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Minimally Invasive Surgery for Complex Neurosurgical Pathologies: Current Concepts and Innovative Thoughts

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Clinical Neurology".

Deadline for manuscript submissions: closed (31 December 2021) | Viewed by 3707

Special Issue Editors


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Leading Guest Editor
Department of Neurological Surgery, Hospital Clínic de Barcelona, Barcelona, Spain
Interests: brain tumors; endoscopic surgery; minimally invasive surgery; endoscopic endonasal; endoscopic transorbital; skull base surgery; combined endoscopic surgery; multiportal approaches

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Guest Editor
Department of Neurological Surgery, Hospital Clínic de Barcelona, Barcelona, Spain
Interests: brain tumors; endoscopic surgery; minimally invasive surgery; endoscopic endonasal; endoscopic transorbital; skull base surgery; combined endoscopic surgery; multiportal approaches

E-Mail Website
Guest Editor
Department of Neurological Surgery, Hospital Clínic de Barcelona, Barcelona, Spain
Interests: vascular diseases; neurovascular; vascular neurosurgery; minimally invasive neurosurgery; cerebral aneurysms; artero-venous malformation; cavernoma

Special Issue Information

Dear Colleagues,

As physicians, we all strive for decreasing morbidity while achieving adequate treatment results for our patients. In this context, the introduction of minimally invasive surgery helps obtaining such outcomes by reducing unaffected tissue manipulation and, thus, hopefully diminishing morbidity.

The refinement of microsurgical and endoscopic procedures, as well as improvements in instrumentation, intraoperative imaging, neuronavigation systems and neurophysiological skills have represented a strong impulse in this evolutionary process, thus defining a global change in today’s neurosurgical practice. Currently, minimally invasive techniques and pathways are progressively offered to our patients, and used even in complex neurosurgical scenarios.

Based on these concepts, we are launching a novel Special Issue, “Minimally Invasive Surgery for Complex Neurosurgical Pathologies: Current Concepts and Innovative Thoughts”. The aim of this project is to recollect novel concepts and ideas nowadays implemented in different complex intracranial diseases, such as brain tumors and skull base lesions, as well as neurovascular pathologies.

This Special Issue’s driving force is the idea that, today, the management of neurosurgical patients requires not only the achievement of an appropriate surgical result, but also quality of life’s respect, as well as the aesthetic integrity of the affected person.

We look forward to receiving your novelty thoughts.

Dr. Alberto Di Somma
Dr. Joaquim Enseñat
Dr. Ramon Torné
Guest Editors

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Keywords

  • brain tumors
  • endoscopic surgery
  • minimally invasive surgery
  • endoscopic endonasal
  • endoscopic transorbital
  • skull base surgery
  • neurovascular pathologies
  • combined endoscopic surgery
  • multiportal approaches

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Published Papers (1 paper)

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Research

12 pages, 3281 KiB  
Article
Endoscopic and Endoscopically-Assisted Resection of Intraventricular Lesions Using a Neuroendoscopic Ultrasonic Aspirator
by Florian Ebel, Ladina Greuter, Maria Licci, Raphael Guzman and Jehuda Soleman
J. Clin. Med. 2021, 10(17), 3889; https://doi.org/10.3390/jcm10173889 - 29 Aug 2021
Cited by 9 | Viewed by 2666
Abstract
The development of minimally invasive neuroendoscopy has advanced in recent years. The introduction of the neuroendoscopic ultrasonic aspirator (NUA) broadened the treatment spectrum of neuroendoscopy. We aim to describe our experience with the use of NUA for the resection of intraventricular lesions. Here, [...] Read more.
The development of minimally invasive neuroendoscopy has advanced in recent years. The introduction of the neuroendoscopic ultrasonic aspirator (NUA) broadened the treatment spectrum of neuroendoscopy. We aim to describe our experience with the use of NUA for the resection of intraventricular lesions. Here, we present consecutive retrospective case series of adult and pediatric patients undergoing resection of an intraventricular lesion with a NUA (Endoscopic Neurosurgical Pen, Söring GmbH, Quickborn, Germany) between January 2019 and April 2020. Eight patients between the age of 0.5 and 73 years underwent surgery using NUA and were included in this study. In four patients, an endoscopic assisted (EA) resection of the lesion was undertaken, while in four patients, the lesion was removed using purely endoscopic (PE) resection. In all cases, gross/near total resection was achieved. The average blood loss was 142.5 ± 90.4 mL (range 50–300 mL). Transient morbidity was seen in four patients (50%), while permanent morbidity or mortality did not occur. The NUA seems to be a safe and valuable tool for the minimally invasive resection of intraventricular lesions in selected cases. The type, size, consistency, and vascularization of the lesion limit at times the purely endoscopic use of the NUA. Full article
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