Dr Roberto García Leal
Specialist inMicrosurgery for cerebral aneurysms and vascular malformations.
Functional brain cancer surgery and awake brain surgery.
Endoscopic brain surgery and microsurgery for skull base tumours.
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Brain & Mind Center
The unit
The Minimally Invasive Brain Surgery and Neuroendoscopy Unit at Publio Cordón Memorial Hospital treats deep-seated brain lesions using high-precision techniques designed to preserve neurological function, through expert assessment and personalised treatment.
Minimally invasive surgery for brain tumours.
Endoscopic surgery for pituitary adenoma.
Cervical microdiscectomy and minimally invasive surgery on the lumbar spine.
Medical team
Microsurgery for cerebral aneurysms and vascular malformations.
Functional brain cancer surgery and awake brain surgery.
Endoscopic brain surgery and microsurgery for skull base tumours.
Patient information
The Minimally Invasive Brain Surgery and Neuroendoscopy Unit treats patients with deep-seated brain conditions that require expert neurosurgical assessment and precise planning to minimise surgical trauma and preserve neurological function. It intervenes in situations where the location of the lesion or its complexity necessitates a highly specialised approach.
The unit is aimed at people with lesions located in deep regions of the brain, particularly within the ventricular system or in areas close to critical neurological structures. A specialist assessment is recommended in cases of complex hydrocephalus, intraventricular lesions, intracranial cysts, cavernomas or deep-seated tumours.
The difference lies not only in the technique, but also in the judgement involved: deciding when to intervene, how to do so, and which approach offers the greatest functional safety.
Each case is assessed individually, taking into account the exact location of the injury, its biological behaviour and the patient’s neurological status.
The unit deals with, amongst other conditions:
Complex obstructive and communicating hydrocephalus
Intraventricular tumours or malformations
Colloid cysts and other deep cystic lesions
Deep-seated cavernomas
Brain tumours in hard-to-reach areas
The indication for surgery is established only when clinical and radiological assessment confirms that the expected benefit justifies the procedure.
The assessment begins with a specialist neurosurgical consultation and a detailed review of imaging tests. It is usually supplemented by high-resolution brain MRI and functional studies that enable the identification of key neural structures.
Planning incorporates stereotactic navigation, three-dimensional reconstruction and analysis of safe surgical pathways. Decisions are reached by consensus within a multidisciplinary team comprising neuroradiologists, oncologists and intensive care specialists, ensuring robust and well-founded planning.
The unit employs cerebral neuroendoscopy techniques, which allow access to the ventricular system via small incisions and the insertion of high-definition endoscopes to restore cerebrospinal fluid circulation or remove selected lesions with minimal manipulation of brain tissue.
It also incorporates minimally invasive brain surgery assisted by navigation systems and advanced intraoperative visualisation, aimed at reducing the surgical impact and preserving neurological function as much as possible.
For deep lesions, minimally invasive approaches are used to access the area to be treated via carefully planned pathways, utilising access systems that minimise manipulation of healthy brain tissue—medically known as transcortical transtubular approaches. This approach is particularly useful in hard-to-reach areas and helps to improve the safety of the procedure and subsequent recovery in selected patients.
The technique is tailored to each patient; standard solutions are not applied in situations that require individualised precision.
The care model combines technical expertise with ongoing clinical monitoring. Patients receive clear information about their diagnosis, treatment options and associated risks, and are given the time they need to understand each decision.
During hospitalisation and in the period following surgery, the team maintains constant coordination between neurosurgeons, intensive care specialists and other relevant specialists. A medium- and long-term neurological and radiological follow-up plan is established to ensure monitoring of progress and the early detection of any potential complications.
The unit combines specialist expertise, technology and constant care that prioritises safety, rigorous planning and the preservation of function in every procedure.
In the event of a confirmed diagnosis or suspected deep brain disorder, the Unit carries out a comprehensive assessment to confirm the need for surgery and to define a safe, personalised surgical strategy.
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