Neuroendoscopy in the Surgical Management of Lateral and Third Ventricular Tumors

Deopujari, C.E.; Karmarkar, VikramS; Shaikh, SalmanT; Mohanty, ChandanB; Sharma, Vikas; Tadghare, Jitendra; Thareja, Varun

doi:10.4103/0028-3886.333458

Cited by 8 publications

(4 citation statements)

References 27 publications

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“…Of the 17 full texts reviewed, we excluded a total of eight studies due to various reasons (Fig. 2) [6][7][8][9][10][11][12][13]. This finally resulted in nine studies, which we included in the analysis (Fig.…”

Section: Resultsmentioning

confidence: 99%

Resection of brain lesions with a neuroendoscopic ultrasonic aspirator — a systematic literature review

et al. 2022

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The development of minimally invasive neuroendoscopy has advanced in recent years. The introduction of the neuroendoscopic ultrasonic aspirator (NUA) increased the treatment spectrum of neuroendoscopy. This review aimed to present a systematic overview of the extent of resection, lesion characteristics, technical aspects, complications, and clinical outcomes related to using the NUA. Articles were identified by searching the PubMed/Medline, Embase, and Web of Science database through June 2022 with restriction to the last 20 years. We included case series, case reports, clinical trials, controlled clinical trials, meta-analyses, randomized controlled trials, reviews, and systematic reviews written in English. Studies reporting on endonasal approach or hematoma evacuation using the NUA were excluded. The references of the identified studies were reviewed as well. Nine full-text articles were included in the analysis, with a total of 40 patients who underwent surgery for a brain tumor using NUA. The most common underlying pathology treated by NUA was colloid cyst (17.5%), pilocytic astrocytoma (12.5%), subependymal giant cell astrocytoma (7.5%), subependymoma (7.5%), and craniopharyngioma (7.5%). Complete or near-total resection was achieved in 62.5%. The most frequently reported postoperative complication was secondary hydrocephalus (10%), meningitis/-encephalitis (7.5%), cognitive impairment (7.5%), and subdural hygroma (7.5%). In one case (2.5%), surgery-related death occurred due to a severe course of meningoencephalitis. According to the preliminary data, NUA seems to be a safe and efficient minimally invasive alternative to conventional microscopic resection of brain tumors. Further studies to investigate advantages and disadvantages of using the NUA are needed.

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Section: Resultsmentioning

confidence: 99%

Resection of brain lesions with a neuroendoscopic ultrasonic aspirator — a systematic literature review

et al. 2022

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“…Interhemispheric transcallosal and transcortical approaches were the best surgical access routes ( 20 ). However, whether microsurgery or endoscopic surgery, the surgical approach should be determined depending on a variety of other factors, including tumor location, cerebral ventricle and tumor size, location of arterial blood supply, pathological characteristics of the tumor, preoperative neurological deficit and experience of surgeon ( 19 , 23 ).…”

Section: Discussionmentioning

confidence: 99%

Effect comparison of neuroendoscopy versus microsurgery in the treatment of lateral ventricular tumors

Li,

Liang,

Niu

et al. 2023

Front. Oncol.

