Full-endoscopic removal of third ventricular colloid cysts: technique, results, and limitations
IntroductionColloid cysts (CCs) are rare benign lesions that usually arise from the roof of the third ventricle. They may present with obstructive hydrocephalus and cause sudden death. Treatment options include ventriculoperitoneal shunting, cyst aspiration, and cyst resection microscopically or end...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-06-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2023.1174144/full |
| _version_ | 1797796664857067520 |
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| author | Tugrul Cem Unal Altay Sencer Ilyas Dolas Cafer Ikbal Gulsever Duran Sahin Duygu Dolen Musa Samet Ozata Metehan Ozturk Yavuz Aras Aydin Aydoseli |
| author_facet | Tugrul Cem Unal Altay Sencer Ilyas Dolas Cafer Ikbal Gulsever Duran Sahin Duygu Dolen Musa Samet Ozata Metehan Ozturk Yavuz Aras Aydin Aydoseli |
| author_sort | Tugrul Cem Unal |
| collection | DOAJ |
| description | IntroductionColloid cysts (CCs) are rare benign lesions that usually arise from the roof of the third ventricle. They may present with obstructive hydrocephalus and cause sudden death. Treatment options include ventriculoperitoneal shunting, cyst aspiration, and cyst resection microscopically or endoscopically. This study aims to report and discuss the full-endoscopic technique for removing colloid cysts.Materials and methodsA 25°-angled neuroendoscope with an internal working channel diameter of 3.1 mm and a length of 122 mm is used. The authors described the technique of resecting a colloid cyst by a full-endoscopic procedure and evaluated the surgical, clinical, and radiological results.ResultsTwenty-one consecutive patients underwent an operation with a transfrontal full-endoscopic approach. The swiveling technique (grasping the cyst wall and rotational movements) was used for CC resection. Of these patients, 11 were female, and ten were male (mean age, 41 years). The most frequent initial symptom was a headache. The mean cyst diameter was 13.9 mm. Thirteen patients had hydrocephalus at admission, and one needed shunting after cyst resection. Seventeen patients (81%) underwent total resection; 3 (14%), subtotal resection; and 1 (5%), partial resection. There was no mortality; one patient had permanent hemiplegia, and one had meningitis. The mean follow-up period was 14 months.ConclusionEven though microscopic resection of cysts has been widely used as a gold standard, successful endoscopic removal has been described recently with lower complication rates. Applying angled endoscopy with different techniques is essential for total resection. Our study is the first case series to show the outcomes of the swiveling technique with low recurrence and complication rates. |
| first_indexed | 2024-03-13T03:36:29Z |
| format | Article |
| id | doaj.art-798141d95cdd4a1b8f24463b2d02efb9 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-03-13T03:36:29Z |
| publishDate | 2023-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-798141d95cdd4a1b8f24463b2d02efb92023-06-23T17:00:41ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-06-011010.3389/fsurg.2023.11741441174144Full-endoscopic removal of third ventricular colloid cysts: technique, results, and limitationsTugrul Cem UnalAltay SencerIlyas DolasCafer Ikbal GulseverDuran SahinDuygu DolenMusa Samet OzataMetehan OzturkYavuz ArasAydin AydoseliIntroductionColloid cysts (CCs) are rare benign lesions that usually arise from the roof of the third ventricle. They may present with obstructive hydrocephalus and cause sudden death. Treatment options include ventriculoperitoneal shunting, cyst aspiration, and cyst resection microscopically or endoscopically. This study aims to report and discuss the full-endoscopic technique for removing colloid cysts.Materials and methodsA 25°-angled neuroendoscope with an internal working channel diameter of 3.1 mm and a length of 122 mm is used. The authors described the technique of resecting a colloid cyst by a full-endoscopic procedure and evaluated the surgical, clinical, and radiological results.ResultsTwenty-one consecutive patients underwent an operation with a transfrontal full-endoscopic approach. The swiveling technique (grasping the cyst wall and rotational movements) was used for CC resection. Of these patients, 11 were female, and ten were male (mean age, 41 years). The most frequent initial symptom was a headache. The mean cyst diameter was 13.9 mm. Thirteen patients had hydrocephalus at admission, and one needed shunting after cyst resection. Seventeen patients (81%) underwent total resection; 3 (14%), subtotal resection; and 1 (5%), partial resection. There was no mortality; one patient had permanent hemiplegia, and one had meningitis. The mean follow-up period was 14 months.ConclusionEven though microscopic resection of cysts has been widely used as a gold standard, successful endoscopic removal has been described recently with lower complication rates. Applying angled endoscopy with different techniques is essential for total resection. Our study is the first case series to show the outcomes of the swiveling technique with low recurrence and complication rates.https://www.frontiersin.org/articles/10.3389/fsurg.2023.1174144/fullcolloid cystfull-endoscopic surgeryhydrocephalusneuroendoscopyswiveling technique |
| spellingShingle | Tugrul Cem Unal Altay Sencer Ilyas Dolas Cafer Ikbal Gulsever Duran Sahin Duygu Dolen Musa Samet Ozata Metehan Ozturk Yavuz Aras Aydin Aydoseli Full-endoscopic removal of third ventricular colloid cysts: technique, results, and limitations Frontiers in Surgery colloid cyst full-endoscopic surgery hydrocephalus neuroendoscopy swiveling technique |
| title | Full-endoscopic removal of third ventricular colloid cysts: technique, results, and limitations |
| title_full | Full-endoscopic removal of third ventricular colloid cysts: technique, results, and limitations |
| title_fullStr | Full-endoscopic removal of third ventricular colloid cysts: technique, results, and limitations |
| title_full_unstemmed | Full-endoscopic removal of third ventricular colloid cysts: technique, results, and limitations |
| title_short | Full-endoscopic removal of third ventricular colloid cysts: technique, results, and limitations |
| title_sort | full endoscopic removal of third ventricular colloid cysts technique results and limitations |
| topic | colloid cyst full-endoscopic surgery hydrocephalus neuroendoscopy swiveling technique |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2023.1174144/full |
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