"Neuroport Hospital Hermanos Ameijeiras" tubular retraction system with endoscopic support for deep brain tumors
Keywords:
brain neoplasms, intraoperative complications, microsurgery, neuroendoscopy.Abstract
Introduction: Deep brain tumors are challenging from a surgical perspective. Currently, various methods focused on reducing manipulation, retraction and brain exposure are reported. Tubular systems with endoscopic support are procedures used with high frequency for these complex tumors.Objective: The objective of this research is to describe a tubular retraction system for the surgical management of deep brain tumors designed by the authors.
Methods: A descriptive, prospective study was carried out on 5 patients, operated on for deep brain tumors using a tubular retraction system designed by the authors. An evaluation of the degree of tumor resection and the complications present with the use of the system was carried out. For data analysis, absolute and relative frequencies were used as summary measures.
Results: The frontal brainport was used most frequently (60.0 %), with a total tumor excision in all patients (100.0 %). Postoperative hydrocephalus was identified as a complication in only one patient.
Conclusions: "Neuroport-Hospital Hermanos Ameijeiras" tubular retraction system with endoscopic support allows adequate access for the surgical resection of deep brain tumors with minimal complications.
Downloads
Download data is not yet available.
References
1. Larson AS, Zuccarello M, Grande AW. Minimally-invasive tubular retraction ports for intracranial neurosurgery: History and future perspectives [Internet]. J Clin Neurosci. 2021; 89:97-102. DOI: 10.1016/j.jocn.2021.04.035
2. Yoo SJ, Mou J, Elizebath R, Sivakumar A, DeBrabander R, Shifman M, et al. The design and use of a minimally-invasive, expandable retractor for deep-seated brain lesions [Internet]. Proc Des Med Devices Conf. 2021; 2021:V001T13A005. DOI: 10.1115/dmd2021-1023
3. Marenco-Hillembrand L, Prevatt C, Suarez-Meade P, Ruiz-Garcia H, Quinones-Hinojosa A, Chaichana KL. Minimally Invasive Surgical Outcomes for Deep-Seated Brain Lesions Treated with Different Tubular Retraction Systems: A Systematic Review and Meta-Analysis [Internet]. World Neurosurg. 2020; 143:537-45. DOI: 10.1016/j.wneu.2020.07.115
4. Echeverry N, Mansour S, MacKinnon G, Jaraki J, Shapiro S, Snelling B. Intracranial Tubular Retractor Systems: A Comparison and Review of the Literature of the BrainPath, Vycor, and METRx Tubular Retractors in the Management of Deep Brain Lesions [Internet]. World Neurosurg. 2020; 143:134-46. DOI: 10.1016/j.wneu.2020.07.131
5. Ng PR, Choi BD, Aghi MK, Nahed BV. Surgical advances in the management of brain metastases. Neurooncol Adv. 2021; 3(Suppl 5):v4-v15. DOI: 10.1093/noajnl/vdab130
6. Singh L, Agrawal N. Cylindrical channel retractor for intraventricular tumour surgery--a simple and inexpensive device [Internet]. Acta Neurochir (Wien). 2009; 151(11):1493-7. DOI: 10.1007/s00701-009-0256-y
7. Roessler K, Heynold E, Coras R, Lücking H, Buchfelder M. Successful Surgery of Exophytic Brainstem Glioma Mimicking Cerebellar-Pontine Angle Tumor: Case Report and Review of Literature [Internet]. World Neurosurg. 2019; 128:202-5. DOI: 10.1016/j.wneu.2019.05.053
8. Chandra RVV, Prasad BC, Hanu TG. Gooseneck Flexible Brain Retractor-Utility of Flexible Gooseneck Tubing in Neurosurgery [Internet]. Neurol India. 2020; 68(4):880-1. DOI: 10.4103/0028-3886.293456
9. Roca E, Ramorino G. Brain retraction injury: systematic literature review [Internet]. Neurosurg Rev. 2023; 46(1):257. DOI: 10.1007/s10143-023-02160-8
10. Polunina NA, Semenov DE, Orlov EA, Veselkov AA, Galitskiy EV, Grigorievskiy ED, et al. Retraktsionnaya travma golovnogo mozga [Brain retraction injury] [Internet]. Zh Vopr Neirokhir Im N N Burdenko. 2021; 85(4):103-10. DOI: 10.17116/neiro202185041103
