Monoportal cerebral approach with endoscopic support for tumors of the lateral ventricles
Keywords:
brain neoplasms, hydrocephalus, microsurgery, neuroendoscopy.Abstract
Introduction: Intraventricular tumors represent a challenge in neurosurgery due to their deep brain topography. Surgical excision is a fundamental element in its treatment and various surgical routes are reported. Procedures using tubular retractors and endoscopic assistance represent an option with satisfactory results.Objective: Describe the surgical results in patients with ventricular brain tumors, using brainport procedures and endoscopic assistance.
Methods: A descriptive, prospective study was carried out in 8 patients at the Hermanos Ameijeiras Hospital, operated on for ventricular tumors using tubular retractors and endoscopic assistance. An evaluation of patient and tumor characteristics, surgical procedures and results, complications and survival, was performed. For data analysis, absolute and relative frequencies were used as summary measures.
Results: A predominance of low-grade ventricular tumors of malignancy (75.0 %) was reported, most frequently in the trigone of the lateral ventricles (50.0%). The parietal brain port was the most used (62.5%). In relation to complications, it is described; motor deficit, wound infection, intraventricular bleeding, hydrocephalus and pulmonary thromboembolism (12.5% respectively). Ventriculoperitoneal shunt was the most frequently used associated surgical procedure (62.5%). There was a survival of more than 12 months (75.0%).
Conclusions: Procedures with a brain port and endoscopic assistance for ventricular brain tumors allow a high surgical resection and low incidences of complications.
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References
1. Deopujari CE, Karmarkar VS, Shaikh ST, Mohanty CB, Sharma V, Tadghare J, et al. Neuroendoscopy in the Surgical Management of Lateral and Third Ventricular Tumors: Looking Beyond Microneurosurgery [Internet]. Neurol India. 2021; 69(6):1571-8. DOI: 10.4103/0028-3886.333458
2. Jimenez-Heffernan JA, Alvarez F, Muñoz-Hernández P, Bárcena C, Azorin D, Bernal I, et al. Cytologic Features of Ventricular Tumors of the Central Nervous System: A Review with Emphasis on Diff-Quik Stained Smears [Internet]. Acta Cytol. 2021; 65(2):111-22. DOI: 10.1159/000512723
3. Ripari LB, Norton ES, Bodoque-Villar R, Jeanneret S, Lara-Velazquez M, Carrano A, et al. Glioblastoma Proximity to the Lateral Ventricle Alters Neurogenic Cell Populations of the Subventricular Zone [Internet]. Front Oncol. 2021; 11:650316. DOI: 10.3389/fonc.2021.650316
4. Spennato P, De Martino L, Russo C, Errico ME, Imperato A, Mazio F, et al. Tumors of Choroid Plexus and Other Ventricular Tumors [Internet]. Adv Exp Med Biol. 2023; 1405:175-223. DOI: 10.1007/978-3-031-23705-8_7
5. Li Y, Di C, Song S, Zhang Y, Lu Y, Liao J, et al. Choroid plexus mast cells drive tumor-associated hydrocephalus [Internet]. Cell. 2023; 186(26):5719-38.e28. DOI: 10.1016/j.cell.2023.11.001
6. Romano N, Fiannacca M, Castaldi A. Imaging of ring-shaped lateral ventricular nodules (RSLVNs) [Internet]. Neurol Sci. 2023; 44(6):2223-5. DOI: 10.1007/s10072-023-06685-0
7. Kamal H, Fine EJ, Shakibajahromi B, Mowla A. A history of the path towards imaging of the brain: From skull radiography through cerebral angiography [Internet]. Curr J Neurol. 2020; 19(3):131-7. DOI: 10.18502/cjn.v19i3.5426
8. Bramall AN, Anton ES, Kahle KT, Fecci PE. Navigating the ventricles: Novel insights into the pathogenesis of hydrocephalus [Internet]. EBioMedicine. 2022; 78:103931. DOI: 10.1016/j.ebiom.2022.103931
9. Vargas Gálvez CR, López Arbolay O, Ortiz Machín MM. Diversores de líquido cefalorraquídeo para la reparación de la base craneal en abordajes endonasales endoscópicos. Rev Cubana Med Milit [Internet]. 2024 [acceso: 09/05/2024]; 53(2):e024016521. Disponible en: https://revmedmilitar.sld.cu/index.php/mil/article/view/16521/2505
10. Broggi M, Zattra CM, Restelli F, Acerbi F, Seveso M, Devigili G, et al. A Brief Explanation on Surgical Approaches for Treatment of Different Brain Tumors [Internet]. Adv Exp Med Biol. 2023;1405:689-714. DOI: 10.1007/978-3-031-23705-8_27
11. Roca E, Ramorino G. Brain retraction injury: systematic literature review [Internet]. Neurosurg Rev. 2023; 46(1):257. DOI: 10.1007/s10143-023-02160-8.
