Neuroendoscopic treatment of giant cystic craniopharyngioma in the foramen magnum: report of two cases

Chen, Ao; Zhou, RenHui; Yao, Xiao-yan; Ai, Mingda; Sun, Tao

doi:10.1007/s00381-020-04965-0

Cited by 4 publications

(1 citation statement)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The surgical approaches for craniopharyngioma are the endoscopic transorbital eyelid approach (ETEA), endoscopic transcortical transventricular approach (ETTA), endoscopic endonasal transsphenoidal approach (EETA), fronto-basal interhemispheric approach (FBIA), sublabial-transseptal approach (STA), microsurgery pterional approach (MPA), microsurgery transsphenoidal approach (MTA) and subfrontal approach (SA), etc. The GTR rate ranged from 35.2-100%, and the recurrence rate ranged from 0 to 82.0% [11,21]. Im et al reported that GTR was achieved in all 6 patients, but one patient relapsed, which may be due to a small amount of residual cyst wall of the tumor not found by intraoperative endoscopic images and postoperative cranial MRI [29].…”

Section: Discussionmentioning

confidence: 99%

Extended endoscopic transsphenoidal surgery with total cyst wall decollement for suprasellar cystic craniopharyngioma

Liu

Wang

et al. 2022

Preprint

View full text Add to dashboard Cite

Background: For most cystic craniopharyngiomas, intracapsular debulking is a good strategy to get a large operation space and protect vital structures. However, this surgical strategy may lead to the residual and recurrence of the tumor capsule wall. Therefore, there is an urgent need for a new surgical strategy without residual capsule walls for the removal of cystic craniopharyngiomas.Case Report: We reviewed a 45-year-old male with vision loss and visual field defects, whose head MRI revealed a suprasellar cystic lesion. The patient underwent extended endoscopic transsphenoidal surgery. The surgical strategy of total cystic wall decollement was adopted, which was that the lesion surrounded by the capsule was completely separated from the surrounding tissue without destroying the capsule and maintaining the tension of the capsule. The lesion was totally resected and pathological findings confirmed the diagnosis of craniopharyngioma. After the operation, both the visual acuity and pituitary function were significantly improved. In addition, he suffered from transient diabetes insipidus, which was subsequently relieved. During the 33-month follow-up, there was no tumor recurrence. Conclusion: Compared with the traditional surgical strategy of intracapsular debulking, the surgical strategy of total cystic wall decollement has the advantages of less residual tumor capsule, low tumor recurrence rate, etc. Therefore, for cystic craniopharyngiomas with an intact capsule or even other cystic tumors with an intact capsule, the surgical strategy of total cystic wall decollement may be an effective surgical strategy to reduce tumor recurrence.

show abstract

Section: Discussionmentioning

confidence: 99%

Extended endoscopic transsphenoidal surgery with total cyst wall decollement for suprasellar cystic craniopharyngioma

Liu

Wang

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

Treatment of Cystic Craniopharyngiomas: An Update

Bianchi

Benato

Massimi

2022

Advances and Technical Standards in Neurosurgery

View full text Add to dashboard Cite

Extended Endoscopic Transsphenoidal Surgery with Total Cyst Wall Decollement for Suprasellar Cystic Craniopharyngioma: Case Report and Literature Review

Liu,

Wang,

Wang

et al. 2024

Ear Nose Throat J

View full text Add to dashboard Cite

For most cystic craniopharyngiomas, intracapsular debulking is a good strategy to get a large operation space and protect vital structures. However, this surgical strategy may lead to the residual and recurrence of the tumor capsule wall. Therefore, there is an urgent need for a new surgical strategy without residual capsule walls for the removal of cystic craniopharyngiomas. We reviewed a 45-year-old male with vision loss and visual field defects, whose head MRI revealed a suprasellar cystic lesion. The patient underwent extended endoscopic transsphenoidal surgery. The surgical strategy of total cystic wall decollement was adopted, which was that the lesion surrounded by the capsule was completely separated from the surrounding tissue without destroying the capsule and maintaining the tension of the capsule. The lesion was totally resected and pathological findings confirmed the diagnosis of craniopharyngioma. After the operation, both the visual acuity and pituitary function were significantly improved. In addition, he suffered from transient diabetes insipidus, which was subsequently relieved. During the 33-month follow-up, there was no tumor recurrence. Compared with the traditional surgical strategy of intracapsular debulking, the surgical strategy of total cystic wall decollement has the advantages of less residual tumor capsules, low tumor recurrence rates, etc. Therefore, for specific cystic craniopharyngiomas, the surgical strategy of total cystic wall decollement may be an effective surgical strategy to reduce tumor recurrence.

show abstract

Neuroendoscopic treatment of giant cystic craniopharyngioma in the foramen magnum: report of two cases

Cited by 4 publications

References 16 publications

Extended endoscopic transsphenoidal surgery with total cyst wall decollement for suprasellar cystic craniopharyngioma

Extended endoscopic transsphenoidal surgery with total cyst wall decollement for suprasellar cystic craniopharyngioma

Treatment of Cystic Craniopharyngiomas: An Update

Extended Endoscopic Transsphenoidal Surgery with Total Cyst Wall Decollement for Suprasellar Cystic Craniopharyngioma: Case Report and Literature Review

Contact Info

Product

Resources

About