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
Oxford University Press
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 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

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