Microcirugía de lesiones cerebrales profundas e intraventriculares con puerto endoscópico único endoport, experiencia del Instituto Nacional de Neurología y Neurocirugía

Primary tumors of the central nervous system are among the leading causes of cancer related deaths in the United States. Surgical resection of deep lesions represents a challenge for neurosurgeons. Advances in navigation systems, the introduction of endoscopy and endoscopic port allows removal of deep lesions with minimally invasive approaches., Materials and methods: we performed an observational, descriptive case series. We included 19 patients in the neurosurgery service at the National Institute of Neurology and Neurosurgery diagnosed with deep brain lesions., Results: Twelve patients were female, mean age 38 ± 17 years, the most frequent location was frontal in 12 cases (63%). The average depth was 28mm. The more common histopathologic diagnosis were glioma in 6 (31%) cases and cavernoma in 2 (10%) cases. Total resection was achieved in 12 (63%) cases. Conclusion: resection of deep brain tumors through the single endoscopic port is technically feasible. Primary and metastatic lesions can be resected with this technique with minimally invasive approaches, smaller craniotomies and less dissection of white matter, which results in less postoperative morbidity.