Less invasive surgical techniques for performing brain surgery are
disclosed in which a dilating obturator and cannula assembly is inserted
into brain tissue until the obturator tip and cannula are adjacent the
target tissue. The obturator is removed and surgery is performed through
the cannula. In preferred embodiments the obturator and cannula are
placed using image guidance techniques and systems to coordinate
placement with pre-operative surgical planning. A stylet with associated
image guidance may he inserted prior to insertion of the obturator and
cannula assembly to guide insertion of the obturator and cannula
assembly. Surgery preferable is performed using an endoscope partially
inserted into the cannula with an image of the target tissue projected
onto a monitor.