12. Polunina NA, Semenov DE, Orlov EA, Veselkov AA, Galitskiy EV, Grigorievskiy ED, et al. Retraktsionnaya travma golovnogo mozga [Brain retraction injury] [Internet]. Zh Vopr Neirokhir Im N N Burdenko. 2021;85(4):103-10. DOI: 10.17116/neiro202185041103
13. Rosenørn J, Diemer N. The risk of cerebral damage during graded brain retractor pressure in the rat [Internet]. J Neurosurg. 1985; 63(4):608-11. DOI: 10.3171/jns.1985.63.4.0608
14. Ogura K, Tachibana E, Aoshima C, Sumitomo M. New microsurgical technique for intraparenchymal lesions of the brain: transcylinder approach [Internet]. Acta Neurochir (Wien). 2006; 148(7):779-85; DOI: 10.1007/s00701-006-0768-7
15. Zhang C, Ge L, Li Z, Zhang T, Chen J. Single-Center Retrospective Analysis of Risk Factors for Hydrocephalus After Lateral Ventricular Tumor Resection [Internet]. Front Surg. 2022; 9:886472. DOI: 10.3389/fsurg.2022.886472
16. Sankhla SK, Warade A, Khan GM. Endoport-Assisted Endoscopic Surgery for Removal of Lateral Ventricular Tumors: Our Experience and Review of the Literature [Internet]. Neurol India. 2023; 71(1):99-106. DOI: 10.4103/0028-3886.370438
17. Aftahy AK, Barz M, Krauss P, Liesche F, Wiestler B, Combs SE, et al. Intraventricular neuroepithelial tumors: surgical outcome, technical considerations and review of literature [Internet]. BMC Cancer. 2020; 20(1):1060. DOI: 10.1186/s12885-020-07570-1
18. Kutlay M, Durmaz MO, Kirik A, Yasar S, Ezgu MC, Kural C, et al. Resection of intra- and paraventricular malignant brain tumors using fluorescein sodium-guided neuroendoscopic transtubular approach [Internet]. Clin Neurol Neurosurg. 2021; 207:106812. DOI: 10.1016/j.clineuro.2021.106812
19. Bamimore MA, Marenco-Hillembrand L, Ravindran K, Agyapong D, Greco E, Middlebrooks EH, et al. Management of Intraventricular Meningiomas [Internet]. Neurosurg Clin N Am. 2023; 34(3):403-415. DOI: 10.1016/j.nec.2023.02.005
20. Kim CY, Hwang K, Jung HW. Intraventricular meningiomas [Internet]. Handb Clin Neurol. 2020; 170:175-84. DOI: 10.1016/B978-0-12-822198-3.00039-2
21. Teske N, Chiquillo-Domínguez M, Skrap B, Harter PN, Rejeski K, Blobner J, et al. Shunt dependency in supratentorial intraventricular tumors depends on the extent of tumor resection [Internet]. Acta Neurochir (Wien). 2023 Apr;165(4):1053-64. DOI: 10.1007/s00701-023-05532-7
22. López-Arbolay O, Ortiz-Machín M, Coronado-Rosales A, Varela-Baró A. Consideraciones del abordaje Keyhole endoscópico para tumores de la base craneal. [Internet]. Anales de la Academia de Ciencias de Cuba. 2022 [acceso: 09/05/2024]; 12(2): [aprox. 9 pág.] Disponible en: https://revistaccuba.sld.cu/index.php/revacc/article/view/1135/1414
23. Panigrahi M, Patel C, Chandrasekhar YBVK, Vooturi S. Endoscopic Management of Lateral Ventricle Arachnoid Cysts-Case Series with Proposed Classification [Internet]. World Neurosurg. 2022; 164:106-13. DOI: 10.1016/j.wneu.2022.04.119