11. Harris AE, Hadjipanayis CG, Lunsford LD, Lunsford AK, Kassam AB. Microsurgical removal of intraventricular lesions using endoscopic visualization and stereotactic guidance [Internet]. Neurosurgery. 2005; 56(1 Suppl):125-32. DOI: 10.1227/01.neu.0000146227.75138.08
12. Sihag R, Bajaj J, Yadav YR, Ratre S, Hedaoo K, Kumar A, et al. Endoscope-controlled Access to Thalamic Tumors using Tubular Brain Retractor: An Alternative Approach to Microscopic Excision [Internet]. J Neurol Surg A Cent Eur Neurosurg. 2022; 83(2):122-8. DOI: 10.1055/s-0041-1722966
13. Eichberg DG, Di L, Shah AH, Luther EM, Jackson C, Marenco-Hillembrand L, Chaichana KL, Ivan ME, Starke RM, Komotar RJ. Minimally invasive resection of intracranial lesions using tubular retractors: a large, multi-surgeon, multiinstitutional series [Internet]. J Neurooncol. 2020; 149:35-44. DOI: 10.1007/s11060-020-03500-0
14. Okasha M, Ineson G, Pesic-Smith J, Surash S. Transcortical Approach to Deep-Seated Intraventricular and Intra-axial Tumors Using a Tubular Retractor System: A Technical Note and Review of the Literature [Internet]. J Neurol Surg A Cent Eur Neurosurg 2021; 82:270-7. DOI: 10.1055/s-0040-1719025
15. Eichberg DG, Buttrick S, Brusko GD, Ivan M, Starke RM, Komotar RJ. Use of Tubular Retractor for Resection of Deep-Seated Cerebral Tumors and Colloid Cysts: Single Surgeon Experience and Review of the Literature [Internet]. World Neurosurg. 2018; 112:e50-e60. DOI: 10.1016/j.wneu.2017.12.023
16. Jaimovich S, Contreras F, Jaimovich R. Cirugía micro-endo-asistida para patología intraventricular: Abordaje transtubular expansible [Internet]. Rev Argent Neuroc. 2017 [acceso: 12/03/2024]; 31.1(2017):9-14. Disponible en: https://aanc.org.ar/ranc/items/show/221
17. Abdala-Vargas NJ, Umana GE, Patiño-Gomez JG, Ordoñez-Rubiano E, Cifuentes-Lobelo HA, Palmisciano P, et al. Standardization of Strategies to Perform a Parafascicular Tubular Approach for the Resection of Brain Tumors in Eloquent Areas [Internet]. Brain Sci. 2023; 13(3):498. DOI: 10.3390/brainsci13030498
18. Otani Y, Kurozumi K, Ishida J, Hiramatsu M, Kameda M, Ichikawa T, et al. Combination of the tubular retractor and brain spatulas provides an adequate operative field in surgery for deep-seated lesions: Case series and technical note [Internet]. Surg Neurol Int. 2018; 9:220. DOI: 10.4103/sni.sni_62_18
19. Gassie K, Alvarado-Estrada K, Bechtle P, Chaichana KL. Surgical Management of Deep-Seated Metastatic Brain Tumors Using Minimally Invasive Approaches [Internet]. J Neurol Surg A Cent Eur Neurosurg. 2019; 80(3):198-204. DOI: 10.1055/s-0038-1676575
20. Bauer AM, Rasmussen PA, Bain MD. Initial Single-Center Technical Experience With the BrainPath System for Acute Intracerebral Hemorrhage Evacuation [Internet]. Oper Neurosurg (Hagerstown). 2017; 13(1):69-76. DOI: 10.1227/NEU.0000000000001258
21. Mansour S, Echeverry N, Shapiro S, Snelling B. The Use of BrainPath Tubular Retractors in the Management of Deep Brain Lesions: A Review of Current Studies [Internet]. World Neurosurg. 2020; 134:155-63. DOI: 10.1016/j.wneu.2019.08.218
22. Yan C, Mao J, Yao C, Liu Y, Jin W, Yan H. Application of endoport-assisted neuroendoscopic techniques in lateral ventricular tumor surgery [Internet]. Front Oncol. 2023; 13:1191399. DOI: 10.3389/fonc.2023.1191399
23. Liu X, Qiu Y, Zhang F, Wei X, Zhou Z, Zhang F, et al. Combined intra- and extra-endoscopic techniques for endoscopic intraventricular surgery with a new mini-tubular port [Internet]. Front Surg. 2022; 9:933726. DOI: 10.3389/fsurg.2022.933726
24. Liu XW, Lu WR, Zhang TY, Hou XS, Fa ZQ, Zhang SZ. Cerebral corridor creator for resection of trigone ventricular tumors: Two case reports [Internet]. World J Clin Cases. 2022; 10(6):1914-21. DOI: 10.12998/wjcc.v10.i6.1914
