An optimized technique of endoscopic third ventriculocisternostomy (ETV) for children with occlusive hydrocephalus
Sufianov A. A., Kasper E. M., Sufianov R. A.
Neurosurgical Review
Vol.41, Issue3, P. 851-859
Опубликовано: 2018
Тип ресурса: Статья
DOI:10.1007/s10143-017-0934-9
Аннотация:
In this article, we present an optimized minimally invasive technique of ETV for children with occlusive hydrocephalus. The study comprises of 64 consecutive pediatric cases (34 boys and 30 girls aged from 1 month to 5 years) of occlusive hydrocephalus from various etiologies, which were treated with a modified technique of ETV. Mean clinical follow-up period after ETV was 24.2 ± 3.8 months. Application of the new technique made it possible to significantly reduce the length of the soft tissue incision for access, and the use of upgraded instruments allowed to perform a twist drill hole in the skull to less than half a usual size. Access to the brain and lateral ventricle was performed by blunt trephination of the dura without the need for significant corticectomy or coagulation, and yielded minimal damage to the brain, which is very important in patients of young age. Continued endoscopic control during the approach down to the lateral ventricle increases safety and decreases risk of
Ключевые слова:
ETV; Hydrocephalus; Miniature endoscope; Neuroendoscopy
Article; blood clotting; brain damage; brain lateral ventricle; brain third ventricle; child; clinical effectiveness; cohort analysis; corticectomy; dura mater; endoscopic third ventriculocisternostomy; female; follow up; human; hydrocephalus; incision; infant; length; major clinical study; male; mortality; neuroendoscopy; priority journal; retrospective study; risk assessment; Russian Federation; safety; skull; soft tissue; trephination; ventriculocisternostomy; cisterna magna; diagnostic imaging; endoscopy; hydrocephalus; inhalation anesthesia; neuroendoscopy; neurosurgery; nuclear magnetic resonance imaging; postoperative complication; preschool child; procedures; reoperation; statistics and numerical data; survival analysis; treatment outcome; ventriculostomy; Anesthesia, Inhalation; Child, Preschool; Cisterna Magna; Cohort Studies; Endoscopy; Female; Follow-Up Studies; Humans; Hydrocephalus; Infant; Magnetic Resonance Imaging; Male; Neuroendoscopy; Neurosurgical Procedures; Postop
Язык текста: Английский
ISSN: 1437-2320
Sufianov A. A. Al`bert Akramovich 1965-
Kasper E. M.
Sufianov R. A.
Суфианов А. А. Альберт Акрамович 1965-
Каспер Е. М.
Суфианов Р. А.
An optimized technique of endoscopic third ventriculocisternostomy (ETV) for children with occlusive hydrocephalus
Текст визуальный непосредственный
Neurosurgical Review
Springer-Verlag GmbH
Vol.41, Issue3 P. 851-859
2018
Статья
ETV Hydrocephalus Miniature endoscope Neuroendoscopy
Article blood clotting brain damage brain lateral ventricle brain third ventricle child clinical effectiveness cohort analysis corticectomy dura mater endoscopic third ventriculocisternostomy female follow up human hydrocephalus incision infant length major clinical study male mortality neuroendoscopy priority journal retrospective study risk assessment Russian Federation safety skull soft tissue trephination ventriculocisternostomy cisterna magna diagnostic imaging endoscopy hydrocephalus inhalation anesthesia neuroendoscopy neurosurgery nuclear magnetic resonance imaging postoperative complication preschool child procedures reoperation statistics and numerical data survival analysis treatment outcome ventriculostomy Anesthesia, Inhalation Child, Preschool Cisterna Magna Cohort Studies Endoscopy Female Follow-Up Studies Humans Hydrocephalus Infant Magnetic Resonance Imaging Male Neuroendoscopy Neurosurgical Procedures Postop
In this article, we present an optimized minimally invasive technique of ETV for children with occlusive hydrocephalus. The study comprises of 64 consecutive pediatric cases (34 boys and 30 girls aged from 1 month to 5 years) of occlusive hydrocephalus from various etiologies, which were treated with a modified technique of ETV. Mean clinical follow-up period after ETV was 24.2 ± 3.8 months. Application of the new technique made it possible to significantly reduce the length of the soft tissue incision for access, and the use of upgraded instruments allowed to perform a twist drill hole in the skull to less than half a usual size. Access to the brain and lateral ventricle was performed by blunt trephination of the dura without the need for significant corticectomy or coagulation, and yielded minimal damage to the brain, which is very important in patients of young age. Continued endoscopic control during the approach down to the lateral ventricle increases safety and decreases risk of