Preview

Russian journal of neurosurgery

Advanced search

Usage of endoportal technology in surgery of cerebral mass lesions

https://doi.org/10.63769/1683-3295-2026-28-2-39-48

Abstract

Background. Tubular retractors are successfully used in brain surgery as an alternative to classical retraction methods. Modern tubular retractors reduce brain retraction injury while maintaining the surgeon's ability to perform bimanual surgery.

Aim. To analyze the results of surgical treatment of intracerebral mass lesions using the tubular retractor.

Material and methods. The study included 204 patients who underwent surgery for deep-seated brain tumors between 2015 and 2023 using tubular retractors. Patient demographics, pre- and post-operative clinical data, and neuroimaging data were reviewed. 

Results. Cerebral mass lesions were mainly, located intraventricularly (39 %), with a lower incidence in subcortical structures and the basal ganglia (20.5 %). Total resection was achieved in 81.9 % of cases. The median postoperative Karnofsky performance state was 80.

Conclusion. The use of neuroendoportal technologies in surgery for deep-seated intracerebral and intraventricular mass lesions can be recommended as an alternative to routine microsurgical approaches, allowing to protect the patient from additional brain trauma during the surgical approach as well as to reduce the operative time, and to eliminate the additional surgical complications. 

About the Authors

S. V. Veranyan
Federal Center of Neurosurgery, Ministry of Health of Russia
Russian Federation

Sergey Vardanovich Veranyan  

132/1 Nemirovich-Danchenko St., Novosibirsk 630087 



A. V. Kalinovskiy
Federal Center of Neurosurgery, Ministry of Health of Russia; Novosibirsk State Medical University, Ministry of Health of Russia
Russian Federation

132/1 Nemirovich-Danchenko St., Novosibirsk 630087 

52 Krasny Prospekt, Novosibirsk 630091



D. A. Rzayev
Federal Center of Neurosurgery, Ministry of Health of Russia; Novosibirsk State Medical University, Ministry of Health of Russia; Novosibirsk National Research State University
Russian Federation

132/1 Nemirovich-Danchenko St., Novosibirsk 630087

52 Krasny Prospekt, Novosibirsk 630091 

2 Pirogova St., Novosibirsk 630090



E. V. Gormolysova
Federal Center of Neurosurgery, Ministry of Health of Russia
Russian Federation

132/1 Nemirovich-Danchenko St., Novosibirsk 630087 



O. M. Andrushkevich
Federal Center of Neurosurgery, Ministry of Health of Russia; Novosibirsk State Medical University, Ministry of Health of Russia
Russian Federation

132/1 Nemirovich-Danchenko St., Novosibirsk 630087 

52 Krasny Prospekt, Novosibirsk 630091,  



A. A. Abdilatipov
Federal Center of Neurosurgery, Ministry of Health of Russia; Novosibirsk National Research State University
Russian Federation

132/1 Nemirovich-Danchenko St., Novosibirsk 630087 

2 Pirogova St., Novosibirsk 630090



E. V. Galushko
Federal Center of Neurosurgery, Ministry of Health of Russia
Russian Federation

132/1 Nemirovich-Danchenko St., Novosibirsk 630087 



References

1. Greenberg I.M. Self-retaining retractor and handrest system for neurosurgery. Neurosurgery 1981;8(2):205–8. DOI: 10.1227/00006123-198102000-00009

2. Zhong J., Dujovny M., Perlin A.R. et al. Brain retraction injury. Neurol Res 2003;25(8):831–8. DOI: 10.1179/016164103771953925

3. Andrews R.J., Bringas J.R. A review of brain retraction and recommendations for minimizing intraoperative brain injury. Neurosurgery 1993;33(6):1052–63; discussion 1063–4. DOI: 10.1227/00006123-199312000-00014

4. Savardekar A.R., Patra D.P., Narayan V. et al. Incidence, pathophysiology, and prevention strategies for cerebral venous complications after neurologic surgery: a systematic review of the literature. World Neurosurg 2018;119:294–9. DOI: 10.1016/j.wneu.2018.06.231

5. Kelly P.J., Goerss S.J., Kall B.A. The stereotaxic retractor in computer-assisted stereotaxic microsurgery. J Neurosurg 1988;69(2):301–6. DOI: 10.3171/jns.1988.69.2.0301

6. Shapiro S.Z., Sabacinski K.A., Mansour S.A. et al. Use of Vycor tubular retractors in the management of deep brain lesions: a review of current studies. World Neurosurg 2020;133:283–90. DOI: 10.1016/j.wneu.2019.08.217

7. Valarezo-Chuchuca A. Minimally invasive surgery with tubular retractor system for deep-seated or intraventricular brain tumors: report of 13 cases and technique description. Interdisciplinary Neurosurg 2021;25:101260.

8. Nishihara T., Teraoka A., Morita A. et al. A transparent sheath for endoscopic surgery and its application in surgical evacuation of spontaneous intracerebral hematomas. J Neurosurg 2000;92(6):1053–5. DOI: 10.3171/jns.2000.92.6.1053

9. Gurses M.E., Gökalp E., Gecici N.N. et al. Minimally invasive resection of intracranial lesions using tubular retractors: a single surgeon series. Clin Neurol Neurosurg 2024;241:108304. DOI: 10.1016/j.clineuro.2024.108304

10. Echeverry N., Mansour S., MacKinnon G. et al. 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. World Neurosurg 2020;143: 134–46. DOI: 10.1016/j.wneu.2020.07.131 11. Eichberg D.G., Di L., Shah A.H. et al. Minimally invasive resection of intracranial lesions using tubular retractors: a large, multisurgeon, multi-institutional series. J Neurooncol 2020;149(1):35–44. DOI: 10.1007/s11060-020-03500-0

11. Safronova E.I., Kushel Yu.V. Experience with the use of tubular retractors in transcranial surgery of intraaxial brain tumors in children. Voprosy neyrokhirurgii imeni N.N. Burdenko = Issues of Neurosurgery named after N.N. Burdenko 2022;86(2):15–24. (In Russ.). DOI: 10.17116/neiro20228602115

12. Gassie K., Wijesekera O., Chaichana K.L. Minimally invasive tubular retractor-assisted biopsy and resection of subcortical intra-axial gliomas and other neoplasms. J Neurosurg Sci 2018;62(6):682–89. DOI: 10.23736/S0390-5616.18.04466-1. Epub 2018 Apr 18. PMID: 29671296.

13. Bander E.D., Jones S.H., Pisapia D. et al. Tubular brain tumor biopsy improves diagnostic yield for subcortical lesions. J Neurooncol 2019;141(1):121–9. DOI: 10.1007/s11060-018-03014-w


Review

For citations:


Veranyan S.V., Kalinovskiy A.V., Rzayev D.A., Gormolysova E.V., Andrushkevich O.M., Abdilatipov A.A., Galushko E.V. Usage of endoportal technology in surgery of cerebral mass lesions. Russian journal of neurosurgery. 2026;28(2):39-48. (In Russ.) https://doi.org/10.63769/1683-3295-2026-28-2-39-48

Views: 137

JATS XML


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1683-3295 (Print)
ISSN 2587-7569 (Online)
X