Abstract
Intraventricular tumors are a unique and complex pathology in cranial neurosurgery because they are inherently difficult to access without violation of critical cortical and subcortical structures. As such, there have been many different approaches that have been developed over the past century that aid in surgically accessing the lateral and third ventricles without damaging critical structures, e.g., interhemispheric approach or transcortical approach through non-eloquent cortex. These approaches are technically demanding and often employ fixed retraction on parenchymal structures that may lead to unintended injury and post-operative deficits. More recently, a tubular retractor system (BrainPath, NICO Neuro Corp, Indianapolis, IN) utilizing trans-sulcal access points has been developed to assist in the surgical approach to these deep and complex lesions. In this chapter, we will outline open surgical approaches to access lateral and third ventricular tumors as well as describe the utilization of the BrainPath system with accompanying exoscope and operating microscope visualization systems for the resection of intraventricular pathologies.
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References
Andrews RJ, Bringas JR. A review of brain retraction and recommendations for minimizing intraoperative brain injury. Neurosurgery. 1993;33:1052–63; discussion 1063–1054.
Assina R, Rubino S, Sarris CE, Gandhi CD, Prestigiacomo CJ. The history of brain retractors throughout the development of neurological surgery. Neurosurg Focus. 2014;36:E8.
Chen CJ, Caruso J, Starke RM, Ding D, Buell T, Crowley RW, et al. Endoport-assisted microsurgical treatment of a ruptured periventricular aneurysm. Case Rep Neurol Med. 2016;2016:8654262.
Cohen-Gadol AA. Minitubular transcortical microsurgical approach for gross total resection of third ventricular colloid cysts: technique and assessment. World Neurosurg. 2013;79(207):e207–10.
Desai KI, Nadkarni TD, Muzumdar DP, Goel AH. Surgical management of colloid cyst of the third ventricle–a study of 105 cases. Surg Neurol. 2002;57:295–302; discussion 302–294.
Ding D, Starke RM, Crowley RW, Liu KC. Endoport-assisted microsurgical resection of cerebral cavernous malformations. J Clin Neurosci. 2015;22:1025–9.
Eichberg DG, Buttrick SS, Sharaf JM, Snelling BM, Shah AH, Ivan ME, et al. Use of tubular retractor for resection of colloid cysts: single surgeon experience and review of the literature. Oper Neurosurg (Hagerstown). 2019;16(5):571–9.
Eliyas JK, Glynn R, Kulwin CG, Rovin R, Young R, Alzate J, et al. Minimally invasive transsulcal resection of intraventricular and periventricular lesions through a tubular retractor system: multicentric experience and results. World Neurosurg. 2016;90:556–64.
Ellenbogen RG. Transcortical surgery for lateral ventricular tumors. Neurosurg Focus. 2001;10:E2.
Iyer R, Chaichana KL. Minimally invasive resection of deep-seated high-grade gliomas using tubular retractors and exoscopic visualization. J Neurol Surg A Cent Eur Neurosurg. 2018;79:330–6.
Kelly PJ, Goerss SJ, Kall BA. The stereotaxic retractor in computer-assisted stereotaxic microsurgery. Technical note. J Neurosurg. 1988;69:301–6.
Labib MA, Shah M, Kassam AB, Young R, Zucker L, Maioriello A, et al. The safety and feasibility of image-guided BrainPath-mediated transsulcul hematoma evacuation: a multicenter study. Neurosurgery. 2017;80:515–24.
Milligan BD, Meyer FB. Morbidity of transcallosal and transcortical approaches to lesions in and around the lateral and third ventricles: a single-institution experience. Neurosurgery. 2010;67:1483–96; discussion 1496.
Shucart W. Anterior transcollosal and transcortical approaches. In: Apuzzo M, editor. Surgery of the third ventricle. LWW; 1998.
Villani R, Tomei G. Approach to tumors of the third ventricle. In: Schmidek H, Roberts D, editors. Schmidek and Sweet's operative neurosurgical techniques: indications, methods, and results. 5th ed. Philadelphia: Saunders Elsevier; 2006. p. 772–85.
Zhong J, Dujovny M, Perlin AR, Perez-Arjona E, Park HK, Diaz FG. Brain retraction injury. Neurol Res. 2003;25:831–8.
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Weyhenmeyer, J., Scranton, R.A., Kulwin, C., Shah, M.V. (2022). Surgical Resection of Intraventricular Tumors Using a Minimally Invasive Parafascicular (MIP) Approach with a Navigated Tubular Retractor System. In: Zada, G., Pradilla, G., Day, J.D. (eds) Subcortical Neurosurgery. Springer, Cham. https://doi.org/10.1007/978-3-030-95153-5_17
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DOI: https://doi.org/10.1007/978-3-030-95153-5_17
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