Application of neuroendoscope in the operation of nervous system tumors

ZHANG Xiang; ZHANG Wei; MAO Xinggang; XUE Xiaoyan

Abstract：The treatment of primary or secondary nervous system tumors in the brain and spinal cord has always been an important topic in the field of neurosurgery.With the continuous development of minimally invasive surgical techniques,neuroendoscope,as a new minimally invasive surgical tool,has gradually shown its unique advantages in the operation of nervous system tumors.The application of neuroendoscope in craniocerebral surgery mainly focuses on the resection of skull base tumor and pituitary adenoma.Endoscopic transnasal and sphenoid sinus approach can achieve minimally invasive surgery,which greatly reduces the trauma caused by traditional craniotomy and improves the speed of postoperative rehabilitation of patients.Neuroendoscopic surgery requires the surgeon to have good spatial perception ability and fine operation skills,especially in the aspects of surgical perspective and operation coordination,which means that neuroendoscopic surgeons must go through a lot of simulation training and practical experience accumulation.In the process of operation,the surgeon must pay attention to the peripheral nerve structure at all times to avoid unnecessary damage.Neuroendoscopy is also being used more and more widely in spinal and spinal cord surgery.Establishing working pathways and neuroprotective techniques are key steps in endoscopic spinal surgery.Endoscopy-assisted resection of intraspinal tumor and intervertebral disc herniation has satisfactory results due to its microtrauma and precision.In clinical practice,the minimally invasive nature and rapid recovery of neuroendoscopy is one of its biggest advantages.Compared with traditional craniotomy and surgical surgery,endoscopic surgery has a smaller incision,a lower incidence of postoperative complications,and a greatly shortened hospital stay and rehabilitation time for patients.Therefore,it has attracted wide concern and recognition among the peer experts,and is worthy of large-scale promotion and application.