Endoscopic Supracerebellar Infratentorial Retropineal Approach for Tumor Resection

Tseng, Kuan-Yin; Ma, Hsin‐I; Liu, Wei-Hsiu; Tang, Chi‐Tun

doi:10.1016/j.wneu.2011.05.035

Cited by 14 publications

(10 citation statements)

References 17 publications

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“…The frequency in Japan is 5 times higher than in the Western countries [26] (CBTRJ, 2008). For Tseng pineal tumours represented 0.4-0.5 of intracranial lesions [27]. Shin reported a frequency of less than 1% for adults and between 3 and 8% in children [28].…”

Section: Data From the Literature Regarding The Incidence Of Pineal Rmentioning

confidence: 98%

Incidence of pineal tumours. A review of the literature

2015

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Section: Data From the Literature Regarding The Incidence Of Pineal Rmentioning

confidence: 98%

Incidence of pineal tumours. A review of the literature

2015

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“…Although the case illustrated by Tseng et al (9) seemed ideally suited to consideration of an endoscopic approach as a proof of feasibility, their observations regarding a relatively small, centrally located lesion cannot be generalized to the management of larger, more extensive, highly vascularized tumors, based on this report alone. However, it is likely that additional applications of this approach as an investigational strategy, potentially in a more minimally invasive context, will be reported in the coming years as endoscopic instrumentation continues to improve.…”

mentioning

confidence: 79%

“…Tseng et al (9) report their adaptation of endoscopy to the supracerebellar approach. Because their approach, as outlined, involved making a lengthy skin incision and two sizable cranial and dural openings, which in total, were comparable to those used in a standard posterior fossa craniotomy and supracerebellar exposure, the principal contribution of the report is to highlight the feasibility of using an endoscope, rather than a microscope, to provide visualization of the pineal region needed to accomplish resection of a small tumor.…”

mentioning

confidence: 99%

Surgical Options for Pineal Region Tumors

Pollack

2012

World Neurosurgery

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“…32 Most studies of endoscopic surgeries for thalamic lesions are limited to the anterior part of the thalamus 36 or endoscopic biopsy, 1,33 but none have focused on the pulvinar. Tseng et al 41 performed an endoscopic supracerebellar infratentorial retropineal approach, and Thaher et al 40 performed a paramedian infratemporal supracerebellar key approach to pineal gland tumors close to the pulvinar. These approaches are likely suitable for lesions in the pulvinar as well.…”

Section: Discussionmentioning

confidence: 99%

Microsurgical and endoscopic approaches to the pulvinar

Akiyama

Matsushima

Güngör

et al. 2017

Journal of Neurosurgery

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OBJECTIVEApproaches to the pulvinar remain challenging because of the depth of the target, surrounding critical neural structures, and complicated arterial and venous relationships. The purpose of this study was to compare the surgical approaches to different parts of the pulvinar and to examine the efficacy of the endoscope as an adjunct to the operating microscope in this area.METHODSThe pulvinar was examined in 6 formalin-fixed human cadaveric heads through 5 approaches: 4 above and 1 below the tentorium. Each approach was performed using both the surgical microscope and 0° or 45° rigid endoscopes.RESULTSThe pulvinar has a lateral ventricular and a medial cisternal surface that are separated by the fornix and the choroidal fissure, which wrap around the posterior surface of the pulvinar. The medial cisternal part of the pulvinar can be further divided into upper and lower parts. The superior parietal lobule approach is suitable for lesions in the upper ventricular and cisternal parts. Interhemispheric precuneus and posterior transcallosal approaches are suitable for lesions in the part of the pulvinar forming the anterior wall of the atrium and adjacent cisternal part. The posterior interhemispheric transtentorial approach is suitable for lesions in the lower cisternal part and the supracerebellar infratentorial approach is suitable for lesions in the inferior and medial cisternal parts.The microscope provided satisfactory views of the ventricular and cisternal surfaces of the pulvinar and adjacent neural and vascular structures. The endoscope provided multi-angled and wider views of the pulvinar and adjacent structures.CONCLUSIONSA combination of endoscopic and microsurgical techniques allows optimal exposure of the pulvinar.

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Endoscopic Supracerebellar Infratentorial Retropineal Approach for Tumor Resection

Cited by 14 publications

References 17 publications

Incidence of pineal tumours. A review of the literature

Incidence of pineal tumours. A review of the literature

Surgical Options for Pineal Region Tumors

Microsurgical and endoscopic approaches to the pulvinar

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