Abstract
Objectives
To evaluate the advantages and limitations of the utilized system in accordance with the operative indications of stereotactic neuroendoscopy.
Patients and methods
We reviewed our collective experience of computer-assisted stereotaxy (frame-based and frameless) and virtual endoscopy in neuroendoscopic surgery from 1982 to 2003. Sterotactic guiding systems (frame-based and frameless) have been used to perform more than 450 neuroendoscopic operations at our institute.
Results
Even though image guidance is not essential in all cases, technological developments have definitely been one of the major factors in improving outcomes. Planning endoscopic trajectory and intraoperative orientation within the ventricular system or other cavities are the main indications for its application.
Conclusions
No surgical tool, no matter how accurate, can be a substitute for thoughtful and methodical pre-operative planning. Image-guided technologies are applied in order to make endoscopic surgery safer, faster and more easily reproducible. Despite the high initial cost of the equipment, overall expenses are expected to be reduced because of greater operative efficiency and shorter hospital stay.
Similar content being viewed by others
References
Alberti O, Riegel T, Hellwig D, Bertalanffy H (2001) Frameless navigation and endoscopy. J Neurosurg 95:541–543
Barnett GH, Kormos DW, Steiner CP, Weisenberger J (1993) Use of a frameless, armless stereotactic wand for brain tumor localization with two dimensional and three-dimensional neuroimaging. Neurosurgery 33:674–678
Burtscher J, Bale R, Dessl A, Elsner W, Twerdy K, Sweeney RA (2002) Virtual endoscopy for planning neuro-endoscopic intraventricular surgery. Minim Invasive Neurosurg 45:24–31
Cinalli G, Salazar C, Mallucci C, Yada JZ, Zerah M (1998) The role of endoscopic third ventriculostomy in the management of shunt malfunction. Neurosurgery 43:1323–1327
Cohen AR (1994) Ventriculoscopic surgery. Clin Neurosurg 41:546–562
Dorward NL, Alberti O, Velani B, Gerritsen FA, Harkness WFJ, Kitchen ND, Thomas DGT (1998) Postimaging brain distortion: magnitude, correlates, and impact on neuronavigation. J Neurosurg 88:656–662
Dorward NL, Alberti O, Zhao J, Dijkstra A, Buurman J, Palmer JD, Hawkes D, Thomas DGT (1998) Interactive image-guided neuroendoscopy: development and early clinical experience. Minim Invasive Neurosurg 41:31–34
Dorward NL, Alberti O, Palmer JD, Kitchen ND, Thomas DGT (1999) Accuracy of true frameless stereotaxy: in vivo measurement and laboratory phantom studies. Technical note. J Neurosurg 90:160–168
Drake JM (1993) Ventriculostomy for treatment of hydrocephalus. Neurosurg Clin N Am 4:657–666
Freudenstein D, Bartz D, Skalej M, Duffner F (2001) New virtual system for planning of neuroendoscopic interventions. Comput Aided Surg 6:77–84
Fries G, Perneczky A (1998) Endoscope-assisted brain surgery. II. Analysis of 380 procedures. Neurosurgery 42:226–231
Fukushima T (1978) Endoscopic biopsy of intraventricular tumors with the use of a ventriculofiberscope. Neurosurgery 2:110–113
Gaab MR, Schroeder HWS (1998) Neuroendoscopic approach to intraventricular lesions. J Neurosurg 88:496–505
Golfinos JG, Fitzpatrick BC, Lawrence RS, Spetzler RF (1995) Clinical use of a frameless stereotactic arm: results of 325 cases. J Neurosurg 83:197–205
Grunert P (1999) Accuracy of stereotactic coordinate transformation using a localisation frame and computed tomographic imaging. II. Analysis of matrix based coordinate transformation. Neurosurg Rev 22:188–203
Grunert P, Müller-Forell W, Darabi K, Reisch R, Busert C, Hopf N, Perneczky A (1998) Basic principles and clinical applications of neuronavigation and intraoperative computed tomography. Comput Aided Surg 3:166–173
Grunert P, Maurer J, Müller-Forell W (1999) Accuracy of stereotactic coordinate transformation using a localisation frame and computed tomographic imaging. I. Influence of the mathematical and physical properties of the CT on the image of the rods of the localisation frame and the determination of their centres. Neurosurg Rev 22:173–187
