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Capitanio JF, Donofrio CA, Panni P, et al. Microsurgical endoportal MRI/US-navigated approach for the resection of large intraventricular tumours: a 20-consecutive patients case series. Br J Neurosurg. 2021;1-8doi: 10.1080/02688697.2021.1918632.
Capitanio, J. F., Donofrio, C. A., Panni, P., Barzaghi, L. R., Bailo, M., Gagliardi, F., & Mortini, P. (2021). Microsurgical endoportal MRI/US-navigated approach for the resection of large intraventricular tumours: a 20-consecutive patients case series. British journal of neurosurgery, 1-8. https://doi.org/10.1080/02688697.2021.1918632
Capitanio, Jody Filippo, et al. "Microsurgical endoportal MRI/US-navigated approach for the resection of large intraventricular tumours: a 20-consecutive patients case series." British journal of neurosurgery vol. (2021): 1-8. doi: https://doi.org/10.1080/02688697.2021.1918632
Capitanio JF, Donofrio CA, Panni P, Barzaghi LR, Bailo M, Gagliardi F, Mortini P. Microsurgical endoportal MRI/US-navigated approach for the resection of large intraventricular tumours: a 20-consecutive patients case series. Br J Neurosurg. 2021 Aug 05;1-8. doi: 10.1080/02688697.2021.1918632. Epub 2021 Aug 05. PMID: 34348546.
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Br J Neurosurg. 2021 Aug 05;1-8. doi: 10.1080/02688697.2021.1918632. Epub 2021 Aug 05.

Microsurgical endoportal MRI/US-navigated approach for the resection of large intraventricular tumours: a 20-consecutive patients case series.

British journal of neurosurgery

Jody Filippo Capitanio, Carmine Antonio Donofrio, Pietro Panni, Lina Raffaella Barzaghi, Michele Bailo, Filippo Gagliardi, Pietro Mortini

Affiliations

  1. Department of Neurosurgery and Gamma Knife Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.

PMID: 34348546 DOI: 10.1080/02688697.2021.1918632

Abstract

OBJECTIVES: Deep lesions located in lateral and third ventricles can be accessed thorough interhemispheric transcallosal or transcortical trans-ventricular approaches. Traditional brain retractors are made by 'non-cerebral engineered' spatulas, which do not equally distribute pressure on surrounding structures damaging brain. In this paper, we present a series of 20 intraventricular tumours resected through a MRI/US-navigated microscopic transcortical endoportal approach.

PATIENTS AND METHODS: Between January 2014 and December 2017, 20 patients underwent US-MRI neuronavigated (Esaote

RESULTS: Gross total removal was achieved in 14 patients (70%). The only prognostic factor that resulted in statistical significance related to surgical radicality from multivariate analysis was white matter infiltration (

CONCLUSIONS: Transcortical transventricular endoportal surgery seems to be a valuable alternative to transcallosal surgery, although further prospective multicentre studies with larger number of patients, evaluation of pre- and post-operative neuropsychological outcomes and achievement of postoperative DTI and f-MRI are needed to confirm our results.

Keywords: Endoportal neurosurgery; endoventricular neurosurgery; endoventricular tumours; minimally invasive neurosurgery; retractorless surgery

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