Objective: To investigate the effect of neuroendoscope on surgery.

Methods: 315 patients were treated with neuroendoscope. Endoscopic neurosurgery (EN) was used in 219 patients, endoscope-assisted microneurosurgery (EAM) in 72, and endoscope-controlled microneurosurgery (ECM) in 24.

Results: 201 (91.8%) of the 219 patients underwent EN effectively. In 72 patients who underwent EAM there was less retraction during tumor removal and visual control was improved. 21 (87.5%) of the 24 patients underwent ECM effectively. No severe complications were observed.

Conclusion: Neuroendoscopy can reduce tissue trauma, improve visualization during tumor removal, and reduce complications.

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