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Endoscopic brain surgery, also known as endoscopic neurosurgery, involves using an endoscope—a thin, flexible tube with a light and camera at its tip—to access and treat various conditions within the brain. This minimally invasive approach offers advantages such as smaller incisions, reduced trauma to surrounding tissues, shorter recovery times, and potentially fewer complications compared to traditional open surgery. Here's an overview of how endoscopic brain surgery is typically performed and some of its applications: Procedure: A small incision is made in the scalp, and a small hole is drilled into the skull to create an entry point. The endoscope is then inserted through the incision and guided to the target area within the brain. The camera at the end of the endoscope provides real-time visuals of the surgical site on a monitor. Applications: Tumor Removal: Endoscopic brain surgery is often used for the removal of certain types of brain tumors. The endoscope allows the surgeon to visualize and navigate through narrow or deep regions of the brain with precision. Cyst or Fluid Removal: It can be employed to drain cysts or remove excess fluid, such as in the case of hydrocephalus. Pituitary Surgery: Endoscopic transsphenoidal surgery is commonly used for accessing and removing pituitary tumors through the nasal passages. Treatment of Hydrocephalus: Endoscopic third ventriculostomy is a procedure that can be performed to treat certain cases of hydrocephalus by creating a new opening for cerebrospinal fluid to flow. Advantages: Minimally Invasive: Compared to traditional open surgery, endoscopic procedures involve smaller incisions, reducing damage to surrounding tissues. Quicker Recovery: Patients often experience shorter hospital stays and faster recovery times. Reduced Risk of Infection: Smaller incisions may reduce the risk of postoperative infections. Limitations: Complex Cases: Not all brain surgeries can be performed endoscopically, especially in complex cases or when extensive access is required. Skill and Experience: Endoscopic procedures require specialized training and experience on the part of the surgical team. Endoscopic brain surgery is continually evolving, and advancements in technology and techniques are expanding its applications. It is crucial for patients to discuss with their neurosurgeon the most appropriate surgical approach based on their specific condition and medical history. As with any surgical procedure, potential risks and benefits should be thoroughly discussed before making a decision.
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