Abstract Issue

Volume 12 Issue 3 ( July-September ) 2023

Original Articles

A prospective observational study of benefits and limitations of endoscopy assisted microneurosurgery in brain tumours in a tertiary care centre of Eastern India
Rajan Singh, Gitanjali Datta, Harish Gupta, Subhasis Ghosh

Aim: To evaluate benefits and limitations of endoscopy assisted microneurosurgery in brain tumours in a tertiary care centre of Eastern India. Materials And Methods: This was a descriptive and observational study with prospective design conducted in the department of Neurosurgery, Bangur Institute of Neurosciences, IPGMER and SSKM Hospital, Kolkata during July 2021- December 2022. 45 patients with radiologically confirmed brain tumours admitted at Department of Neurosurgery during the study period were recruited. A detailed clinical history was elucidated, followed by careful clinical examination along with the radiological reports was recorded. Clinical outcomes and complications were assessed at the time of discharge, 1 month and 3 months post-operatively along with the immediate post-operative complications. Results: The most common tumour among the study subjects was Pituitary Adenoma (35.56%). Complete and partial removal of lesion among the study subjects was reported in 51.11% and 48.89% of the subjects respectively. In all the surgical cases; endoscope helps in 100% more visualization. Endoscope showed residual tumor in 14 cases (31.11%) & removal of the intracanalicular part under endoscopic vision in 4 cases (8.89%). Conclusion: Through our experience, we confirmed that the endoscope is a useful tool to be used in the routine microsurgery, not only in the specific small craniotomy approaches. Simultaneous or tandem endoscopic and microscopic approaches may have the potential for better functional outcomes through better visualization and preservation of vital structures in corners that are hidden from the microscope.

 
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