Endoscopic approach for the treatment of relapses in cystic craniopharyngiomas

Locatelli, Davide; Levi, David; Rampa, F.; Pezzotta, S.; Castelnuovo, Paolo

doi:10.1007/s00381-004-0944-0

Cited by 44 publications

(30 citation statements)

References 10 publications

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“…Both the extent of the surgical resection, the rate of postoperative complications and the long-term endocrinological sequelae seem to be improved by ETS if compared with CTS [20][21][22], and our results overlap those reported in the literature.…”

Section: Discussionsupporting

confidence: 66%

Endoscopic transsphenoidal approach versus microscopic approach in children

Rigante

Massimi

Parrilla

et al. 2011

International Journal of Pediatric Otorhinolaryngology

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Section: Discussionsupporting

confidence: 66%

Endoscopic transsphenoidal approach versus microscopic approach in children

Rigante

Massimi

Parrilla

et al. 2011

International Journal of Pediatric Otorhinolaryngology

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“…Although the postoperative time to recurrence was different in our series, the duration of the recurrence-free interval increased with the number of preceding procedures. Locatelli et al documented the efficacy of stents endoscopically implanted in the cystic cavity of craniopharyngiomas [ 18 ]. In Case 2, we performed only one fenestration with forceps at the first operation to avoid bleeding.…”

Section: Discussionmentioning

confidence: 99%

Repeated neuroendoscopic palliative surgery in elderly patients with predominantly cystic craniopharyngioma in the third ventricle: three case reports

Sato

Oka

Utsuki

et al. 2012

Innovative Neurosurgery

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Objective: The management of craniopharyngioma in the elderly remains controversial. We sought to better characterize the outcomes of elderly patients treated with neuroendoscopic palliative surgery (NPS). Methods:We report the cases of three patients older than 80 years, whose cystic craniopharyngioma was treated by repeated NPS. Results: One male and two female patients, ranging in age from 80 to 83 years (mean = 81.3 years) had predominantly cystic lesions in the third ventricle and a suprasellar enhanced mass. Two patients underwent two NPS procedures and the other received three. The operating time ranged from 40 to 140 min (mean = 93.4 min), and the interval between operations ranged from 2 to 24 months (mean = 11.3 months). The length of postoperative hospitalization ranged from 4 to 28 days (mean = 11.1 days). There were no perioperative complications, and all patients experienced symptom improvement immediately after the operation. Conclusion: Repeated NPS can be an effective alternative treatment for cystic craniopharyngioma in the third ventricle, especially in elderly patients.

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“…The best surgical route to approach the sphenoid sinus (direct paraseptal, transethmoid-sphenoidal, or transethmoid-transpterygoid-sphenoidal) was chosen according to the tumor extension and the surgical anatomy, as described elsewhere [6,7]. The unilateral removal of the middle turbinate was rarely required.…”

Section: Surgical Detailsmentioning

confidence: 99%