E-ISSN: 1019-5157
ISSN: 2651-5024
Research
Minimally Invasive Endoscopic Approach to Treat Large Intraventricular Tumors
ADEM DOĞAN✉ ,
SAİT KAYHAN ,
MURAT KUTLAY
DOI: 10.5137/1019-5149.JTN.49171-25.2
Article in Press
Corresponding Author:
ADEM DOĞAN (drademdogan@yahoo.com)
Abstract
Aim
To analyze the safety and effectiveness of the minimally invasive endoscopic approach (endoscope-plus-port) in the treatment of large intraventricular tumors (>5 cm).
Material and Methods
We retrospectively reviewed the demographic, radiological, and surgical data of 8 patients who were operated on using the endoscope-plus-port technique for large intraventricular tumors at our clinic between 2015 and 2020. All procedures were performed using the minimally invasive endoscopic approach.
Results
The cohort comprised 3 females and 5 males, with a mean age of 40.88 years. All tumors were located in the lateral ventricle; near-total resection was achieved in 3 patients and subtotal resection in 5 patients. External ventricular drainage was inserted in all patients postoperatively. The histological diagnosis was neurocytoma in 3 patients, glioblastoma in 2 patients, metastasis in 2 patients, and a grade II meningioma in 1 patient. No complications or mortality were reported in the 31-month follow-up period.
Conclusion
Safe and effective tumor resection of intraventricular tumors is possible using the endoscope-plus-port, even in tumors >5 cm. This technique permits dynamic mobilization and facilitates bimanual operation, increasing resection rates and improving outcomes for these tumors.
To analyze the safety and effectiveness of the minimally invasive endoscopic approach (endoscope-plus-port) in the treatment of large intraventricular tumors (>5 cm).
Material and Methods
We retrospectively reviewed the demographic, radiological, and surgical data of 8 patients who were operated on using the endoscope-plus-port technique for large intraventricular tumors at our clinic between 2015 and 2020. All procedures were performed using the minimally invasive endoscopic approach.
Results
The cohort comprised 3 females and 5 males, with a mean age of 40.88 years. All tumors were located in the lateral ventricle; near-total resection was achieved in 3 patients and subtotal resection in 5 patients. External ventricular drainage was inserted in all patients postoperatively. The histological diagnosis was neurocytoma in 3 patients, glioblastoma in 2 patients, metastasis in 2 patients, and a grade II meningioma in 1 patient. No complications or mortality were reported in the 31-month follow-up period.
Conclusion
Safe and effective tumor resection of intraventricular tumors is possible using the endoscope-plus-port, even in tumors >5 cm. This technique permits dynamic mobilization and facilitates bimanual operation, increasing resection rates and improving outcomes for these tumors.
Keywords
Intraventricular
Tumor
Endoscopy
Surgery
Minimally invasive