What does this research mean for the field?

Neuroendoscopic assistance during exoscope-assisted skull base surgery provides additional intraoperative information that leads to decision-changing actions, such as clip repositioning or additional tumor removal, in approximately one-third of cases. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To characterize patterns of use and evaluate the intraoperative contributions of neuroendoscopic assistance during exoscope-assisted skull base surgery.

September 5, 2026Brain SciencesOpen Access

Practical Indications and Intraoperative Contribution of Neuroendoscopic Assistance During Exoscopic Skull Base Surgery: A Single-Center Experience

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Authors

FMFumihiro Matano MTMiku TSURUYA SISatsuki Imaoka

Discussion

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Overview

Retrospective cohort study reveals decision-changing utility of neuroendoscopy in exoscopic skull base surgery, highlighting improved visualization around hidden anatomical corners.

Key Points

To characterize patterns of use and evaluate the intraoperative contributions of neuroendoscopic assistance during exoscope-assisted skull base surgery.
Retrospective review of 164 consecutive skull base procedures from March 2024 to June 2026, narrowing to 106 exoscope-assisted procedures after excluding 58 pure endoscopic endonasal cases.
Operative video recordings from 42 procedures involving neuroendoscopic assistance across 42 patients were evaluated by two neurosurgeons.
Neuroendoscopy contributions were categorized into visualization-only, confirmatory, or decision-changing.
Neuroendoscopic assistance occurred in 39.6% (42/106) of procedures, most frequently for clip and perforator confirmation in aneurysm surgery (30/42, 71.4%).
Contributions were classified as visualization-only in 19.0% (8/42), confirmatory in 47.6% (20/42), and decision-changing in 33.3% (14/42) of assisted cases.
Decision-changing observations led to clip repositioning in 5 aneurysm procedures and additional resection in 9 tumor procedures, with no complications attributed to neuroendoscope use.

Cite This Study

Matano et al. (2026) studied this question.

synapsesocial.com/papers/6a9bd4126b95aff0620eb775 https://doi.org/10.3390/brainsci16090942

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September 5, 2026Brain SciencesOpen Access

Practical Indications and Intraoperative Contribution of Neuroendoscopic Assistance During Exoscopic Skull Base Surgery: A Single-Center Experience

View Full Paper

Ask AI

Bookmark

Authors

FMFumihiro Matano MTMiku TSURUYA SISatsuki Imaoka

Discussion

Member takes

Overview

Retrospective cohort study reveals decision-changing utility of neuroendoscopy in exoscopic skull base surgery, highlighting improved visualization around hidden anatomical corners.

Key Points

To characterize patterns of use and evaluate the intraoperative contributions of neuroendoscopic assistance during exoscope-assisted skull base surgery.
Retrospective review of 164 consecutive skull base procedures from March 2024 to June 2026, narrowing to 106 exoscope-assisted procedures after excluding 58 pure endoscopic endonasal cases.
Operative video recordings from 42 procedures involving neuroendoscopic assistance across 42 patients were evaluated by two neurosurgeons.
Neuroendoscopy contributions were categorized into visualization-only, confirmatory, or decision-changing.
Neuroendoscopic assistance occurred in 39.6% (42/106) of procedures, most frequently for clip and perforator confirmation in aneurysm surgery (30/42, 71.4%).
Contributions were classified as visualization-only in 19.0% (8/42), confirmatory in 47.6% (20/42), and decision-changing in 33.3% (14/42) of assisted cases.
Decision-changing observations led to clip repositioning in 5 aneurysm procedures and additional resection in 9 tumor procedures, with no complications attributed to neuroendoscope use.

Cite This Study

Matano et al. (2026) studied this question.

synapsesocial.com/papers/6a9bd4126b95aff0620eb775 https://doi.org/10.3390/brainsci16090942

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