Development of transparent sheath and its application in neuroendoscopic intra-axial surgery
10.3760/cma.j.issn.1671-8925.2015.05.019
- VernacularTitle:透明导管鞘的研制及其在神经内镜手术中的应用
- Author:
Mingxing QIU
1
;
Yuping PENG
;
Fan JUN
;
Songtao QI
;
Lei YU
;
Yu LI
Author Information
1. 南方医科大学南方医院神经外科
- Keywords:
Neuroendoscope;
Surgical instrument;
Transparent sheath
- From:
Chinese Journal of Neuromedicine
2015;14(5):520-522
- CountryChina
- Language:Chinese
-
Abstract:
Objective To develop a newly transparent sheath and explore the application value of the sheath in neuroendoscopic intra-axial surgery Methods Sixty-eight patients,admitted to our hospital from August 2010 to February 2013,underwent endoscopic surgery with the help of new sheath.Pre-operated CT or MRI were performed to locate the puncture direction;the transparent sheath was used to provide a trajectory in the brain parenchyma,and offer the clear vision surround the sheath tube and the puncture direction.Results Forty-eight patients adopted lateral ventricle anterior horn approach and 46 (95.83％) achieved lesions in the first puncture.Three patients with septum pellucidum cyst and one with Monro obstruction were successfully received the cystic wall fenestration or recanalization with the sheath directly.After the entry point were determined with CT in 10 intracerebral hematoma,the sheath was inserted into the hemorrhage cavity simply and easily;and a smash-suction tube was inserted to evacuate the hematoma safely.Conclusion The transparent sheath can be inserted into lateral ventricle,hemorrhage cavity or cyst efficiently,and provide perfect surgical vision around the sheath and the puncture direction to estimate the brain parenchyma,hemorrhage cavity or the hemorrhage remains;therefore,this transparent sheath,as a safely neuroendoscopic intra-axial surgical instrument,is deserved to be spread.