24. Li K, Liang J, Niu H, Lan S, Liang X, Zhao Y, et al. Effect comparison of neuroendoscopy versus microsurgery in the treatment of lateral ventricular tumors [Internet]. Front Oncol. 2023; 13:1008291. DOI: 10.3389/fonc.2023.1008291
25. Mapolon Roman E, Lopez Arbolay O, Ortiz Machin MM, Vargas Galvez CR. Derivación ventrículo peritoneal con asistencia endoscópica. [Internet]. Rev Cubana Med Milit. 2024 [acceso: 09/05/2024]; 53(2):e024025805. Disponible en: https://revmedmilitar.sld.cu/index.php/mil/article/view/25805/2538
2. Jimenez-Heffernan JA, Alvarez F, Muñoz-Hernández P, Bárcena C, Azorin D, Bernal I, et al. Cytologic Features of Ventricular Tumors of the Central Nervous System: A Review with Emphasis on Diff-Quik Stained Smears [Internet]. Acta Cytol. 2021; 65(2):111-22. DOI: 10.1159/000512723
3. Ripari LB, Norton ES, Bodoque-Villar R, Jeanneret S, Lara-Velazquez M, Carrano A, et al. Glioblastoma Proximity to the Lateral Ventricle Alters Neurogenic Cell Populations of the Subventricular Zone [Internet]. Front Oncol. 2021; 11:650316. DOI: 10.3389/fonc.2021.650316
4. Spennato P, De Martino L, Russo C, Errico ME, Imperato A, Mazio F, et al. Tumors of Choroid Plexus and Other Ventricular Tumors [Internet]. Adv Exp Med Biol. 2023; 1405:175-223. DOI: 10.1007/978-3-031-23705-8_7
5. Li Y, Di C, Song S, Zhang Y, Lu Y, Liao J, et al. Choroid plexus mast cells drive tumor-associated hydrocephalus [Internet]. Cell. 2023; 186(26):5719-38.e28. DOI: 10.1016/j.cell.2023.11.001
6. Romano N, Fiannacca M, Castaldi A. Imaging of ring-shaped lateral ventricular nodules (RSLVNs) [Internet]. Neurol Sci. 2023; 44(6):2223-5. DOI: 10.1007/s10072-023-06685-0
7. Kamal H, Fine EJ, Shakibajahromi B, Mowla A. A history of the path towards imaging of the brain: From skull radiography through cerebral angiography [Internet]. Curr J Neurol. 2020; 19(3):131-7. DOI: 10.18502/cjn.v19i3.5426
8. Bramall AN, Anton ES, Kahle KT, Fecci PE. Navigating the ventricles: Novel insights into the pathogenesis of hydrocephalus [Internet]. EBioMedicine. 2022; 78:103931. DOI: 10.1016/j.ebiom.2022.103931
9. Vargas Gálvez CR, López Arbolay O, Ortiz Machín MM. Diversores de líquido cefalorraquídeo para la reparación de la base craneal en abordajes endonasales endoscópicos. Rev Cubana Med Milit [Internet]. 2024 [acceso: 09/05/2024]; 53(2):e024016521. Disponible en: https://revmedmilitar.sld.cu/index.php/mil/article/view/16521/2505
10. Broggi M, Zattra CM, Restelli F, Acerbi F, Seveso M, Devigili G, et al. A Brief Explanation on Surgical Approaches for Treatment of Different Brain Tumors [Internet]. Adv Exp Med Biol. 2023;1405:689-714. DOI: 10.1007/978-3-031-23705-8_27
11. Roca E, Ramorino G. Brain retraction injury: systematic literature review [Internet]. Neurosurg Rev. 2023; 46(1):257. DOI: 10.1007/s10143-023-02160-8.
