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Application of robotic-assisted endoscopic third ventriculostomy

Journal of Translational Neuroscience 2018年第1期3卷 32-36页

作者： Peng Zhao Yinyan Wang Jiwei Bai Bin Li Chuzhong Li Songbai Gui Xinsheng Wang Xuyi Zong Yazhuo Zhang Neurosurgical Department Beijing Tiantan Hospital Capital Medical University Beijing 100050 China Key Laboratory of Central Nervous System Injury Research Beijing Neurosurgical Institute Capital Medical UniversityBeijing 100050 China Beijing Neurosurgical Institute Center of Brain Tumor Beijing Institute for Brain Disorders Capital Medical UniversityBeijing 100050 China

Objective:This case series study explored the application of ROSA(robot of stereotactic assistant)robotic-assisted endoscopic third ventriculostomy(ETV)in the treatment of ***:Three patients(January2016-October2017)diagnosed with hydrocephalus based on preoperative computed tomograph(CT)and magnetic resonance imaging(MRI)scans were *** planning scan was performed before *** robot localization program was used to simulate and analyze the path planning of hydrocephalus ETV and store it in the *** the three patients underwent robotic-assisted *** patients'clinical symptoms,imaging manifestations and related complications were evaluated,and a3-month follow-up survey was *** factors were also ***:ETV under the guidance of ROSA robot was successfully performed on the three ***,MRI and cerebrospinal fluid(CSF)cine showed that the ventricles were narrowed,that the velocity and flow of the stoma were normal,and that the CSF flow was *** discharge,the symptoms of hydrocephalus were significantly *** of the robot and design of the surgical path were key to success of the ***:ROSA robotic-assisted ETV is a feasible *** patients recovered well,and the symptoms *** efforts are needed to optimize artificial intelligence and the application of precision treatment in the nervous system.

关键词： robot hydrocephalus neuroendoscope third ventriculostomy artificial intelligence(AI)

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The Role of Neuroendoscopes in Minimally Invasive Nurosurgery:Our Experience

The Role of Neuroendoscopes in Minimally Invasive Nurosurger...

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海峡两岸神经外科学术研讨会

作者：沈炯祺 Shiuh-Dung Lee M.D.Department of Neurosurgery Taichung Veterans General Hospital Department of Neurosurgery Taichung Veterans General Hospital

＜正＞Objective: The use of endoscopes in neurosurgery has made an unexpected progress during recent years. Advanced endoscopes have simultaneously stimulated the development and application of minimally invasive treatment concepts in many neurosurgical fields. Now they are considered as a well - established operative technique in treatment of specific neurosurgical diseases. We described our experiences of the use endoscope in the treatment of neurological diseases and discussed its indications. Materials and Methods: Various rigid and/or flexible endoscopes were used according to the indication and the planned operative approach. Neuroendoscopic interventions were applied for therapeutic interventions on neurosurgical diseases. Results: From 1991 to 2004 , we have performed more than 1000 endoscopic or endoscopy assisted microneu rosurgical interventions, including 10 intracranial aneurysms, 370 pituitary tumors, 18 intracranial arachnoid cysts, 32 neurovascular compression syndromes, 20 acoustic neuroma, 24 skull base lesions, 30 hydrocephalus, 10 traumatic optic neuropathies, and 500 palmar hyperhidrosis and 108 bromidrosis patients. No mortality was found. The morbidity rate is below 2% Conclusion: In our experience, the use of endoscopes in neurosurgery showed many benefits;including better illumination of the anatomy, less tissue destruction, less operative time, cosmetically as well as functionally satisfactory outcome, and short hospital stay and low morbidity rate.

关键词： Aneurysms Bromidrosis Endoscope Hemifacial spasm Hyperhidrosis hydrocephalus Microvascular decompression Pituitary tumor

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The effects of lysed erythrocytes on brain injury after Intraventricular hemorrhage

The effects of lysed erythrocytes on brain injury after Int...

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2011中华医学会神经外科学学术会议

作者： Chao Gao1 Ya Hua2 Guohua Xi2 1.Department of Neurosurgery, Huashan hospital, Fudan University 2.Department of Neurosurgery, University of Michigan

Background and purpose Intraventricular hemorrhage (IVH) occurs in up to 50% of patients with primary intracerebral hemorrhage (ICH) and 45% of patients with aneurysmal subarachnoid hemorrhage (SAH). The current resea... 详细信息

关键词： intraventricular hemorrhage deferoxamine hydrocephalus acute brain injury erythrocyte lysis iron

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Clinical application of laparoscope in the ventri-peritoneal shunting

Clinical application of laparoscope in the ventri-peritoneal...

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山东抗癌协会普外肿瘤专业委员会第三次学术会议

作者： Qiang Zhang,Bo Li ,Jianing Liu, Sanyuan Hu The Second Hospital of Shandong University, Jinan 250033, China Qi Lu Hospital of Shandong University, Jinan 250000, China

＜正＞A new laparoscopic method was used for percutaneous placement of the peritoneal end of cerebrospinal fluid shunts in patients with obstructive or normal-pressure hydrocephalus. The peritoneal end of shunts were placed and fixed upward between liver and diaphragm by two-Trocar method under direct laparoscopic vision. Meanwhile, patients with post-operation obstruction at peritoneal end of shunts underwent laparoscopic exploring and adjusting. One obstruction case at the peritoneal pipe end occurred on the third day after operation, two obstructed by the first month and the other obstructed by the sixth month after operation. All operations have been completed successfully, as well as all obstructions were adjusted successful under the laparoscope. All patients were followed up from 6 to 38 months and kept unobstructed. Compared with the traditional open-abdominal method, this method has fewer traumas, quicker recovery and lower ratio of the pipe end obstructions. Besides, it’ s convenient to adjust obstructed peritoneal end of shunts.

关键词： hydrocephalus laparoscope

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侧脑室颈外静脉分流术治疗脑积水

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石河子医学院学报 1986年第1期 10-11页

作者：朱兆川高龙远石河子医学院附院脑外科石河子医学院解剖教研室

脑积水的治疗方法很多,不仅操作复杂,设备难得,而且疗效不够理想。我们采用侧脑室颈外静脉分流术治疗交通性和梗阻性脑积水各1例,取得良好效果,因为本方法简便易行,不需特殊设备,利于推广使用,特介绍如下:例1.男、2岁,因额部向前突出,... 详细信息

脑积水的治疗方法很多,不仅操作复杂,设备难得,而且疗效不够理想。我们采用侧脑室颈外静脉分流术治疗交通性和梗阻性脑积水各1例,取得良好效果,因为本方法简便易行,不需特殊设备,利于推广使用,特介绍如下:例1.男、2岁,因额部向前突出,头围增大伴恶心呕吐,於1985年2月28日入院。检查:双眼下视,头皮静脉怒张,Macewen 氏征阳性。脑室造影示脑室系统普遍扩大。双重穿刺试验:变换体位后侧脑室与腰穿压力均保持于同一水平。于侧脑室内注入酚红1ml 过10分钟后,腰穿脑脊液内含有酚红。脑室液化验正常。诊断:交通性脑积水(先天性)3月20日行左侧侧脑室颈外静脉分流术,术

关键词： hydrocephalus diversion external jugular vein lateral ventricle

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