• Corpus ID: 1678382

Use of transparent plastic tubular retractor in surgery for deep brain lesions: a case series.

  title={Use of transparent plastic tubular retractor in surgery for deep brain lesions: a case series.},
  author={Sebastian R. Herrera and John H. Shin and Michael Chan and Pelagia E. Kouloumberis and Eduardo Goellner and Konstantin V. Slavin},
  journal={Surgical technology international},
Brain tissue retraction is frequently required to reach deep intra-axial lesions, and the quest for an ideal retractor that would protect the underlying brain tissue continues. Despite the availability of multiple retractors, the incidence of brain retraction injury remains high and has been reported to be 5% to 10%. A recently developed transparent tubular retractor appears to provide several advantages in surgery for deep intra-axial tumors and intracerebral hematomas. We used a new… 

Microendoscopic Removal of Deep-Seated Brain Tumors Using Tubular Retraction System.

Removal of deep-seated tumors was safe and effective using the simple tubular retractor and it also helped minimize bleeding during surgery.

Use of a minimally invasive tubular retraction system for deep-seated tumors in pediatric patients.

The authors describe their experience utilizing a new tubular retractor system specifically designed for cranial applications in conjunction with frameless neuronavigation for microsurgical removal of deep-seated intraaxial tumors in pediatric patients.

Combination of the tubular retractor and brain spatulas provides an adequate operative field in surgery for deep-seated lesions: Case series and technical note

The combination of ViewSite and brain spatulas provides wide and adequate operative fields to observe the interface between lesions and normal tissue, and to prevent brain injury from excessive retraction pressure on the brain derived from repositioning of the ViewSite.

Port Approaches to Intrinsic Brain Tumors

Minimal access to deep intracranial lesions using a serial dilatation technique

The technique of serial dilatation of the brain tissue can be used in conjunction with a microscope or endoscope to provide satisfactory access to deep intracranial pathologies and appears to minimize the associated retraction injury to the surrounding tissue by gradually dilating the white fiber tracts.

Utility of tubular retractors to minimize surgical brain injury in the removal of deep intraparenchymal lesions: a quantitative analysis of FLAIR hyperintensity and apparent diffusion coefficient maps.

Although tubular retractors do not appear to significantly increase FLAIR signal in the brain, DWI intensity around the retractors can be identified and indicates that although tubular retractedors may minimize damage to surrounding tissues, they still cause cytotoxic edema and cellular damage.

Minimally invasive resection of intracranial lesions using tubular retractors: a large, multi-surgeon, multi-institutional series

Tubular retractors provide an effective tool in the neurosurgical armamentarium to resect subcortical lesions with a low complication profile and provide a minimally invasive operative corridor for resection of intracranial lesions.

Minimally invasive trans-portal resection of deep intracranial lesions.

It is felt that this access system, when used in conjunction with frameless neuronavigational systems, provides adequate visualization for tumor resection while permitting the use of standard microsurgical techniques through minimally invasive craniotomies.

Comparison of endoscope- versus microscope-assisted resection of deep-seated intracranial lesions using a minimally invasive port retractor system.

Initial experience with tubular retractors favors use of the microscope rather than the endoscope due to a wider and 3D field of view, which allows for binocular vision with improved lighting for the resection of deep-seated brain lesions.




A frameless stereotactic tubular retractor system for deep brain lesions can be assembled with equipment already available at many institutions and can decrease incision and craniotomy size, decrease retractor-induced trauma to overlying cortex, and help prevent damage to underlying white matter tracts.

New microsurgical technique for intraparenchymal lesions of the brain: transcylinder approach

The transcylinder approach to intraparenchymal brain lesions significantly reduces the risk of injury to surrounding brain tissue while facilitating precise microsurgical technique and can be enhanced when used in conjunction with frameless stereotaxy and intra-operative ultrasound guidance.

Stereotactic guiding tube for open-system endoscopy: a new approach for the stereotactic endoscopic resection of intra-axial brain tumors.

This system is particularly useful for removing small intra-axial tumors in deep or eloquent areas difficult to resect using ordinary surgical techniques, and will also be applicable for other stereotactic operations that require accuracy and minimum invasiveness with complete hemostasis under direct visualization.

The stereotaxic retractor in computer-assisted stereotaxic microsurgery. Technical note.

A cylindrical retractor is described that provides a route for stereotaxic procedures and exposure of and a reference structure for the computer-assisted removal of deep-seated intracranial lesions defined stereootaxically by computerized tomography and magnetic resonance imaging.

A simple stereotactic retractor for use with the Leksell stereotactic system.

The device allows the stereotactic localization and open resection of appropriate intracranial lesions through a 3-cm craniotomy, using standard microsurgical techniques and a completely sterile field.

Brain retractor injury

  • Neurol Res
  • 2003

Stereo - tactic guiding tube for opensystem endoscopy : a new approach for the stereotactic endoscopic resection of intraaxial brain tumors

  • 1990