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PurposeWe sought to reveal the clinical characteristics of lateral ventricle tumors and to evaluate the superior surgical procedure available.MethodsThere involved a total of of 49 adult patients harboring lateral ventricle tumors in neurosurgery department of our hospital from January 2016 to March 2022. The patients enrolled were retrospectively analyzed, so are their clinical manifestations, pathological characteristics and surgical strategies. The patients were allocated into neuroendoscope group (11 cases) and microsurgery group (38 cases) according to the operation method. The two groups underwent a detailed evaluation of operation effectiveness and safety profile (operation time, intraoperative bleeding, surgical resection rate, postoperative complications) and economic indicators (postoperative hospital stay, hospital costs).ResultsThe neuroendoscope group demonstrated a markedly shorter operation time than the microsurgery group (p<0.05), with the amount of bleeding significantly less than the microsurgery group (p<0.01). However, there was no significant difference in the resection rate and postoperative complications between the two groups (p>0.05). Significant difference was found in the economic indicators (postoperative hospital stay and hospital costs) of the patients in the neuroendoscope group (p<0.05).ConclusionSurgery intervention is regarded as the core treatment option for lateral ventricle tumors. Both microsurgery and neuroendoscopy are effective with safety profile. In the selected lateral ventricle tumor surgery, the application of neuroendoscopic surgery showed promising results, in terms of less intraoperative bleeding, and shorter operation time, postoperative hospital stays, and hospital costs. The selection of surgical approach and methods for lateral ventricle tumors is principally depended on the experience of neurosurgeon concerning the surgical approach and related neuroanatomy.

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“…Reported complication rates for resection of intraventricular tumors are between 0% and 30%, including hemorrhage, hydrocephalus, subdural hygroma, deep venous thrombosis, hemiparesis and neurological deficit (Table 2) (11)(12)(13)(14)(15)(16)(29)(30)(31)(32). In our study, 1 case experienced acute epidural hematoma, which was considered due to the following reasons (1): young patient, no adhesion between the pia mater and the dura mater (2), rapid collapse of brain tissue resulting from excessive release of cerebrospinal fluid.…”

Section: Postoperative Complications and Comprehensive Treatmentmentioning

confidence: 99%

Application of endoport-assisted neuroendoscopic techniques in lateral ventricular tumor surgery

Yan,

Mao,

Yao

et al. 2023

Front. Oncol.

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ObjectiveThe objective of this study was to investigate the clinical experience and therapeutic efficiency of Endoport-assisted neuroendoscopic surgery for resection of lateral ventricular tumors. The key points and application value of this surgical technique were additionally discussed.MethodsA retrospective analysis was conducted on the clinical and follow-up data of 16 patients who underwent endoport-assisted neuroendoscopic surgery for lateral ventricular tumors at the Department of Neurosurgery, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, between January 2018 and September 2020. The surgical procedures, complications and outcomes were analyzed.ResultsThe study included a total of 16 patients (5 males and 11 females) with lateral ventricular tumors, with a mean age of 43.2 years (18-70 years old). The tumors were distributed as follows: 5 cases involved the body of the lateral ventricle, 3 involved the frontal horn and body, 3 involved the occipital horn, 2 involved the trigone, 2 involved the frontal horn, and 1 case involved the occipital horn and body. Perioperative complications were analyzed, revealing 1 case of intraoperative acute epidural hematoma intraoperative and 2 cases of postoperative obstructive hydrocephalus. All complications were promptly managed. Postoperative MRI revealed that 14 cases (88%) achieved total resection, while 2 cases (12%) achieved subtotal resection. During the follow-up of 6-38 months, no recurrence was observed. The patient diagnosed with glioblastoma died 16 months after surgery (GOS=1), while the remaining patients have successfully resumed to normal daily life with a GOS score of 5.ConclusionIn conclusion, endoport-assisted neuroendoscopic surgery proved to be a minimally invasive and effective technique for resecting lateral ventricular tumors, with acceptable complications. It effectively utilizes the benefits of close observation, comprehensive exposure, and reduced tissue damage. Therefore, endoport-assisted neuroendoscopic surgery is suitable for the resection of lateral ventricular tumors.

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Neuroendoscopy in the Surgical Management of Lateral and Third Ventricular Tumors

Cited by 8 publications

References 27 publications

Resection of brain lesions with a neuroendoscopic ultrasonic aspirator — a systematic literature review

Resection of brain lesions with a neuroendoscopic ultrasonic aspirator — a systematic literature review

Effect comparison of neuroendoscopy versus microsurgery in the treatment of lateral ventricular tumors

Application of endoport-assisted neuroendoscopic techniques in lateral ventricular tumor surgery

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