Endoscopic and classic methods in treatment of arachnoid cysts and intraventricular tumors
Journal Title: Annales Academiae Medicae Silesiensis - Year 2014, Vol 68, Issue 5
Abstract
INTRODUCTION Endoscopic operations are classified as minimally invasive procedures. It means that the traumatization of skin, bone and brain tissue is reduced to a minimum. The endoscopic technique is used especially in the case of intraventricular system pathology or when precise manipulations in deep structures are to be performed (e.g. excising part of arachnoid cyst and its communication with arachnoid cisterns or ventriculostomy). The endoscopic method in Polish neurosurgery departments is still not widespread, therefore knowledge about the legitimacy of its use and effectiveness requires discussion and popularization. MATERIAL AND METHODS We have analyzed immediate and long-term results of treatment,operation time, postoperative hospitalization time, and complications in 62 patients operated on in the Department of Neurosurgery. Among them 25 were treated using an endoscope and 37 had a classical operation performed. The patients were divided into two groups according to the kind of treatment and pathology. RESULTS According to our observation, the mean operation time for tumors of the third ventricle was markedly shorter in the endoscpic operation (mean 119 minutes, median 102 minutes vs. mean 280 and median 265 minutes in classical operation). The mean hospitalization time was 25 days using the endoscopic vs. 33 in the classic method. In both methods we obtained improvement of the clinical state, which was higher in the endoscopic method. Similar results were observed in patients operated on for lateral ventricle tumors, or arachnoid cysts. CONCLUSION The endoscopic method is an effective and minimally invasive technique which might be applied in the treatment of brain disorders. The use of this modern technology shortens the treatment time and duration of postoperative hospitalization. The effectiveness of the endoscopic method is comparable to the classical method, but the former is associated with fewer complications.
Authors and Affiliations
Bartłomiej Błaszczyk, Anna Michalak, Agnieszka Kowalczyk, Krzysztof Suszyński, Stanisław Kwiek
Keywords
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