的不同领域首次尝试使用这种新方法。神经内窥镜检查的发展与脑积水的治疗相关。1910年,维克多·莱斯皮纳斯进行了首例神经内窥镜干预手术。他对两名被诊断为交通性脑积水的儿童实施了脉络丛凝固术。沃尔特·丹迪进一步发展了该方法,他将自己在1918年发明的脑室造影术应用于脑积水患者的脉络丛切除术。许多人认为他是神经内窥镜检查之父。1923年,威廉·米克斯特成功实施了首例第三脑室内窥镜造瘘术。脊柱内窥镜检查始于20世纪30年代,但并未像颅内手术那样引起广泛关注。脑积水分流手术的引入以及手术显微镜在神经外科的应用延缓了神经内窥镜检查的发展。直到光学及相关物理领域取得技术进步,神经内窥镜检查才得以复兴,并为神经外科增添了新的维度。1963年,杰拉德·吉奥描述了内窥镜在神经外科广泛的应用可能性。1966年,哈罗德·霍普金斯在内窥镜的构造中应用了固体柱状透镜,使其达到了目前卓越的标准。1973年,福岛孝则引入神经纤维镜,为神经内窥镜检查领域开辟了更多可能性。如今内窥镜检查的复兴源于神经外科手术中普遍的减少侵入性的意愿。