Recent trends of neuroendoscopic surgery in pediatric neurosurgery

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  • Akutsu Nobuyuki
    Department of Neurosurgery, Hyogo Prefectural Kobe Children’s Hospital
  • Koyama Junji
    Department of Neurosurgery, Hyogo Prefectural Kobe Children’s Hospital
  • Kawamura Atsufumi
    Department of Neurosurgery, Hyogo Prefectural Kobe Children’s Hospital

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  • 当院における神経内視鏡手術の最近の動向

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Abstract

<p>The recent trends and future prospects of neuroendoscopic surgery in our hospital were examined. From January 2015 to December 2021, 61 cases and 70 surgeries of children under the age of 18 years who underwent surgery using a neuroendoscope at our hospital were included. The most common surgical procedure was endoscopic third ventriculostomy (ETV) in 39 cases, of which 3 were re-ETV surgery. Of the 39 cases, 12 simultaneously underwent shunt removal and 11 simultaneously underwent tumor biopsy. The surgical procedure that has been increasing in recent years is ETV for shunt removal, and shunt withdrawal was possible in 7 of 12 (58.3%) cases. As new surgical procedures, which have been performed in recent years, 6 cases underwent endoscopic-assisted suturectomy for craniosynostosis, and 2 cases underwent choroid plexus cauterization (CPC). The role of neuroendoscope in the field of pediatric neurosurgery is vital, which will possibly increase in the future. Shunt withdrawal and avoidance by ETV and CPC also reduce the burden on neurosurgeons, such as shunt troubles and follow-up after carryover. In recent years, ETV, as the initial treatment for hydrocephalus, is targeted at children aged 6 months or older in principle from the viewpoint of success rate, and the policy is to try ETV with shunt removal when shunt malfunction occurs.</p>

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