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Child's Nervous System

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01-11-2004 | Original Paper

The evolution of stereotactic guidance in neuroendoscopy

Authors: Wuttipong Tirakotai, Oliver Bozinov, Ulrich Sure, Thomas Riegel, Helmut Bertalanffy, Dieter Hellwig

Published in: Child's Nervous System | Issue 11-12/2004

Abstract

Objectives

To evaluate the advantages and limitations of the utilized system in accordance with the operative indications of stereotactic neuroendoscopy.

Patients and methods

We reviewed our collective experience of computer-assisted stereotaxy (frame-based and frameless) and virtual endoscopy in neuroendoscopic surgery from 1982 to 2003. Sterotactic guiding systems (frame-based and frameless) have been used to perform more than 450 neuroendoscopic operations at our institute.

Results

Even though image guidance is not essential in all cases, technological developments have definitely been one of the major factors in improving outcomes. Planning endoscopic trajectory and intraoperative orientation within the ventricular system or other cavities are the main indications for its application.

Conclusions

No surgical tool, no matter how accurate, can be a substitute for thoughtful and methodical pre-operative planning. Image-guided technologies are applied in order to make endoscopic surgery safer, faster and more easily reproducible. Despite the high initial cost of the equipment, overall expenses are expected to be reduced because of greater operative efficiency and shorter hospital stay.

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Title: The evolution of stereotactic guidance in neuroendoscopy
Authors: Wuttipong Tirakotai
Oliver Bozinov
Ulrich Sure
Thomas Riegel
Helmut Bertalanffy
Dieter Hellwig
Publication date: 01-11-2004
Publisher: Springer-Verlag
Published in: Child's Nervous System / Issue 11-12/2004
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-004-0932-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The evolution of stereotactic guidance in neuroendoscopy

Abstract

Objectives

Patients and methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Patients and methods

Results

Conclusions

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