Navigable Channel-Based Trans-Sulcal Resection of Third Ventricular Colloid Cysts: A Multicenter Retrospective Case Series and Review of the Literature

Michelle Lin, Joshua Bakhsheshian, Ben Strickland, Robert C. Rennert, Jefferson W. Chen, Jamie J. Van Gompel, Ronald L. Young, Promod P. Kumar, Jeroen Coppens, William T. Curry, Brad E. Zacharia, Julian E. Bailes, Gabriel Zada

Research output: Contribution to journalArticle

Abstract

Background: Developments in frameless neuronavigation and tubular retractors hold the potential for minimizing iatrogenic injury to the overlying cortex and subcortical tracts, with improved access to the ventricular system. The objective of the present study was to evaluate the surgical outcomes after resection of third ventricular colloid cysts using an integrated neuronavigation and channel-based approach. Methods: We performed a multicenter retrospective analysis of surgical Outcomes after surgical resection of third ventricular colloid cysts via a transtubular trans-sulcal approach. Results: A total of 16 patients were included, with a mean age of 42 years (range, 23–62 years). The mean maximum diameter of cysts was 14 mm (range, 7–28 mm), and preoperative hydrocephalous was present in 12 patients (75%). Gross total resection was achieved in all 16 cases. Of the 12 patients, 4 (25%) had undergone septum pellucidotomy, in addition to cyst resection. No case had required conversion to open craniotomy. No perioperative mortalities occurred. Three patients (18.8%) had developed transient memory deficits, 1 of whom had also developed a pulmonary thromboembolism. The median length of hospital stay was 4 days (range, 2–18 days). All the patients reported resolution of preoperative symptoms at the 1-month follow-up examination. Only 1 patient (6.25%) had required insertion of a ventriculoperitoneal shunt. The median follow-up duration was 6.5 months (range, 3–24 months), and no recurrences were observed. Conclusion: Use of a channel-based navigable retractor provided a minimal trans-sulcal approach to third ventricular colloid cysts with the benefit of bimanual surgical control in an air medium for definitive resection of third ventricular colloid cysts.

Original languageEnglish (US)
Pages (from-to)e702-e710
JournalWorld neurosurgery
Volume133
DOIs
StatePublished - Jan 2020

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Colloid Cysts
Neuronavigation
Cysts
Length of Stay
Ventriculoperitoneal Shunt
Craniotomy
Memory Disorders
Pulmonary Embolism
Air
Recurrence
Mortality
Wounds and Injuries

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

Cite this

Lin, Michelle ; Bakhsheshian, Joshua ; Strickland, Ben ; Rennert, Robert C. ; Chen, Jefferson W. ; Van Gompel, Jamie J. ; Young, Ronald L. ; Kumar, Promod P. ; Coppens, Jeroen ; Curry, William T. ; Zacharia, Brad E. ; Bailes, Julian E. ; Zada, Gabriel. / Navigable Channel-Based Trans-Sulcal Resection of Third Ventricular Colloid Cysts : A Multicenter Retrospective Case Series and Review of the Literature. In: World neurosurgery. 2020 ; Vol. 133. pp. e702-e710.
@article{6c0dd7593f634b02ab116e34ba4cfe35,
title = "Navigable Channel-Based Trans-Sulcal Resection of Third Ventricular Colloid Cysts: A Multicenter Retrospective Case Series and Review of the Literature",
abstract = "Background: Developments in frameless neuronavigation and tubular retractors hold the potential for minimizing iatrogenic injury to the overlying cortex and subcortical tracts, with improved access to the ventricular system. The objective of the present study was to evaluate the surgical outcomes after resection of third ventricular colloid cysts using an integrated neuronavigation and channel-based approach. Methods: We performed a multicenter retrospective analysis of surgical Outcomes after surgical resection of third ventricular colloid cysts via a transtubular trans-sulcal approach. Results: A total of 16 patients were included, with a mean age of 42 years (range, 23–62 years). The mean maximum diameter of cysts was 14 mm (range, 7–28 mm), and preoperative hydrocephalous was present in 12 patients (75{\%}). Gross total resection was achieved in all 16 cases. Of the 12 patients, 4 (25{\%}) had undergone septum pellucidotomy, in addition to cyst resection. No case had required conversion to open craniotomy. No perioperative mortalities occurred. Three patients (18.8{\%}) had developed transient memory deficits, 1 of whom had also developed a pulmonary thromboembolism. The median length of hospital stay was 4 days (range, 2–18 days). All the patients reported resolution of preoperative symptoms at the 1-month follow-up examination. Only 1 patient (6.25{\%}) had required insertion of a ventriculoperitoneal shunt. The median follow-up duration was 6.5 months (range, 3–24 months), and no recurrences were observed. Conclusion: Use of a channel-based navigable retractor provided a minimal trans-sulcal approach to third ventricular colloid cysts with the benefit of bimanual surgical control in an air medium for definitive resection of third ventricular colloid cysts.",
author = "Michelle Lin and Joshua Bakhsheshian and Ben Strickland and Rennert, {Robert C.} and Chen, {Jefferson W.} and {Van Gompel}, {Jamie J.} and Young, {Ronald L.} and Kumar, {Promod P.} and Jeroen Coppens and Curry, {William T.} and Zacharia, {Brad E.} and Bailes, {Julian E.} and Gabriel Zada",
year = "2020",
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doi = "10.1016/j.wneu.2019.09.134",
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pages = "e702--e710",
journal = "World Neurosurgery",
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Lin, M, Bakhsheshian, J, Strickland, B, Rennert, RC, Chen, JW, Van Gompel, JJ, Young, RL, Kumar, PP, Coppens, J, Curry, WT, Zacharia, BE, Bailes, JE & Zada, G 2020, 'Navigable Channel-Based Trans-Sulcal Resection of Third Ventricular Colloid Cysts: A Multicenter Retrospective Case Series and Review of the Literature', World neurosurgery, vol. 133, pp. e702-e710. https://doi.org/10.1016/j.wneu.2019.09.134