2. Yoo SJ, Mou J, Elizebath R, Sivakumar A, DeBrabander R, Shifman M, et al. The design and use of a minimally-invasive, expandable retractor for deep-seated brain lesions [Internet]. Proc Des Med Devices Conf. 2021; 2021:V001T13A005. DOI: 10.1115/dmd2021-1023
3. Marenco-Hillembrand L, Prevatt C, Suarez-Meade P, Ruiz-Garcia H, Quinones-Hinojosa A, Chaichana KL. Minimally Invasive Surgical Outcomes for Deep-Seated Brain Lesions Treated with Different Tubular Retraction Systems: A Systematic Review and Meta-Analysis [Internet]. World Neurosurg. 2020; 143:537-45. DOI: 10.1016/j.wneu.2020.07.115
4. Echeverry N, Mansour S, MacKinnon G, Jaraki J, Shapiro S, Snelling B. Intracranial Tubular Retractor Systems: A Comparison and Review of the Literature of the BrainPath, Vycor, and METRx Tubular Retractors in the Management of Deep Brain Lesions [Internet]. World Neurosurg. 2020; 143:134-46. DOI: 10.1016/j.wneu.2020.07.131
5. Ng PR, Choi BD, Aghi MK, Nahed BV. Surgical advances in the management of brain metastases. Neurooncol Adv. 2021; 3(Suppl 5):v4-v15. DOI: 10.1093/noajnl/vdab130
6. Singh L, Agrawal N. Cylindrical channel retractor for intraventricular tumour surgery--a simple and inexpensive device [Internet]. Acta Neurochir (Wien). 2009; 151(11):1493-7. DOI: 10.1007/s00701-009-0256-y
7. Roessler K, Heynold E, Coras R, Lücking H, Buchfelder M. Successful Surgery of Exophytic Brainstem Glioma Mimicking Cerebellar-Pontine Angle Tumor: Case Report and Review of Literature [Internet]. World Neurosurg. 2019; 128:202-5. DOI: 10.1016/j.wneu.2019.05.053
8. Chandra RVV, Prasad BC, Hanu TG. Gooseneck Flexible Brain Retractor-Utility of Flexible Gooseneck Tubing in Neurosurgery [Internet]. Neurol India. 2020; 68(4):880-1. DOI: 10.4103/0028-3886.293456
9. Roca E, Ramorino G. Brain retraction injury: systematic literature review [Internet]. Neurosurg Rev. 2023; 46(1):257. DOI: 10.1007/s10143-023-02160-8
10. Polunina NA, Semenov DE, Orlov EA, Veselkov AA, Galitskiy EV, Grigorievskiy ED, et al. Retraktsionnaya travma golovnogo mozga [Brain retraction injury] [Internet]. Zh Vopr Neirokhir Im N N Burdenko. 2021; 85(4):103-10. DOI: 10.17116/neiro202185041103
11. Harris AE, Hadjipanayis CG, Lunsford LD, Lunsford AK, Kassam AB. Microsurgical removal of intraventricular lesions using endoscopic visualization and stereotactic guidance [Internet]. Neurosurgery. 2005; 56(1 Suppl):125-32. DOI: 10.1227/01.neu.0000146227.75138.08
12. Sihag R, Bajaj J, Yadav YR, Ratre S, Hedaoo K, Kumar A, et al. Endoscope-controlled Access to Thalamic Tumors using Tubular Brain Retractor: An Alternative Approach to Microscopic Excision [Internet]. J Neurol Surg A Cent Eur Neurosurg. 2022; 83(2):122-8. DOI: 10.1055/s-0041-1722966
13. Eichberg DG, Di L, Shah AH, Luther EM, Jackson C, Marenco-Hillembrand L, Chaichana KL, Ivan ME, Starke RM, Komotar RJ. Minimally invasive resection of intracranial lesions using tubular retractors: a large, multi-surgeon, multiinstitutional series [Internet]. J Neurooncol. 2020; 149:35-44. DOI: 10.1007/s11060-020-03500-0
14. Okasha M, Ineson G, Pesic-Smith J, Surash S. Transcortical Approach to Deep-Seated Intraventricular and Intra-axial Tumors Using a Tubular Retractor System: A Technical Note and Review of the Literature [Internet]. J Neurol Surg A Cent Eur Neurosurg 2021; 82:270-7. DOI: 10.1055/s-0040-1719025
15. Eichberg DG, Buttrick S, Brusko GD, Ivan M, Starke RM, Komotar RJ. Use of Tubular Retractor for Resection of Deep-Seated Cerebral Tumors and Colloid Cysts: Single Surgeon Experience and Review of the Literature [Internet]. World Neurosurg. 2018; 112:e50-e60. DOI: 10.1016/j.wneu.2017.12.023
16. Jaimovich S, Contreras F, Jaimovich R. Cirugía micro-endo-asistida para patología intraventricular: Abordaje transtubular expansible [Internet]. Rev Argent Neuroc. 2017 [acceso: 12/03/2024]; 31.1(2017):9-14. Disponible en: https://aanc.org.ar/ranc/items/show/221
