Abstract: Deep brain stimulation(DBS)has become the gold standard for surgery of middle and late stage Parkinsons disease(PD), which can significantly improve the motor symptoms and improve the quality of life for patients with PD. The Department of Neurosurgery of Qilu Hospital of Shandong University started DBS surgery in 2005 and have accumulated rich experiences. The authors summed up DBS operation characteristics as followed: (1) The surgeons need to have a good mastery of Leksell headstock, operation planning system, microelectrode recording system and so on. (2) The operation requires high precision. (3) The surgery has complicated steps and process so that any misoperation could affect operation outcome. (4) Except for a well-trained neurosurgery team, cooperation from the operation room, departments of neurology, anesthesiology and radiology is essential, and any department involved decides the process of operation. Based on the characteristics of DBS operation, refering to the experience from domestic and foreign scholars, the authors formulated and initially practised the standard operation procedure(SOP)as well as the checklist of deep brain stimulation surgery.

Key words: Parkinsons disease, Deep brain stimulation, Standard operation procedure, Checklist