Shim Kyu Won, Park Eun Kyung, Kim Dong-Seok, Choi Joong-Uhn
Department of Pediatric Neurosurgery, Severance Children's Hospital, Yonsei University College of Medicine, Brain Korea 21 Project for Medical Science, Seoul, Korea.
Department of Neurosurgery, Chaum Hospital, Cha University, Seoul, Korea.
J Korean Neurosurg Soc. 2017 May;60(3):322-326. doi: 10.3340/jkns.2017.0202.006. Epub 2017 May 1.
Neuroendoscopic surgery is performed because it causes minimal damage to normal structures, carries a lower rate of complications, and achieves excellent outcomes. Surgeons using an endoscope and related instruments can perform complex operations through very small incisions, which is especially useful for minimally invasive procedures for the brain and spine. Neuroendoscopic surgery is now performed in cases of obstructive hydrocephalus, various intraventricular lesions, hypothalamic hamartomas, craniosynostosis, skull base tumors, and spinal lesions. This review discusses the brief history of neuroendoscopy and the current state and future perspectives of endoscopic surgery.
神经内镜手术得以开展是因为它对正常结构造成的损伤极小，并发症发生率较低，且能取得优异的治疗效果。使用内镜及相关器械的外科医生能够通过非常小的切口进行复杂手术，这对于脑部和脊柱的微创手术尤为有用。神经内镜手术目前应用于梗阻性脑积水、各种脑室内病变、下丘脑错构瘤、颅缝早闭、颅底肿瘤及脊柱病变等病例。本文综述讨论了神经内镜的简史以及内镜手术的现状和未来展望。
