Endoscope As An Assist To The Keyhole Approach In The Treatment Of Intracranial Aneurysms

Objective: To investigate the feasibility and the meaning of neuroendoscope as an assist to the keyhole approach in the treatment of intracranial aneurysms. Method: 10 cases of anterior circulating aneurysm were treated by neuroendoscope as an assist to the keyhole approach. After the initial exposure of aneurysm through peritoneal or supraorbital subanterior approach with the help of microscope, rigid neuroendoscope was introduced to acquaint the operator with the regional anatomy and the neck of aneurysm. Neuroendoscope was adopted once again for inspection after the aneurysm has been clipped. Results: All the 10 patients were released with totally recuperation. Discussion Under rigorous control of the operation, indication a striking improvement in the visualization of the anatomy of the aneurysm and adjacent structures can be achieved in the microscopic operation to aneurysms with the application of neuroendoscope as a assist to the key-hole approach. Furthermore, a better prognosis, a faster operation progress, a shorter convalescence period, a lower medical expense, a agreeable cosmetic effect can also be achieved.