Endoport-Assisted Endoscopic Surgery for Removal of Lateral Ventricular Tumors: Our Experience and Review of the Literature

Sankhla, Suresh; Warade, Anshu; Khan, Ghulam M

doi:10.4103/0028-3886.370438

Cited by 6 publications

(7 citation statements)

References 30 publications

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“…In our study, we performed 16 cases of lateral ventricular tumor resection using endoport-assisted neuroendoscopic surgery. The total resection rate was 88%, which was similar to previous literature reports ( Table 2 ) ( 11 – 16 ). There has been no case of recurrence in the follow-up period.…”

Section: Discussionsupporting

confidence: 90%

“…Moreover, due to the limited field of view provided by the tubular vision of the microscope and the deep location of the tumor, larger incisions are often required to achieve better tumor visualization. In recent years, with advancements in surgical techniques and the evolving concept of minimally invasive surgery, the use of endoscopes in brain surgery increased greatly, from simple fenestrations for obstructive hydrocephalus and arachnoid cysts initially, to biopsy even removing complex tumors from the deeper areas of the brain gradually ( 5 , 16 – 20 ). Compared to traditional microscopic surgery, a rigid endoscope allows for access into ventricles, providing superior magnification and illumination for enhanced inspection of regional anatomy and precise lesion dissection ( 12 ).…”

Section: Discussionmentioning

confidence: 99%

“…The extensive observation range of neuroendoscopy significantly reduces the need for brain tissue traction compared to operating under a microscope, thus better protecting surrounding normal tissue. However, the endoscopic surgery also meets significant limitations, such as the thermal damage of endoscope itself, the operational damage to the blind areas behind the endoscope’s field of view and the limitations of bimanual microsurgical techniques for tumor resection or hemostasis ( 16 ).…”

Section: Discussionmentioning

confidence: 99%

“…The key to the successful endoscopic tumor surgery lies in the precise localization of the tumor and the selection of the puncture point and direction ( 16 ). Thus, the precise location of the tumors on MRI preoperative and intraoperative neuro-navigation are of great importance for brain-deep tumors localization.…”

Section: Discussionmentioning

confidence: 99%

“…Before completing the procedure, warm saline was perfused to inflate the collapsed brain tissue and reduce intracranial air accumulation. Otherwise, if postoperative external ventricular drainage necessary, the flow velocity and volume needed to be close controlled to prevent the occurrence of ventricular walls adhesion or isolated ventricle ( 16 ).…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionsupporting

confidence: 90%