The goal of surgery is complete tumor removal without morbidity. An exact analysis of tumor growth and its involvement of different structures is mandatory before performing surgery.
Multidetector CT angiography offers high diagnostic accuracy-equivalent to that of DSA-in the detection of intracranial aneurysms. Also, the possibility of coil embolization can be reliably determined with multidetector CT angiography.
Laparoscopic implantation of a distal catheter is a simple, minimally invasive, and easy procedure to perform and allows exact localization of the peritoneal catheter and confirmation of its patency.
Although CSF leak is a common complication (6%) after vestibular schwannoma removal, aggressive treatment is required only in a few cases (1%). Most of the cases are successfully treated by (CELCFD). The suboccipital approach offers an advantage of opening only a part of mastoid air cells, which are in our opinion the second most common site of CSF leakage.
Ventriculoperitoneal shunting is the mainstay in the treatment of hydrocephalus in childhood. Repeated shunt revision and previous laparotomy may complicate the implantation of the distal catheter. We describe our experience with laparoscopic insertion of peritoneal catheters in 21 male and 18 female children with an age range from 3 months to 18 years, operated between 2002 and 2004. Fourteen patients (36%) had laparotomy due to previous shunt operations and 5 patients (13%) due to other reasons. Laparoscopy was carried out concurrently with the cranial part of the procedure. In all cases, successful insertion of the peritoneal catheter was carried out with visual documentation of the patency of the distal catheter. There were no procedure-related complications. We recommend this minimally invasive procedure for all children with a body weight >5 kg, especially in cases of repeated shunt operations with intraperitoneal adhesions.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.