Endoscopic Resection of Colloid Cysts: Surgical Considerations Using the Rigid Endoscope

Endoscopic Resection of Colloid Cysts: Surgical Considerations Using the Rigid Endoscope AbstractOBJECTIVEColloid cysts of the third and lateral ventricles have traditionally been treated by transfrontal and transcallosal microsurgical resection or by stereotactic aspiration. Recently rigid and flexible ventricular endoscopic techniques have been used to treat these lesions. Our study was undertaken to examine the efficacy of rigid endoscopy in the resection of colloid cysts.METHODSFifteen patients with a radiological diagnosis of colloid cysts were given the option of Diagnosis of collid cysts were given the option of undergoing either endoscopiv surgery or car niotomy. the average tumor size was 1.43 cm. Fourteen patients underwent planned endoscopic resections, and a carniotomy was performed intially in one patient.RESULTSEntire tumor resection was achieved with the endoscope in 12 patients (86%). craniotomy was required for two colloid cysts that could not be resected endoscopically. In total, complete radiographic resections were achieved in 14 patients (93%). There were no permanent complications, although postoperactive deficts included short-term memory loss and hemiparesis, each one in patient.CONCLUSIONRigid endoscopy affords good optical resolution, high magnification, and excellent illumination. Total or near total resection of colloid cysts should be the goal for all patients and can be achieved using the rigid endoscope, with little morbidity, shortened operative time, reduced length of stay, and resolution of symptoms. Although long-term follow-up is needed, we think that endoscopy should be considered as a primary treatment for most patients. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Neurosurgery Oxford University Press

Endoscopic Resection of Colloid Cysts: Surgical Considerations Using the Rigid Endoscope

Endoscopic Resection of Colloid Cysts: Surgical Considerations Using the Rigid Endoscope

Endoscopic Resection of Colloid Cysts: Surgical Considerations Using the Rigid Endoscope W e s l e y A . K i n g , M . D . , J a m i e S . U l l m a n , M . u . , J o h n G . F r a z e e , M . D . , K a l m o n D . P o s t , M . D . , M a r v i n B e r g s n e i d e r , M . D . Departm ent of Neurosurgery (W A K , JSU, KD P), Mount Sinai M edical Center, N e w Yo rk, N ew York, and D ivision of Neurosurgery (JGF, M B), U niversity of C a lifo rn ia , Los Angeles, Medical Center, Los Angeles, California BIECTIVE: Colloid cy sts o f t h e third a n d lateral v e n t r i c u l a r e n d o - r ^ l S i t T a l f b l r u ^ e T ^ e a , S, h « e lesions. O u r study was u n d e r ta k e n to e x a m i n e t h e e f f . c a c y o , rigid endoscopy in t h e r e s e c t i o n o f c o ll o i d cysts. w e r e given t he o p tio n o f u n d er g o in g e ith e r IETHODS: Fifteen p a tien ts w ith a rad io lo g ica l . wag 1 4 3 c m f o u r t e e n patients u n d e r w e n t planned endoscopic surgery o r c r a n i o t o m y . T e a v e r a g e initially in o n e patient. . endoscopic r e s e c ti o n s , and a c r a n i o t o m y w as p . e in 1 2 p atients ( 8 6 % ) . A c r a n i o t o m y was req u ired ESULTS: Entire tum or r e s e c t i o n w as a c h i e v e d wi ln t o t a |, c o m p l e t e ra d io g r a p h ic r e s e c t i o n s w e r e for two colloid cysts t h a t c o u l d n o t b e reseC^ed entPc o m p |iCations, although p o s t o p e r a t iv e deficits included achieved in 14 p atien ts ( 9 3 % ) . T h e r e w e r e p natient. short-term memory loss a n d h e m ip a r e s is , e a c i j t jon f,jph m a g n i fic a t io n , and e x c e l l e n t illumination. .ONCLUSION: Rigid e n d o s c o p y affords good op ' patients and c a n b e a c h i e v e d using the rigid Total or near to ta l r e s e c t i o n o f c o l l o i d c y s t s s h o u l d e t h ^ g " ^ - ^ P o ( ^ ^ r e s o , ut|on fflf s y m p t o m s endoscope, with little m o r b i d i t...
Loading next page...
 
/lp/ou_press/endoscopic-resection-of-colloid-cysts-surgical-considerations-using-GShrxxhVeV
Publisher
Congress of Neurological Surgeons
Copyright
© Published by Oxford University Press.
ISSN
0148-396X
eISSN
1524-4040
D.O.I.
10.1097/00006123-199905000-00090
Publisher site
See Article on Publisher Site

Abstract

AbstractOBJECTIVEColloid cysts of the third and lateral ventricles have traditionally been treated by transfrontal and transcallosal microsurgical resection or by stereotactic aspiration. Recently rigid and flexible ventricular endoscopic techniques have been used to treat these lesions. Our study was undertaken to examine the efficacy of rigid endoscopy in the resection of colloid cysts.METHODSFifteen patients with a radiological diagnosis of colloid cysts were given the option of Diagnosis of collid cysts were given the option of undergoing either endoscopiv surgery or car niotomy. the average tumor size was 1.43 cm. Fourteen patients underwent planned endoscopic resections, and a carniotomy was performed intially in one patient.RESULTSEntire tumor resection was achieved with the endoscope in 12 patients (86%). craniotomy was required for two colloid cysts that could not be resected endoscopically. In total, complete radiographic resections were achieved in 14 patients (93%). There were no permanent complications, although postoperactive deficts included short-term memory loss and hemiparesis, each one in patient.CONCLUSIONRigid endoscopy affords good optical resolution, high magnification, and excellent illumination. Total or near total resection of colloid cysts should be the goal for all patients and can be achieved using the rigid endoscope, with little morbidity, shortened operative time, reduced length of stay, and resolution of symptoms. Although long-term follow-up is needed, we think that endoscopy should be considered as a primary treatment for most patients.

Journal

NeurosurgeryOxford University Press

Published: May 1, 1999

There are no references for this article.

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve Freelancer

DeepDyve Pro

Price
FREE
$49/month

$360/year
Save searches from
Google Scholar,
PubMed
Create lists to
organize your research
Export lists, citations
Read DeepDyve articles
Abstract access only
Unlimited access to over
18 million full-text articles
Print
20 pages/month
PDF Discount
20% off