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Transtubular micro-endo-assisted approach for intraventricular and deep-seated brain lesions

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dc.contributor.author Jaimovich, Sebastián Gastón
dc.contributor.author Tcherbbis Testa, Victoria
dc.contributor.author Pampin, Sergio
dc.contributor.author Jaimovich, Roberto
dc.date.accessioned 2024-06-12T17:15:23Z
dc.date.available 2024-06-12T17:15:23Z
dc.date.issued 2023-09-16
dc.identifier.citation Jaimovich S, Tcherbbis Testa V, PampinS, JaimovichR. Transtubular micro-endo-assisted approach for intraventricular and deep-seated brain lesions en ISPN 2023: 49th Annual Meeting of the International Society for Pediatric Neurosurgery. Childs Nerv Syst. 1 de octubre de 2023;39(10):2943-3017 es_ES
dc.identifier.uri https://doi.org/10.1007/s00381-023-06118-5
dc.identifier.uri https://repositorio.fleni.org.ar/xmlui/handle/123456789/1128
dc.description.abstract OBJECTIVE: Intraventricular and deep-seated brain lesions present a surgical challenge due to their accessibility, illumination, and relationship to neural and vascular structures. To minimize tissue damage and its complications caused by access and brain retraction, several minimally invasive endoscopic approaches have been developed; but none replace contemporary microsurgical technique. We present a transtubular micro-endo-assisted approach as an alternative to maximize the benefts and minimize the difculties of pure endoscopic approaches and contemporary microsurgical techniques. MATERIAL AND METHODS: Through a 2-3 cm craniotomy and a minimal corticotomy, we introduce a tubular retractor guided by neuronavigation, which allows controlled movements and protects the surrounding parenchyma. We performed a retrospective and observational analysis including medical records, radiological fndings, surgical treatment and outcome. RESULTS: This approach with microsurgical endoscopic-assisted technique was applied to 56 patients. Where this minimally invasive approach avoids excessive brain retraction and its complications. It combines bimanual microsurgical technique, using standard microsurgical instruments, and neuroendoscopy, allowing better, wider and angled vision and illumination. This tubular retractor system displaces brain parenchyma, causing less tissue damage. At the end, a smaller corticotomy is observed. CONCLUSION: The transtubular micro-endo-assisted approach combines the advantages of contemporary surgical techniques, improving their weaknesses. It is a safe technique, allowing treatment of solid, bleeding and larger intraventricular and/or deep-seated lesions. es_ES
dc.language.iso eng es_ES
dc.publisher Springer es_ES
dc.subject Minimally Invasive Surgical Procedures es_ES
dc.subject Procedimientos Quirúrgicos Mínimamente Invasivos es_ES
dc.subject Microsurgery es_ES
dc.subject Microcirugia es_ES
dc.subject Endoscopy es_ES
dc.subject Endoscopía es_ES
dc.subject Neuronavigation es_ES
dc.subject Neuronavegación es_ES
dc.title Transtubular micro-endo-assisted approach for intraventricular and deep-seated brain lesions es_ES
dc.type Presentation es_ES
dc.description.fil Fil: Jaimovich, Sebastián Gastón. Fleni. Departamento de Neurocirugía; Argentina.
dc.description.fil Fil: Pampin, Sergio. Fleni. Departamento de Neurocirugía; Argentina.
dc.description.fil Fil: Jaimovich, Roberto. Fleni. Departamento de Neurocirugía; Argentina.
dc.relation.ispartofVOLUME 39
dc.relation.ispartofPAGINATION 2979
dc.relation.ispartofCOUNTRY Estados Unidos
dc.relation.ispartofCITY Nueva York
dc.relation.ispartofTITLE Child's Nervous System
dc.relation.ispartofISSN 1539-2570
dc.type.snrd Presentation es_ES


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