Navigable Channel-Based Trans-Sulcal Resection of Third Ventricular Colloid Cysts : A Multicenter Retrospective Case Series and Review of the Literature. / Lin, Michelle; Bakhsheshian, Joshua; Strickland, Ben; Rennert, Robert C.; Chen, Jefferson W.; Van Gompel, Jamie J.; Young, Ronald L.; Kumar, Promod P.; Coppens, Jeroen; Curry, William T.; Zacharia, Brad E.; Bailes, Julian E.; Zada, Gabriel.

In: World neurosurgery, Vol. 133, 01.2020, p. e702-e710.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Navigable Channel-Based Trans-Sulcal Resection of Third Ventricular Colloid Cysts

T2 - A Multicenter Retrospective Case Series and Review of the Literature

AU - Lin, Michelle

AU - Bakhsheshian, Joshua

AU - Strickland, Ben

AU - Rennert, Robert C.

AU - Chen, Jefferson W.

AU - Van Gompel, Jamie J.

AU - Young, Ronald L.

AU - Kumar, Promod P.

AU - Coppens, Jeroen

AU - Curry, William T.

AU - Zacharia, Brad E.

AU - Bailes, Julian E.

AU - Zada, Gabriel

PY - 2020/1

Y1 - 2020/1

N2 - Background: Developments in frameless neuronavigation and tubular retractors hold the potential for minimizing iatrogenic injury to the overlying cortex and subcortical tracts, with improved access to the ventricular system. The objective of the present study was to evaluate the surgical outcomes after resection of third ventricular colloid cysts using an integrated neuronavigation and channel-based approach. Methods: We performed a multicenter retrospective analysis of surgical Outcomes after surgical resection of third ventricular colloid cysts via a transtubular trans-sulcal approach. Results: A total of 16 patients were included, with a mean age of 42 years (range, 23–62 years). The mean maximum diameter of cysts was 14 mm (range, 7–28 mm), and preoperative hydrocephalous was present in 12 patients (75%). Gross total resection was achieved in all 16 cases. Of the 12 patients, 4 (25%) had undergone septum pellucidotomy, in addition to cyst resection. No case had required conversion to open craniotomy. No perioperative mortalities occurred. Three patients (18.8%) had developed transient memory deficits, 1 of whom had also developed a pulmonary thromboembolism. The median length of hospital stay was 4 days (range, 2–18 days). All the patients reported resolution of preoperative symptoms at the 1-month follow-up examination. Only 1 patient (6.25%) had required insertion of a ventriculoperitoneal shunt. The median follow-up duration was 6.5 months (range, 3–24 months), and no recurrences were observed. Conclusion: Use of a channel-based navigable retractor provided a minimal trans-sulcal approach to third ventricular colloid cysts with the benefit of bimanual surgical control in an air medium for definitive resection of third ventricular colloid cysts.

AB - Background: Developments in frameless neuronavigation and tubular retractors hold the potential for minimizing iatrogenic injury to the overlying cortex and subcortical tracts, with improved access to the ventricular system. The objective of the present study was to evaluate the surgical outcomes after resection of third ventricular colloid cysts using an integrated neuronavigation and channel-based approach. Methods: We performed a multicenter retrospective analysis of surgical Outcomes after surgical resection of third ventricular colloid cysts via a transtubular trans-sulcal approach. Results: A total of 16 patients were included, with a mean age of 42 years (range, 23–62 years). The mean maximum diameter of cysts was 14 mm (range, 7–28 mm), and preoperative hydrocephalous was present in 12 patients (75%). Gross total resection was achieved in all 16 cases. Of the 12 patients, 4 (25%) had undergone septum pellucidotomy, in addition to cyst resection. No case had required conversion to open craniotomy. No perioperative mortalities occurred. Three patients (18.8%) had developed transient memory deficits, 1 of whom had also developed a pulmonary thromboembolism. The median length of hospital stay was 4 days (range, 2–18 days). All the patients reported resolution of preoperative symptoms at the 1-month follow-up examination. Only 1 patient (6.25%) had required insertion of a ventriculoperitoneal shunt. The median follow-up duration was 6.5 months (range, 3–24 months), and no recurrences were observed. Conclusion: Use of a channel-based navigable retractor provided a minimal trans-sulcal approach to third ventricular colloid cysts with the benefit of bimanual surgical control in an air medium for definitive resection of third ventricular colloid cysts.

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