No doubt surgery of benign intracranial lesions is among the most exciting and satisfying aspects of everyday neurosurgi-cal practice, because the precise, elegant, safe, and effective surgical deed can give the patient back his or her normal life. As a matter of fact, meningioma surgery follows a general principle: the complete removal of an intracranial meningi-oma often means cure for the patient. Several exceptions to this rule exist: even though surgery of brain convexity menin-giomas is considered something not particularly difficult to be done, surgery of skull base meningiomas or other deeply located lesions could be particularly challenging and requires a particular technical expertise. The evolution of surgical techniques, with the advent of the operating microscope and the concept of microdissection, has resulted in the last decades in a progressive reduction of invasiveness, with a dramatic improvement in the morbidity and mortality rates. Consequently, the whole concept of daily surgical practice in the field of neurosurgery changed greatly and led to the arousal of the new concept of microneurosur-gery. With it, neurosurgeons became able to explore areas that had not been accessed before, define intraoperative pathologic tissues much more accurately, and refine their surgical procedures and approaches, with the end result of decreasing both morbidity and mortality. Technological advances through the years added more and more to the surgical microscopic capabilities and led to complete dependence of the neurosurgeons on it in virtually every discipline of neurosurgical practice. Furthermore, after the introduction of the concept of minimalism in the whole field of surgery, specifically neurosurgery, surgeons became more dependent on it. Now neurosurgical microscopic techniques constitute a fundamental part of any neurosurgical training program.

Endoscopy in meningioma surgery: basic principles, applications, and indications

ESPOSITO, FELICE;
2009-01-01

Abstract

No doubt surgery of benign intracranial lesions is among the most exciting and satisfying aspects of everyday neurosurgi-cal practice, because the precise, elegant, safe, and effective surgical deed can give the patient back his or her normal life. As a matter of fact, meningioma surgery follows a general principle: the complete removal of an intracranial meningi-oma often means cure for the patient. Several exceptions to this rule exist: even though surgery of brain convexity menin-giomas is considered something not particularly difficult to be done, surgery of skull base meningiomas or other deeply located lesions could be particularly challenging and requires a particular technical expertise. The evolution of surgical techniques, with the advent of the operating microscope and the concept of microdissection, has resulted in the last decades in a progressive reduction of invasiveness, with a dramatic improvement in the morbidity and mortality rates. Consequently, the whole concept of daily surgical practice in the field of neurosurgery changed greatly and led to the arousal of the new concept of microneurosur-gery. With it, neurosurgeons became able to explore areas that had not been accessed before, define intraoperative pathologic tissues much more accurately, and refine their surgical procedures and approaches, with the end result of decreasing both morbidity and mortality. Technological advances through the years added more and more to the surgical microscopic capabilities and led to complete dependence of the neurosurgeons on it in virtually every discipline of neurosurgical practice. Furthermore, after the introduction of the concept of minimalism in the whole field of surgery, specifically neurosurgery, surgeons became more dependent on it. Now neurosurgical microscopic techniques constitute a fundamental part of any neurosurgical training program.
2009
978-1-84882-910-7
978-1-84628-526-4
978-1-84628-784-8
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11570/3064354
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