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2015 ; 55
(6
): 469-78
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The Roles of Endoscope in Aneurysmal Surgery
#MMPMID26041623
Yoshioka H
; Kinouchi H
Neurol Med Chir (Tokyo)
2015[]; 55
(6
): 469-78
PMID26041623
show ga
The neuroendoscope, with its higher magnification, better observation, and
additional illumination, can provide us information that may not be available
with the microscope in aneurysm surgery. Furthermore, recent advancement of the
holding systems for the endoscope allows surgeons to perform microsurgical
manipulation using both hands under the simultaneous endoscopic and microscopic
monitoring. With this procedure, surgeons can inspect hidden structures, dissect
perforators at the back of the aneurysm, identify important vessel segments
without retraction of the aneurysm or arteries, and check for completion of
clipping. In addition, we have recently applied endoscopic indocyanine green
video angiography to aneurysm surgery. This newly developed technique can offer
real-time assessment of the blood flow of vasculatures in the dead angles of the
microscope, and will reduce operative morbidity related to vascular occlusion,
improve the durability of aneurysm surgery by reducing incomplete clipping, and
thus promote the outcome of aneurysm surgery.
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