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Innovative Neurosurgery

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Transcranial endoscope-assisted skull base surgery – posterior fossa

Henry W. S. Schroeder
  • Corresponding author
  • Department of Neurosurgery, Ernst Moritz Arndt University, Sauerbruchstr., D-17475 Greifswald, Germany
  • Disclosure: The author is consultant to Karl Storz GmbH & Co., Tuttlingen, Germany.
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Published Online: 2013-02-07 | DOI: https://doi.org/10.1515/ins-2012-0009


Endoscope-assisted microsurgery is a promising technique combining the advantages of the operating microscope with those of the endoscope. For lesions, which are visible in a straight line, the operating microscope, which provides a high resolution, excellent color fidelity, as well as stereoscopic vision, is the optimal visualization tool. For dissecting in deep and narrow surgical corridors and for working “around a corner”, high-definition endoscopes with various angles of view are used to reduce the amount of retraction and skull base drilling. The endoscope-assisted microsurgical technique enables a safe surgery in the posterior fossa even when lesions are not visible in a straight line. Although the endoscope-assisted microsurgical technique reduces definitely the invasiveness of the approach, it still remains open whether it improves the results compared to standard microsurgery.

Keywords: Endoscope-assisted microsurgery; epidermoid meningioma; neuroendoscopy; skull base surgery; vestibular schwannoma

About the article

Corresponding author: Henry W. S. Schroeder, MD, PhD, Professor and Chairman, Department of Neurosurgery, Ernst Moritz Arndt University, Sauerbruchstr., D-17475 Greifswald, Germany, Tel.: +49-3834-866163, Fax: +49-3834-866164

Received: 2012-10-03

Accepted: 2012-12-17

Published Online: 2013-02-07

Published in Print: 2013-02-01

Citation Information: Innovative Neurosurgery, Volume 1, Issue 1, Pages 5–13, ISSN (Online) 2193-5238, ISSN (Print) 2193-522X, DOI: https://doi.org/10.1515/ins-2012-0009.

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