Endoscopic Surgery of Third Ventricular Lesions | ||
| The Medical Journal of Cairo University | ||
| Article 56, Volume 87, September, September 2019, Pages 3189-3196 PDF (873.44 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjcu.2019.64905 | ||
| Author | ||
| AHMED A. ABDELKHALEK, M.D.; MOHAMED A. THABIT, M.D. | ||
| The Department of Neurosurgery, Faculty of Medicine, Cairo University | ||
| Abstract | ||
| Abstract Background: The endoscopic surgery to third ventricular lesions are now widely used as it is less invasive than the traditional microsurgical procedures. Aim of Study: To evaluate endoscopic surgery of third ventricular lesions as regards clinical improvement, compli-cation rate and extent of lesion resection. Patients and Methods: Retrospectively eleven cases of third ventricular lesions (seven cases of colloid cyst, two cases of astrocytoma, one case epidermoid cyst and 1 case of arachnoid cyst) were operated upon through endoscopic route for total excision if feasible, pre-operative assessment in the form of full neurological examination and imaging (CT and MRI) were done for all patients. Incompletely removed lesions were managed by a septostomy and VP shunt, post-operatively CT was performed in the first 24 hours after surgery and another after 48 hours, MRI with contrast was done 6 months post-operatively to detect recurrence, patients with persistent post-operative hydrocephalus had VP shunt insertion. Results: Complete resection was achieved in nine patients (82%), while resection was incomplete in two cases (18%). complications were in one case (9%) in the form of short memory affection improved after one month, post-operative hydrocephalus was in one patient (9%), mean length of hospital stay was three and half days, no recurrence was reported in all patients with complete resection for a follow-up period of 12 months. Conclusion: Endoscopic resection of third ventricular lesions is safe, minimally invasive, technically feasible and with good outcome especially in completely removed lesions. | ||
| Keywords | ||
| Endoscopic surgery; Third ventricular tumors; Hydrocephalus; ETV | ||
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