17. Abdala-Vargas NJ, Umana GE, Patiño-Gomez JG, Ordoñez-Rubiano E, Cifuentes-Lobelo HA, Palmisciano P, et al. Standardization of Strategies to Perform a Parafascicular Tubular Approach for the Resection of Brain Tumors in Eloquent Areas [Internet]. Brain Sci. 2023; 13(3):498. DOI: 10.3390/brainsci13030498
18. Otani Y, Kurozumi K, Ishida J, Hiramatsu M, Kameda M, Ichikawa T, et al. Combination of the tubular retractor and brain spatulas provides an adequate operative field in surgery for deep-seated lesions: Case series and technical note [Internet]. Surg Neurol Int. 2018; 9:220. DOI: 10.4103/sni.sni_62_18
19. Gassie K, Alvarado-Estrada K, Bechtle P, Chaichana KL. Surgical Management of Deep-Seated Metastatic Brain Tumors Using Minimally Invasive Approaches [Internet]. J Neurol Surg A Cent Eur Neurosurg. 2019; 80(3):198-204. DOI: 10.1055/s-0038-1676575
20. Bauer AM, Rasmussen PA, Bain MD. Initial Single-Center Technical Experience With the BrainPath System for Acute Intracerebral Hemorrhage Evacuation [Internet]. Oper Neurosurg (Hagerstown). 2017; 13(1):69-76. DOI: 10.1227/NEU.0000000000001258
21. Mansour S, Echeverry N, Shapiro S, Snelling B. The Use of BrainPath Tubular Retractors in the Management of Deep Brain Lesions: A Review of Current Studies [Internet]. World Neurosurg. 2020; 134:155-63. DOI: 10.1016/j.wneu.2019.08.218
22. Yan C, Mao J, Yao C, Liu Y, Jin W, Yan H. Application of endoport-assisted neuroendoscopic techniques in lateral ventricular tumor surgery [Internet]. Front Oncol. 2023; 13:1191399. DOI: 10.3389/fonc.2023.1191399
23. Liu X, Qiu Y, Zhang F, Wei X, Zhou Z, Zhang F, et al. Combined intra- and extra-endoscopic techniques for endoscopic intraventricular surgery with a new mini-tubular port [Internet]. Front Surg. 2022; 9:933726. DOI: 10.3389/fsurg.2022.933726
24. Liu XW, Lu WR, Zhang TY, Hou XS, Fa ZQ, Zhang SZ. Cerebral corridor creator for resection of trigone ventricular tumors: Two case reports [Internet]. World J Clin Cases. 2022; 10(6):1914-21. DOI: 10.12998/wjcc.v10.i6.1914
Published
2024-10-01
How to Cite
1.
Cruz Pérez PO, López Arbolay O, Ortiz Machín MM, Vargas Gálvez CR. "Neuroport Hospital Hermanos Ameijeiras" tubular retraction system with endoscopic support for deep brain tumors. Rev Cubana Med Milit [Internet]. 2024 Oct. 1 [cited 2025 Mar. 12];53(4):e024047164. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/47164
Issue
Section
Brief Communication
License
Authors who have publications with this Journal accept the following terms:
- The authors will retain their copyright and guarantee the Journal the right of first publication of their work, which will simultaneously be subject to the Creative Commons Attribution License. The content presented here can be shared, copied and redistributed in any medium or format; Can be adapted, remixed, transformed or created from the material, using the following terms: Attribution (giving appropriate credit to the work, providing a link to the license, and indicating if changes have been made); non-commercial (you cannot use the material for commercial purposes) and share-alike (if you remix, transform or create new material from this work, you can distribute your contribution as long as you use the same license as the original work).
- The authors may adopt other non-exclusive license agreements for the distribution of the published version of the work (for example: depositing it in an institutional electronic archive or publishing it in a monographic volume) as long as the initial publication in this Journal is indicated.
- Authors are allowed and recommended to disseminate their work through the Internet (e.g., in institutional electronic archives or on their website) before and during the submission process, which can produce interesting exchanges and increase citations. of the published work.
