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Acta Neurochir (Wien). 2017 Jun;159(6):1053-1058. doi: 10.1007/s00701-017-3176-2. Epub 2017 Apr 14.

Endoscopic colloid cyst excision: surgical techniques and nuances.

Acta neurochirurgica

Waleed Abdelfattah Azab, Mustafa Najibullah, Waleed Yosef

Affiliations

  1. Department of Neurosurgery, Ibn Sina Hospital, PO Box 25427, 13115, Safat, Kuwait. [email protected].
  2. Department of Neurosurgery, Ibn Sina Hospital, PO Box 25427, 13115, Safat, Kuwait.

PMID: 28411321 DOI: 10.1007/s00701-017-3176-2

Abstract

BACKGROUND: Endoscopic excision of colloid cysts is currently well established as a minimally invasive and highly effective technique that is associated with less morbidity in comparison to microsurgical resection.

METHODS: Operative charts and videos of patients undergoing endoscopic colloid cyst excision were retrieved from the senior author's database of endoscopic procedures and reviewed. This revealed nine trans-foraminal and three trans-septal procedures. Description of the surgical techniques was then formulated.

CONCLUSIONS: Variation of the technique is based on the specific patho-anatomical features of the colloid cyst being resected. For the trans-foraminal approach, we think that the rotational technique is associated with a more complete removal of the cyst wall and consequently lower recurrence rate.

Keywords: Colloid cyst; Endoscopic; Septum pellucidum; Third ventricle; Trans-foraminal; Trans-septal

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