Future Of Endoscopy

Endoscopy has clearly gained a place as an important tool in the armamentarium of neurosurgeons. The technical limitations seen in the beginning of the development of this field are being addressed, and a number of systems are available that will allow a neurosurgeon to perform the appropriate procedure. It is important to understand the limitations and advantages of all the systems so that one can make the correct choice of instruments and procedure. Knowledge of anatomy and orientation to the endoscopic images is crucial for the safe performance of these procedures. Appropriate preoperative evaluation of the anatomy with MRI is essential, and intraoperative assistance with frameless navigation systems and intraoperative visualization are very helpful and important adjuncts to the procedure. All these allow this procedure to fulfill its promise as a minimally invasive procedure with minimal morbidity to the patient and superior results.

Future developments will be technical and will incorporate imaging, the ability to perform endoscopy during microneurosurgical procedures with greater ease, and the ability to deliver drugs, clip aneurysms, remove brain tumors, and so on through a minimally invasive procedure.

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