Department of Neurosurgery, University Medicine Greifswald, Greifswald, Germany.
J Neurol Surg A Cent Eur Neurosurg. 2021 Nov;82(6):594-598. doi: 10.1055/s-0040-1701618. Epub 2021 May 19.
The usefulness of the endoscopic sheath is underreported in the literature.
To explain the use of an endoscopic sheath and to highlight its benefits.
In addition to protecting the surrounding brain parenchyma when inserting the endoscope, the endoscopic sheath is a very useful tool to retract neurovascular structures, achieve hemostasis, and create adequate working space within narrow ventricles. The sheath can be moved within the ventricular system, and the endoscope can be moved independently within the sheath. These movements represent all the advantages of the endoscopic sheath.
We used an endoscopic sheath in ∼ 300 intraventricular neuroendoscopic procedures and consider the sheath an essential part of a ventriculoscopic system. Proper use of the sheath can help avoid or manage endoscopic complications.
内镜鞘在文献中的实用性报道较少。
解释内镜鞘的使用方法，并强调其优点。
除了在插入内镜时保护周围的脑实质外，内镜鞘还是一种非常有用的工具，可以牵拉神经血管结构，实现止血，并在狭窄的脑室中创建足够的工作空间。鞘可以在脑室系统内移动，内镜可以在鞘内独立移动。这些运动代表了内镜鞘的所有优点。
我们在约 300 例脑室内神经内镜手术中使用了内镜鞘，并认为鞘是脑室镜系统的重要组成部分。正确使用鞘可以帮助避免或处理内镜相关并发症。
