Endoscopic and Minimally Invasive Microsurgical Approaches for Treating Brain Tumor Patients

Badie, Behnam; Brooks, Nathaniel P.; Souweidane, Mark M.

doi:10.1023/b:neon.0000041884.93566.fb

Cited by 59 publications

(49 citation statements)

References 48 publications

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“…[111][112][113][114][115] Expectedly, the success of endoscopic colloid cyst removal is heavily dependent upon the surgeon's experience. 77 In our series, 32 colloid cysts were endoscopically resected, 31 of which were in adult patients. The overall major complication rate was 3.1%, and the cyst recurred in one case.…”

Section: Colloid Cystsmentioning

confidence: 90%

“…76,92 In addition, tumors that will be treated primarily nonsurgically, such as gliomas of the tectal region, are ideally suited for primary treatment of obstructive hydrocephalus and, if appropriate, neuroendoscopic biopsy. 77 In our series, 27 intraventricular tumors were biopsied, four of which were also resected. Of the 27 patients, there were 20 adults and seven pediatric patients.…”

Section: Hydrocephalusmentioning

confidence: 97%

“…70,73 Tumors Endoscopic tumor management is a safe and effective alternative to conventional means and allows the option of ETV or septostomy for treatment of associated hydrocephalus. [74][75][76][77][78][79][80][81][82][83][84][85][86][87][88][89][90] The results in most series are based on data from both adult and pediatric populations. Neuroendoscopy in the field of neurooncology offers the advantages of improved visualization of intraventricular pathology, better management of tumor-related hydrocephalus, less morbid biopsies, and the allowance of minimally invasive removal of intraventricular tumors.…”

Section: Hydrocephalusmentioning

confidence: 99%

“…Neuroendoscopy in the field of neurooncology offers the advantages of improved visualization of intraventricular pathology, better management of tumor-related hydrocephalus, less morbid biopsies, and the allowance of minimally invasive removal of intraventricular tumors. 77,91 Certain characteristics make a tumor ideally suited for endoscopic biopsy or resection. 78 These include moderate to low vascularity, soft-consistency, tumors smaller than 2 cm in diameter, those associated with secondary hydrocephalus, those that are histologically low grade, and lesions situated in the lateral ventricle and pineal region.…”

Section: Hydrocephalusmentioning

confidence: 99%

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Comparison of Intracranial Neuroendoscopic Procedures in Children versus Adults

Girgis

Diaz

Hader

et al. 2015

Can. J. Neurol. Sci.

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Background: The emphasis regarding intracranial neuroendoscopy has been traditionally advocated and focused on the role in pediatric patients, although a significant usage has developed in adult patients. In this study, we examine and contrast the role of predominantly intracranial neuroendoscopy in both a pediatric and adult population with a minimum postprocedure follow-up of 5 years. Methods: A retrospective review was conducted for patients in the two hospitals that manage neurosurgical care for Southern Alberta, Canada, undergoing neuroendoscopic surgery between 1994 and 2008. The pediatric group was defined as age ≤17 years and the adult group as age ≥18 years. Results: A total of 273 patients who underwent a total of 330 procedures with a mean postprocedure follow-up of 12.9 years were identified. There were 161 adult and 112 pediatric patients, and both groups underwent surgery by the same surgeons. The most common procedure was endoscopic third ventriculostomy, accounting for 55% of procedures. One postoperative death occurred in an adult patient. Endoscopic third ventriculostomy success 1-year postprocedure was 81%, with only three late-term failures. Postoperative infection was the most common serious complication (two pediatric/four adult patients). Adult and pediatric patients had similar major complication rates (4.2% vs 5.7%, p = 0.547). Conclusions: Neuroendoscopy overall had a similar role in both pediatric and adult neurosurgical populations, with the most commonly associated complication being infection. Neuroendoscopy is an important therapeutic modality in the management of appropriate adult patients.RÉSUMÉ: Comparaison des interventions neuroendoscopiques intracrâniennes chez les enfants et chez les adultes. Contexte: Traditionnellement, l'emphase a été mise sur la neuroendoscopie intracrânienne chez les enfants et sur son rôle dans cette population de patients. Cependant, de telles interventions sont de plus en plus pratiquées chez des adultes. Nous examinons le rôle de la neuroendoscopie tant chez les enfants que chez les adultes et nous comparons son rôle dans ces deux populations de patients. Méthode: Nous avons procédé à une revue rétrospective des dossiers de patients ayant subi une chirurgie par neuroendoscopie entre 1994 et 2008 dans deux hôpitaux qui offrent des soins neurochirurgicaux dans la partie sud de l'Alberta, au Canada. Les patients du groupe pédiatrique étaient âgés de 17 ans ou moins et ceux du groupe adulte de 18 ans ou plus. Le suivi le plus court après l'intervention était de 5 ans. Résultats: Nous avons identifié 273 patients, dont 161 adultes et 112 enfants, qui ont subi au total 330 interventions, et chez qui un suivi moyen de 12,9 ans était disponible. Les deux groupes de patients ont été opérés par les mêmes chirurgiens. L'intervention la plus fréquemment effectuée était la ventriculostomie au niveau du 3e ventricule, ce qui représentait 5% des interventions. Un patient adulte est décédé en période post-opératoire. La ventriculostomie du 3e ventricule p...

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Section: Colloid Cystsmentioning

confidence: 90%

Section: Hydrocephalusmentioning

confidence: 97%

Section: Hydrocephalusmentioning

confidence: 99%

Section: Hydrocephalusmentioning

confidence: 99%

See 2 more Smart Citations

Comparison of Intracranial Neuroendoscopic Procedures in Children versus Adults

Girgis

Diaz

Hader

et al. 2015

Can. J. Neurol. Sci.

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“…In these cases, endoscopic septostomies may be performed to form a communication between the lateral ventricles, which have been demonstrated to eliminate the need for CSF shunting or ventricular catheters altogether [68][69][70]. However, results for such procedures have been mixed.…”

Section: Septostomy For Trapped Lateral Ventriclementioning

confidence: 99%

Ventricular endoscopy in the pediatric population: review of indications

et al. 2014

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Introduction Neuroendoscopy has greatly impacted pediatric neurosurgery over the past few decades. Improved optics and microsurgical tools have allowed neuroendoscopes to be used for a multitude of neurosurgical procedures. Discussion In this review article, we present the breadth of intraventricular neuroendoscopic procedures for the treatment of conditions ranging from hydrocephalus and brain tumors to congenital cysts and other pathologies. We critically discuss treatment indications and reported success rates for neuroendoscopic procedures. We also present novel approaches, technical nuances, and variations from recently published literature and as practiced in the authors' institution.

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