Yamamoto M, Oka K, Takasugi S, Hachisuka S, Miyake E, Tomonaga M
Department of Neurosurgery, Fukuoka University School of Medicine, Japan.
Minim Invasive Neurosurg. 1997 Dec;40(4):139-43. doi: 10.1055/s-2008-1053435.
A procedure with a flexible fiberoptic neuroendoscope was applied to a series of patients with small lesions in the lateral ventricle, not associated with hydrocephalus. The maneuverability of the flexible neuroendoscope allows the surgeon to work in narrow spaces of the lateral ventricle avoiding surgical trauma to surrounding neural structures. The safety and accuracy of this procedure depend upon how available working space is obtained in the undilated ventricles. Both shaft-rotation and tip-flexion of the flexible neuroendoscope are available for adjusting it to the wider axis in each region of the lateral ventricle and for dealing with the intraventricular lesions. Three patients with a small intraventricular lesion, two with arachnoid cysts and one with subependymal hematoma, underwent such a procedure successfully. It is concluded that this neuroendoscopic procedure provides benefits to the treatment of small intraventricular lesions regardless of the size of the cerebral ventricles.
一种使用可弯曲纤维光学神经内窥镜的手术方法应用于一系列侧脑室有小病变且不伴有脑积水的患者。可弯曲神经内窥镜的可操作性使外科医生能够在侧脑室的狭窄空间内操作，避免对周围神经结构造成手术创伤。该手术的安全性和准确性取决于如何在未扩张的脑室内获得可用的工作空间。可弯曲神经内窥镜的轴旋转和尖端弯曲都可用于将其调整到侧脑室每个区域更宽的轴线上，并用于处理脑室内病变。三名患有小的脑室内病变的患者，两名患有蛛网膜囊肿，一名患有室管膜下血肿，成功接受了这种手术。得出的结论是，这种神经内窥镜手术无论脑室大小如何，都对治疗小的脑室内病变有益。
