ENDOSCOPIC AND STEREOTACTIC METHODS FOR SURGERY TREATING OF BRAIN TUMORS (CASES REPORT)

The team of authors highlights in the work an integrated approach in the treatment of brain formations using endoscopy and stereotaxis, describes the possibility of using minimally invasive interventions including cases of impaired cerebrospinal fluid dynamics.
PURPOSE: to improve the results of treatment of patients whose disease was complicated by developing of a number of pathological conditions, to avoid repeated opened interventions by using minimally invasive techniques.
METHODS. Some observations are described when endoscopy and stereotaxis were used to diagnose and correction of conditions that developed during the blastomatous process. In one case the endoscopic removal of the subependymal giant cell astrocytoma of the left lateral ventricle was done. The second case is the stereotactic diagnostic which made it possible to verify the blastomatous process and to avoid the wrong treatment tactic followed by antitumor therapy.
RESULTS. In both cases there were no complications during the operation and in the postoperative period. Verification of the pathological process was achieved which made it possible to identify the blastomatous process and to continue its correct therapy (stereotaxis) as well as safe total minimally invasive tumor removal (endoscopy). The using of minimally invasive surgery methods get it possible to reduce the hospitalization period and to avoid unnecessary surgical trauma. Both patients were socially adapted after surgeries.
CONCLUSIONS. Optimal ways and methods of using neuroendoscopy and stereotaxis as well as their interaction allow to avoid repeated open interventions for tumors of the brain by intraventricular and paraventricular localization. Based on the obtained data, optimization of algorithms of using stereotaxis and endoscopy in the complex treatment of brain tumors has been proposed. 

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