Neuroendoscopy in the management of pineal tumors

被引：35

作者：

Wong, Tai-Tong ^{[1
,2
]}

Chen, Hsin-Hung ^{[1
]}

Liang, Muh-Lii ^{[1
]}

Yen, Yu-Shu ^{[3
]}

Chang, Feng-Chi ^{[4
]}

机构：

[1] Taipei Vet Gen Hosp, Div Pediat Neurosurg, Neurol Inst, VACRS, Taipei 11217, Taiwan

[2] Natl Yang Ming Med Univ, Sch Med, Taipei, Taiwan

[3] Taipei Vet Gen Hosp, Neurol Inst, Dept Neurosurg, Taipei 11217, Taiwan

[4] Taipei Vet Gen Hosp, Neurol Inst, Dept Radiol, Taipei 11217, Taiwan

来源：

CHILDS NERVOUS SYSTEM | 2011年 / 27卷 / 06期

关键词：

Neuroendoscopy; Pineal tumor; Endoscopic third ventriculostomy; Endoscopic transventricular biopsy; Endoscopic transnasal transsphenoidal approach; Endoscopic-assisted open surgery; ENDOSCOPIC 3RD VENTRICULOSTOMY; GERM-CELL TUMORS; REGION TUMORS; BIOPSY; HYDROCEPHALUS; COMPLICATIONS; GERMINOMAS; SURGERY;

D O I：

10.1007/s00381-010-1325-5

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Introduction Endoscopy has been applied for the management of pineal tumors and the associated obstructive hydrocephalus. The techniques include endoscopic third ventriculostomy (ETV), endoscopic biopsy, and endoscopic-assisted open surgery of tumor in selected cases. The purpose of this study is to report our experience and techniques of endoscopic surgeries for pineal tumors in children. Methods This is a retrospective review of 36 ETVs, 25 endoscopic transventricular biopsies (ETB), 2 endoscopic transnasal transsphenoid biopsies, and 5 endoscopic-assisted open resections of pineal tumors. Results One patient died of delay tumor hemorrhage after ETV and ETB were excluded. With a mean follow-up period of 5.4 years, ETV failure occurred in 7 of 35 patients with long-term success rate of 80.0%. Histological diagnosis was established in 21 of 25 (84.0%) patients through ETBs. Tissue diagnosis was obtained in two selected patients with bifocal germ cell tumors by endsocopic transnasal transsphenoid approach to the intrasellar lesion. Direct radical resections were achieved in four of five selected patients of pineal tumors with hydrocephalus by endoscopic-assisted open surgery.

引用

页码：949 / 959

页数：11

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