Microsurgical removal of intraventricular lesions using endoscopic visualization and stereotactic guidance.

Abstract:

OBJECTIVE:To demonstrate the technique of stereotactic microsurgical endoscopic removal of intraventricular tumors or colloid cysts assisted by intraoperative computed tomography. METHODS:We adapted a tubular "ventriculoport" for stereotactic insertion of an endoscope into the ventricle. This facilitated microsurgical resection of 14 intraventricular tumors or colloid cysts by use of intraoperative stereotactic microsurgical endoscopic removal of intraventricular tumors or colloid cysts assisted by intraoperative computed tomography. RESULTS:Gross total resection was achieved in 12 patients and confirmed by intraoperative computed tomographic scanning and postoperative magnetic resonance imaging. Patients with preoperative hydrocephalus had relief of their symptoms. Perioperative morbidity was limited to mild headache associated with postoperative pneumocephalus. The average length of stay was 3.6 days. Twelve patients had significant improvement in their symptoms. CONCLUSION:The combination of intraoperative computed tomography-guided stereotactic technique and rigid endoscopy facilitated an accurate, minimally invasive, microsurgical removal of these intraventricular masses. This approach minimized retraction and provided satisfactory visualization.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Harris AE,Hadjipanayis CG,Lunsford LD,Lunsford AK,Kassam AB

doi

10.1227/01.neu.0000146227.75138.08

keywords:

subject

Has Abstract

pub_date

2005-01-01 00:00:00

pages

125-32; discussion 125-32

issue

1 Suppl

eissn

0148-396X

issn

1524-4040

journal_volume

56

pub_type

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