Hellwig D, Bauer BL (1991) Endoscopic procedures in stereotactic neurosurgery. Acta Neurochir Suppl (Wien) 52:30–32
Hellwig D, Bauer BL, Eggers F, Likoyiannis A (1990) Endoscopic stereotaxis: preliminary results. Stereotact Funct Neurosurg 54–55:418
Hellwig D, Bauer BL, List-Hellwig E, Mennel HD (1991) Stereotactic endoscopic procedures on processes of the cranial midline. Acta Neurochir Suppl (Wien) 53:23–32
Hellwig D, Bauer BL, Dauch WA (1994) Endoscopic stereotactic treatment of brain abscess. Acta Neurochir Suppl (Wien) 61:102–105
Hellwig D, Bauer BL, Dauch WA (1995) The endoscopic stereotactic treatment of brain abscesses. In: Cohen A, Haines SJ (eds) Concepts in neurosurgery. Minimally invasive techniques in neurosurgery, vol 7. Williams & Wilkins, Baltimore, pp 66–72
Hellwig D, Benes L, Bertalanffy H, Bauer L (1997) Endoscopic stereotaxy—an eight years experience. Stereotact Funct Neurosurg 68:90–97
Hellwig D, Bauer BL, Schulte M, Gatscher S, Riegel T, Bertalanffy H (2003) Neuroendoscopic treatment for colloid cysts of the third ventricle: the experience of a decade. Neurosurgery 52:525–533
Hopf NJ, Perneczky A (1998) Endoscopic neurosurgery and endoscope assisted microneurosurgery for the treatment of intracranial cysts. Neurosurgery 43:1330–1337
Hopf NJ, Grunert P, Darabi K, Busert C, Bettag M (1999) Frameless neuronavigation applied to endoscopic neurosurgery. Minim Invasive Neurosurg 42:187–193
Krombach GA, Rohde V, Haage P, Struffert T, Kilbinger M, Thron A (2002) Virtual endoscopy combined with intraoperative neuronavigation for planning of endoscopic surgery in patients with occlusive hydrocephalus and intracranial cysts. Neuroradiology 44:279–285
Maciunas RJ, Galloway RL Jr, Latimer J, Cobb C, Zaccharias E, Moore A, Mandava VR (1992) An independent application accuracy evaluation of stereotactic frame systems. Stereotact Funct Neurosurg 58:103–107
Muacevic A, Muller A (1999) Imaged-guided endoscopic ventriculostomy with a new frameless armless neuronavigation system. Comput Aided Surg 4:87–92
Perneczky A, Fries G (1998) Endoscope-assisted brain surgery. I. Evolution, basic concept, and current technique. Neurosurgery 42:219–225
Riegel T, Hellwig D, Bauer BL, Mennel HD (1994) Endoscopic anatomy of the third ventricle. Acta Neurochir Suppl 61:54–56
Riegel T, Alberti O, Retsch R, Shiratori V, Hellwig D, Bertalanffy H (2000) Relationships of virtual reality neuroendoscopic simulations to actual imaging. Minim Invasive Neurosurg 43:176–180
Riegel T, Alberti O, Hellwig D, Bertalanffy H (2001) Operative management of third ventriculostomy in cases of thickened, non-translucent third ventricular floor: technical note. Minim Invasive Neurosurg 44:65–69
Schroeder HWS, Wagner W, Tschiltschke W, Gaab MR (2001) Frameless neuronavigation in intracranial endoscopic neurosurgery. J Neurosurg 94:72–79
Shigematsu Y, Korogi Y, Hirai T, Okuda T, Ikushima I, Sugahara T, Liang L, Ge Y, Takahashi M (1998) Virtual MRI endoscopy of the intracranial cerebrospinal fluid spaces. Neuroradiology 40:644–650
Sure U, Hellwig D, Bertalanffy H (2001) Incorrect vector after calibration of surgical instrument for image-guidance: the problem and the solution: technical note. Minim Invasive Neurosurg 44:88–91
Tirakotai W, Riegel T, Sure U, Bozinov O, Hellwig D, Bertalanffy H (2004) Clinical application of neuronavigation in a series of single burr hole procedures. Zentralbl Neurochir 65:57–64
Walker ML, MacDonald J, Wright LC (1992) The history of ventriculoscopy: where do we go from here? Pediatr Neurosurg 18:218–223
Watanabe E, Mayanagi Y, Kosugi Y, Manaka S, Takakura K (1991) Open surgery assisted by the neuronavigator, a stereotactic, articulated, sensitive arm. Neurosurgery 28:792–799
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Tirakotai, W., Bozinov, O., Sure, U. et al. The evolution of stereotactic guidance in neuroendoscopy. Childs Nerv Syst 20, 790–795 (2004). https://doi.org/10.1007/s00381-004-0932-4
Received:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00381-004-0932-4