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Neuronavigation-guided endoscopy for intraventricular tumors in adult patients without hydrocephalus
INTRODUCTION: Intraventricular endoscopic operations are usually undertaken in patients with an enlarged ventricular system that provides good access to the ventricles, proper anatomic orientation and safety of maneuvers within the ventricles. AIM: The preliminary assessment of the feasibility of en...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Termedia Publishing House
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5095270/ https://www.ncbi.nlm.nih.gov/pubmed/27829944 http://dx.doi.org/10.5114/wiitm.2016.61430 |
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author | Stachura, Krzysztof Grzywna, Ewelina |
author_facet | Stachura, Krzysztof Grzywna, Ewelina |
author_sort | Stachura, Krzysztof |
collection | PubMed |
description | INTRODUCTION: Intraventricular endoscopic operations are usually undertaken in patients with an enlarged ventricular system that provides good access to the ventricles, proper anatomic orientation and safety of maneuvers within the ventricles. AIM: The preliminary assessment of the feasibility of endoscopic procedures in cases occurring without hydrocephalus. MATERIAL AND METHODS: Eleven patients with intraventricular tumor diagnosed in neuroimaging studies were included in the study. None of these cases was accompanied by hydrocephalus. Surgery was performed with a rigid neuroendoscope using a neuronavigation system. The purpose of the operation was tumor removal or histological verification. RESULTS: The colloid cyst of the third ventricle was removed in 5 patients. In 1 patient a glial-derived tumor adjacent to the interventricular foramen was partially resected. In 1 case a tumor of the lateral ventricle was totally removed, and in another case the resection of such a tumor was partial. In 2 cases, a biopsy of the tumor of the posterior portion of the third ventricle was undertaken, while in 1 case the biopsy was abandoned due to the risk of injury of structures surrounding interventricular foramen. There were no intraoperative or postoperative complications. None of the patients developed hydrocephalus in the long-term follow-up. The results of treatment in the study group did not differ from those obtained in patients operated on with hydrocephalus. CONCLUSIONS: The presence of hydrocephalus is not necessary to perform endoscopic surgery. However, in each case it should be preceded by a thorough analysis of the feasibility of the endoscopic procedure and should be supported by a neuronavigation system. |
format | Online Article Text |
id | pubmed-5095270 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Termedia Publishing House |
record_format | MEDLINE/PubMed |
spelling | pubmed-50952702016-11-09 Neuronavigation-guided endoscopy for intraventricular tumors in adult patients without hydrocephalus Stachura, Krzysztof Grzywna, Ewelina Wideochir Inne Tech Maloinwazyjne Original Paper INTRODUCTION: Intraventricular endoscopic operations are usually undertaken in patients with an enlarged ventricular system that provides good access to the ventricles, proper anatomic orientation and safety of maneuvers within the ventricles. AIM: The preliminary assessment of the feasibility of endoscopic procedures in cases occurring without hydrocephalus. MATERIAL AND METHODS: Eleven patients with intraventricular tumor diagnosed in neuroimaging studies were included in the study. None of these cases was accompanied by hydrocephalus. Surgery was performed with a rigid neuroendoscope using a neuronavigation system. The purpose of the operation was tumor removal or histological verification. RESULTS: The colloid cyst of the third ventricle was removed in 5 patients. In 1 patient a glial-derived tumor adjacent to the interventricular foramen was partially resected. In 1 case a tumor of the lateral ventricle was totally removed, and in another case the resection of such a tumor was partial. In 2 cases, a biopsy of the tumor of the posterior portion of the third ventricle was undertaken, while in 1 case the biopsy was abandoned due to the risk of injury of structures surrounding interventricular foramen. There were no intraoperative or postoperative complications. None of the patients developed hydrocephalus in the long-term follow-up. The results of treatment in the study group did not differ from those obtained in patients operated on with hydrocephalus. CONCLUSIONS: The presence of hydrocephalus is not necessary to perform endoscopic surgery. However, in each case it should be preceded by a thorough analysis of the feasibility of the endoscopic procedure and should be supported by a neuronavigation system. Termedia Publishing House 2016-07-22 2016-09 /pmc/articles/PMC5095270/ /pubmed/27829944 http://dx.doi.org/10.5114/wiitm.2016.61430 Text en Copyright: © 2016 Fundacja Videochirurgii http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license. |
spellingShingle | Original Paper Stachura, Krzysztof Grzywna, Ewelina Neuronavigation-guided endoscopy for intraventricular tumors in adult patients without hydrocephalus |
title | Neuronavigation-guided endoscopy for intraventricular tumors in adult patients without hydrocephalus |
title_full | Neuronavigation-guided endoscopy for intraventricular tumors in adult patients without hydrocephalus |
title_fullStr | Neuronavigation-guided endoscopy for intraventricular tumors in adult patients without hydrocephalus |
title_full_unstemmed | Neuronavigation-guided endoscopy for intraventricular tumors in adult patients without hydrocephalus |
title_short | Neuronavigation-guided endoscopy for intraventricular tumors in adult patients without hydrocephalus |
title_sort | neuronavigation-guided endoscopy for intraventricular tumors in adult patients without hydrocephalus |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5095270/ https://www.ncbi.nlm.nih.gov/pubmed/27829944 http://dx.doi.org/10.5114/wiitm.2016.61430 |
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