12. Polunina NA, Semenov DE, Orlov EA, Veselkov AA, Galitskiy EV, Grigorievskiy ED, et al. Retraktsionnaya travma golovnogo mozga [Brain retraction injury] [Internet]. Zh Vopr Neirokhir Im N N Burdenko. 2021;85(4):103-10. DOI: 10.17116/neiro202185041103
13. Rosenørn J, Diemer N. The risk of cerebral damage during graded brain retractor pressure in the rat [Internet]. J Neurosurg. 1985; 63(4):608-11. DOI: 10.3171/jns.1985.63.4.0608
14. Ogura K, Tachibana E, Aoshima C, Sumitomo M. New microsurgical technique for intraparenchymal lesions of the brain: transcylinder approach [Internet]. Acta Neurochir (Wien). 2006; 148(7):779-85; DOI: 10.1007/s00701-006-0768-7
15. Zhang C, Ge L, Li Z, Zhang T, Chen J. Single-Center Retrospective Analysis of Risk Factors for Hydrocephalus After Lateral Ventricular Tumor Resection [Internet]. Front Surg. 2022; 9:886472. DOI: 10.3389/fsurg.2022.886472
16. Sankhla SK, Warade A, Khan GM. Endoport-Assisted Endoscopic Surgery for Removal of Lateral Ventricular Tumors: Our Experience and Review of the Literature [Internet]. Neurol India. 2023; 71(1):99-106. DOI: 10.4103/0028-3886.370438
17. Aftahy AK, Barz M, Krauss P, Liesche F, Wiestler B, Combs SE, et al. Intraventricular neuroepithelial tumors: surgical outcome, technical considerations and review of literature [Internet]. BMC Cancer. 2020; 20(1):1060. DOI: 10.1186/s12885-020-07570-1
18. Kutlay M, Durmaz MO, Kirik A, Yasar S, Ezgu MC, Kural C, et al. Resection of intra- and paraventricular malignant brain tumors using fluorescein sodium-guided neuroendoscopic transtubular approach [Internet]. Clin Neurol Neurosurg. 2021; 207:106812. DOI: 10.1016/j.clineuro.2021.106812
19. Bamimore MA, Marenco-Hillembrand L, Ravindran K, Agyapong D, Greco E, Middlebrooks EH, et al. Management of Intraventricular Meningiomas [Internet]. Neurosurg Clin N Am. 2023; 34(3):403-415. DOI: 10.1016/j.nec.2023.02.005
20. Kim CY, Hwang K, Jung HW. Intraventricular meningiomas [Internet]. Handb Clin Neurol. 2020; 170:175-84. DOI: 10.1016/B978-0-12-822198-3.00039-2
21. Teske N, Chiquillo-Domínguez M, Skrap B, Harter PN, Rejeski K, Blobner J, et al. Shunt dependency in supratentorial intraventricular tumors depends on the extent of tumor resection [Internet]. Acta Neurochir (Wien). 2023 Apr;165(4):1053-64. DOI: 10.1007/s00701-023-05532-7
22. López-Arbolay O, Ortiz-Machín M, Coronado-Rosales A, Varela-Baró A. Consideraciones del abordaje Keyhole endoscópico para tumores de la base craneal. [Internet]. Anales de la Academia de Ciencias de Cuba. 2022 [acceso: 09/05/2024]; 12(2): [aprox. 9 pág.] Disponible en: https://revistaccuba.sld.cu/index.php/revacc/article/view/1135/1414
23. Panigrahi M, Patel C, Chandrasekhar YBVK, Vooturi S. Endoscopic Management of Lateral Ventricle Arachnoid Cysts-Case Series with Proposed Classification [Internet]. World Neurosurg. 2022; 164:106-13. DOI: 10.1016/j.wneu.2022.04.119
24. Li K, Liang J, Niu H, Lan S, Liang X, Zhao Y, et al. Effect comparison of neuroendoscopy versus microsurgery in the treatment of lateral ventricular tumors [Internet]. Front Oncol. 2023; 13:1008291. DOI: 10.3389/fonc.2023.1008291
25. Mapolon Roman E, Lopez Arbolay O, Ortiz Machin MM, Vargas Galvez CR. Derivación ventrículo peritoneal con asistencia endoscópica. [Internet]. Rev Cubana Med Milit. 2024 [acceso: 09/05/2024]; 53(2):e024025805. Disponible en: https://revmedmilitar.sld.cu/index.php/mil/article/view/25805/2538
Published
2024-10-01
How to Cite
1.
Cruz Pérez PO, López Arbolay O, Ortiz Machín MM, Vargas Gálvez CR, Mapolón Román E. Monoportal cerebral approach with endoscopic support for tumors of the lateral ventricles. Rev Cubana Med Milit [Internet]. 2024 Oct. 1 [cited 2025 Apr. 3];53(4):e024060038. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/60038
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