To explore the role and value of neuroendoscopy-assisted microscope technique in craniopharyngioma surgery.

A total of 42 patients with craniopharyngioma underwent neuroendoscopic assisted microscopy resection admitted to Neurosurgery and Head and Neck vascularization Department of Shengli Oilfield Central Hospital from January 2015 to November 2017 were retrospectively collected. Forty-five patients with craniopharyngioma were resected underwent simple microscopic resection from January 2013 to December 2014 were collected. The resectable rate of craniopharyngioma, the incidence of postoperative complications and postoperative recurrence rate were compared to evaluate the effect of operation.

In the neuroendoscopy-assisted microscope technique group, the total tumor resection rate was 97.62%, and the incidence of postoperative vasospasm was 7.14%; In the simple microscope group, the total tumor resection rate was 80.00%, and the incidence of postoperative vasospasm was 22.22%, there was significant statistical difference between the two groups (P<0.05). There was no significant difference in the retention rate of pituitary stalk during operation, the incidence of postoperative complications (cranial nerve injury, electrolyte disorder, cerebrospinal fluid leakage, adandular pituitary hypofunction, urinary collapse, intracranial infection and death) and postoperative recurrence rate between the two groups (P>0.05).

Neuroendoscope assisted microsurgery for craniopharyngioma can not only improve the total resection rate of tumor, but also reduce the incidence of complications, so as to better improve the surgical effect.