Brain surgery to remove brain tumors can be performed with a minimally invasive technique called a neuroendoscopy. During a neuroendoscopy, your neurosurgeon will access your brain though small (dime-sized) holes in the skull or through the nose or mouth. When used in the right patients, a neuroendoscopy can result in fewer complications, less pain, a faster recover and minimal scarring compared to traditional brain surgery.
Neuroendoscopy involves the use of an endoscope a long flexible tube that has a video camera and a light source to perform diagnostic or therapeutic procedures in the brain, spine, or peripheral nervous system. The endoscope can be equipped with specialized instruments to perform various procedures.
Depending upon the location of a tumor(s), an endoscope can be maneuverer
through the nose (for diseases of the skull base)
through small incisions in the top of the head (for brain tumors or craniofacial conditions)
through small incisions in the back (for spinal disease)
What is endoscopic brain surgery?
Endoscopic brain surgery is a procedure used primarily to treat brain tumors. It is considered a minimally invasive brain surgery that allows neurosurgeons to identify and treat conditions that are deep within the brain.
When is neuroendoscopy recommended?
Neuroendoscopy is a popular choice of neuro physicians and surgeons, to treat serious conditions of the Central Nervous System which includes the brain and spinal cord, or repair any craniofacial damage. It helps surgeons access those parts of the brain which are hard to access through traditional, incisional surgery. In this procedure, the surgeon makes one or two dime-sized incisions or holes on the skull to insert the endoscope. Alternately, he/she may use the mouth or nose cavities to access the brain through the sinuses. The procedure can be done to remove a small sample of suspected tumour for further diagnosis. This is called a biopsy. Later, once the tissue is confirmed to be a tumour, the procedure can be done to remove the tumour altogether. Neuroendoscopy is used to treat a wide range of tumours and cancers, cysts, neurological disorders, neurovascular conditions and trauma-induced damage. Brain tumors that can be treated with minimally invasive brain surgery include:
Pituitary tumors
 Tumors in the pineal region
 Rathke’s cleft cysts
 Tumors in the base of the skull
 Ventricular tumors
Benefits of Neuro Endoscopy over traditional surgery
Access those areas of the brain that are hard to reach with traditional surgery
Remove a tumour without damaging other parts of the brain or skull
Quicker or shorter recovery times
Reduced risk of side effects and low rate of complications
Smaller Incisions or cuts
Lesser pain and quicker healing
Reduced risk of infection
Reduced risk of brain trauma, that is lesser disruption to surrounding tissues and muscles
Shorter hospital stays
Risks of neuroendoscopy
Although neuroendoscopy is safer than traditional brain surgery, there are risks associated with the procedure. Complications associated with a neuroendoscopy include: