The Clinical Experience of Neuronavigation System in Brain Tumor Surgery.
- Author:
Tae Young JUNG
1
;
Shin JUNG
;
Sam Suk KANG
;
In Young KIM
;
Kyung Sup MOON
;
Sang Hyo KIM
Author Information
1. Department of Neurosurgery, Chonnam National University Medical School, Gwangju, Korea. sjung@shonnam.ac.kr
- Publication Type:Original Article
- Keywords:
Neuronavigation system;
Image guided surgery;
Brain tumor
- MeSH:
Biopsy;
Brain Neoplasms*;
Brain*;
Catheters;
Craniotomy;
Diagnosis;
Glioma;
Meningioma;
Neoplasm Metastasis;
Neuronavigation*;
Neurosurgery;
Surgery, Computer-Assisted
- From:Journal of Korean Neurosurgical Society
2003;33(4):376-380
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: Neurosurgical technique has recently entered a fantastic era of image guided surgery or neuronavigaton and application of this technology is beginning to have a significant impact on a variety of intracranial procedures. This study purports to investigate the effectiveness of this new technique in its application to the brain tumor surgery. METHODS: We used the BrainLab VectorVision neuronavigation system, which is an intraoperative, imageguided, frameless, and localization system. We operated 220 cases of different brain pathological conditions with its guidance. RESULTS: The mean of target localizing accuracy, mass size, and mass volume were 1.14mm, 3.04x3.78cm, 32.04cc respectively. These cases included 194 microsurgical craniotomies, 21 frameless stereotactic biopsies, 4 endoscopic procedure and 1 catheter placement. The common pathological diagnoses were meningioma in 61 cases, glioma in 59 and metastasis in 45. CONCLUSION: The neuronavigation system has shown to be very effective and user-friendly for routine microsurgical interventions. The application of this technique not only revealed benefits in operative planning, appreciation of anatomy, lesion location, and safety of surgery, but also greatly enhanced surgical confidence. The image guided surgical technology has a great potential to play an important role in contemporary neurosurgery and its various adoptions in practice will be realized in the near future.
