Division of Neurosurgery, Università degli Studi di Messina, Messina, Italy.
World Neurosurg. 2013 Dec;80(6):709-16. doi: 10.1016/j.wneu.2013.05.011. Epub 2013 Jul 10.
During the past decade, endoscopic intraventricular and skull base operations have become widely used for a variety of evolving indications. A global survey of practicing endoscopic neurosurgeons was performed to characterize patterns of usage regarding endoscopy equipment, instrumentation, and the indications for using image-guided surgery systems (IGSs).
An online survey consisting of 8 questions was completed by 235 neurosurgeons with endoscopic surgical experience. Responses were entered into a database and subsequently analyzed.
The median number of operations performed per year by intraventricular and skull base endoscopic surgeons was 27 and 25, respectively. Data regarding endoscopic equipment brand, diameter, and length are presented. The most commonly reported indications for IGSs during intraventricular endoscopic surgery were tumor biopsy/resection, intraventricular cyst fenestration, septostomy/pellucidotomy, endoscopic third ventriculostomy, and aqueductal stent placement. Intraventricular surgeons reported using IGSs for all cases in 16.6% and never in 24.4%. Overall, endoscopic skull base surgeons reported using IGSs for all cases in 23.9% and never in 18.9%. The most commonly reported indications for IGSs during endoscopic skull base operations were complex sinus/skull base anatomy, extended approaches, and reoperation.
Many variations and permutations for performing intraventricular and skull base endoscopic surgery exist worldwide. Much can be learned by studying the patterns and indications for using various types of equipment and operative adjuncts such as IGSs.
在过去的十年中，内镜脑室和颅底手术已广泛应用于各种不断发展的适应证。对有内镜神经外科手术经验的神经外科医生进行了全球调查，以描述内镜设备、器械的使用模式以及使用影像引导手术系统（IGS）的适应证。
对 235 名具有内镜手术经验的神经外科医生进行了一项包含 8 个问题的在线调查。将回答输入数据库，然后进行分析。
脑室和颅底内镜外科医生每年的手术中位数分别为 27 例和 25 例。介绍了内镜设备品牌、直径和长度的数据。报告了脑室内镜手术中 IGS 最常见的适应证包括肿瘤活检/切除、脑室囊肿开窗、隔切开术/透明隔造口术、内镜第三脑室造口术和导水管支架置入术。16.6%的脑室外科医生报告在所有病例中使用 IGS，24.4%的医生从不使用 IGS。总体而言，23.9%的内镜颅底外科医生报告在所有病例中使用 IGS，18.9%的医生从不使用 IGS。内镜颅底手术中 IGS 最常见的适应证包括复杂的窦/颅底解剖、扩展入路和再次手术。
世界各地进行脑室和颅底内镜手术的方法有很多变化和组合。通过研究使用各种类型的设备和手术辅助工具（如 IGS）的模式和适应证，可以学到很多东西。
