Incidence of complications in neuroendoscopic surgery

Springer Science and Business Media LLC - Tập 20 - Trang 878-883 - 2004
Henry W. S. Schroeder1, Joachim Oertel2, Michael R. Gaab2
1Department of Neurosurgery, Ernst Moritz Arndt University, Greifswald, Germany
2Department of Neurosurgery, Nordstadt Hospital, Hannover, Germany

Tóm tắt

This study was undertaken to determine the complication rate in intracranial endoscopic neurosurgery. The complications in our series of endoscopic intracranial procedures for the treatment of hydrocephalus, colloid and arachnoid cysts, as well as intraventricular tumors, were analyzed. Although the complication rate in endoscopic neurosurgery is low, severe, rarely even life-threatening, complications may occur. The complication rate decreases markedly with surgical experience, indicating a steep learning curve.

Tài liệu tham khảo

Abdou MS, Cohen AR (1998) Endoscopic treatment of colloid cysts of the third ventricle. J Neurosurg 89:1062–1068 Buxton N, Macarthur D, Mallucci C, Punt J, Vloeberghs M (1998) Neuroendoscopic third ventriculostomy in patients less than 1 year old. Pediatr Neurosurg 29:73–76 Buxton N, Macarthur D, Mallucci C, Punt J, Vloeberghs M (1998) Neuroendoscopy in the premature population. Childs Nerv Syst 14:649–652 Caemaert J, Abdullah J, Calliauw L (1994) Endoscopic diagnosis and treatment of para- and intra-ventricular cystic lesions. Acta Neurochir Suppl (Wien) 61:69–75 Cohen AR (1993) Endoscopic ventricular surgery. Pediatr Neurosurg 19:127–134 Decq P, Le Guerinel C, Brugières P, Djindjian M, Silva D, Kéravel Y, Melon E, Nguyen JP (1998) Endoscopic management of colloid cysts. Neurosurgery 42:1288–1296 Gaab MR, Schroeder HWS (1998) Neuroendoscopic approach to intraventricular lesions. J Neurosurg 88:496–505 Guiot G (1973) Ventriculo-cisternostomy for stenosis of the aqueduct of Silvius. Acta Neurochir Wien 28:275–289 Handler MH, Abbott R, Lee M (1994) A near-fatal complication of endoscopic third ventriculostomy: case report. Neurosurgery 35:525–527 Hopf NJ, Grunert P, Fries G, Resch KDM, Perneczky A (1999) Endoscopic third ventriculostomy: outcome analysis of 100 consecutive procedures. Neurosurgery 44:795–806 Jones RFC, Kwok BCT, Stening WA, Vonau M (1994) Neuroendoscopic third ventriculostomy. A practical alternative to extracranial shunts in non-communicating hydrocephalus. Acta Neurochir Suppl (Wien) 61:79–83 Manwaring KH, Fritsch MJ (1998) Endoscopic aqueductal stenting as an option for obstructive hydrocephalus. Neurosurgery 43:712–713 McLaughlin MR, Wahlig JB, Kaufmann AM, Albright AL (1997) Traumatic basilar aneurysm after endoscopic third ventriculostomy: case report. Neurosurgery 41:1400–1404 Oka K, Yamamoto M, Ikeda K, Tomonaga M (1993) Flexible endoneurosurgical therapy for aqueductal stenosis. Neurosurgery 33:236–242 Schroeder HWS, Gaab MR (1997) Neuroendoscopic approach to lesions in the pineal region. Clin Neurol Neurosurg 99 [Suppl 1]:S39 Schroeder HWS, Gaab MR (1999) Endoscopic aqueductoplasty: technique and results. Neurosurgery 45:508–518 Schroeder HWS, Gaab MR (2002) Endoscopic resection of colloid cysts. Neurosurgery 51:1441–1445 Schroeder HWS, Gaab MR, Niendorf W-R (1996) Neuroendoscopic approach to arachnoid cysts. J Neurosurg 85:293–298 Schroeder HWS, Warzok RW, Assaf JA, Gaab MR (1999) Fatal subarachnoid hemorrhage after endoscopic third ventriculostomy—case report. J Neurosurg 90:153–155 Schroeder HWS, Niendorf W-R, Gaab MR (2002) Complications of third ventriculostomy. J Neurosurg 96:1032–1040 Teo C, Jones RFC, Stening WA, Kwok BCT (1991) Neuroendoscopic third ventriculostomy. In: Matsumoto S (ed) Hydrocephalus: pathogenesis and treatment. Springer, New York Berlin Heidelberg, pp 680–691 Teo C, Rahman S, Boop F (1995) Complications of endoscopic neurosurgery. Childs Nerv Syst 11:539–539