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Endoscope-Assisted Microsurgery

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Abstract

The first published description of endoscope use in neurosurgery was in 1917, when a urologist in Chicago named V. L. L’Espinasse used a cystoscope to perform an endoscopic choroid plexus coagulation. Subsequently, the endoscope was used by Dandy in the early 1920s to address intraventricular pathologies. Because initial fiberscopes had poor optical quality for neurosurgical procedures, endoscopes were not widely adopted. The development by Hopkins of the rigid rod lens endoscope in the 1960s dramatically improved optics and regenerated interest in neurosurgical applications. Since then, neurosurgeons have expanded the role of the endoscope to work within the subarachnoid space and cisterns. The term “endoscopic-assisted microsurgery” (EAM) was coined by Hopf and Perneczky to indicate the use of an endoscope as a surgical adjunct in a procedure in which surgical manipulations are primarily made under microscopic visualization. This differs from “endoscopic-controlled” procedure in which the primary surgical manipulations are made under endoscopic visualization.

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Author information

Authors and Affiliations

  1. Dardinger Microneurosurgical Skull Base Laboratory, Department of Neurological Surgery, Ohio State University Medical Center, N1025 Doan Hall, 410 W. 10th Avenue, Columbus, OH, 43210, USA

    Mario Ammirati MD, MBA & Varun R. Kshettry MD

  2. Department of Neurological Surgery, Cleveland Clinic, Cleveland, OH, USA

    Varun R. Kshettry MD

Authors
  1. Mario Ammirati MD, MBA
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  2. Varun R. Kshettry MD
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Correspondence to Mario Ammirati MD, MBA .

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Editors and Affiliations

  1. Neurosurgical Department, Neurological Institute of Curitiba (INC), Curitiba, Brazil

    Ricardo Ramina

  2. Neurosurgical Department, Santa Paula Hospital, São Paulo, Brazil

    Paulo Henrique Pires de Aguiar

  3. Dept. of Neurosurgery, Eberhard-Karls University Hospital, Tübingen, Baden-Württemberg, Germany

    Marcos Tatagiba

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Ammirati, M., Kshettry, V.R. (2014). Endoscope-Assisted Microsurgery. In: Ramina, R., de Aguiar, P., Tatagiba, M. (eds) Samii's Essentials in Neurosurgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54115-5_8

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  • DOI: https://doi.org/10.1007/978-3-642-54115-5_8

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