Abstract
Experience with more than 200 neuroendoscopic procedures taught us the advantages
and disadvantages of the different endoscope designs. Using an endoscope with a sheath
with separate channels for the endoscope, the instruments as well as for rinsing and
suction we found advantages in rinsing properties, handling, and preciseness of instrument
steering. On the other hand an endoscope with a sheath with a singular channel for
the endoscope itself, the instruments, rinsing, and suction the advantages were better
in visualization of the instruments, more available instruments, and easier extraction
of larger specimen. The knowledge of these advantages makes it possible to select
the adequate endoscope regarding its design, especially in more complicated cases.
Key words
Neuroendoscopy - complications - hydrocephalus - third ventriculostomy
References
- 1
Kehler U, Regelsberger J, Gliemroth J.
The mechanism of fornix lesions in 3rd ventriculostomy.
Min Invas Neurosurg.
2003;
46
202-204
- 2
Handler M H, Abbott R, Lee M.
A near-fatal complication of endoscopic third ventriculostomy: case report.
Neurosurg.
1994;
35
525-527
- 3
Hirsch J F.
Percutaneous ventriculocisternostomies in non-communicating hydrocephalus.
Monogr Neurol Sci.
1982;
8
170-178
- 4
McLaughlin M R, Wahlig J B, Kaufmann A M, Albright A L.
Traumatic basilar aneurysm after endoscopic third ventriculostomy: case report.
Neurosurg.
1976;
41
1400-1403
- 5
Mohanty A, Anandh B, Reddy M S, Sastry K VR.
Contralateral massive acute subdural collection after endoscopic third ventriculostomy
- a case report.
Minim Invas Neurosurg.
1997;
40
59-61
- 6
Hader W J, Drake J, Cochrane D, Sparrow O, Johnson E S, Kestle J.
Death after late failure of third ventriculostomy in children. Report of three cases.
J Neurosurg.
2002;
97
211-215
- 7
Benabarre A, Ibánez J, Boget T, Obiols J, Martinéz-Aran A, Vieta E.
Neuropsychological and psychiatric complications in endoscopic third ventriculostomy:
a clinical case report.
J Neurol Neurosurg Psychiatry.
2001;
71
268-271
- 8
Schröder H W, Niendorf W R, Gaab M R.
Complications of endoscopic third ventriculostomy.
J Neurosurg.
2002;
96
1032-1040
Priv.-Doz. Dr. Uwe Kehler
Klinik für Neurochirurgie · Universitätsklinikum Eppendorf
Martinistr. 52
20246 Hamburg
Germany
Phone: +49-40/42803-2751
Fax: +49-40/42803-8121
Email: kehler@uke.uni-hamburg.de
