Neuro-oncologic applications of endoscopy.

Neurooncology, in all its aspects, provides an ideal venue for the application of endoscopy. The main obstacle to its use has been neuro-surgeons' lack of familiarity with the techniques and their advantages. As the neurooncologic surgeon uses the endoscope more, endoscopy will take its rightful place in the surgeon's armamentarium. The advantages of improved visualization of intraventricular pathology, better management of tumor-related hydrocephalus, less morbid biopsies, and minimally invasive removal of intraventricular tumors are invaluable adjuncts to traditional tumor management. Furthermore, endoscopy is the logical next step for surpassing the limitations of traditional microsurgery. Endoscopy is still in its infancy. Rigorous application of the technology is increasingly allowing us to provide our patients the most maximally effective and minimally invasive surgery possible.