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Pure endoscopic removal of pineal region tumors

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Abstract

Purpose

Endoscopic resection of pineal tumors using an endoscope with a mounted rigid suction that allows bimanual handling of the tumor for resection. This contrasts to the established method of biopsy of pineal tumors through intraventricular approach.

Methods

Two patients, one with a cystic lesion in the pineal region and one with a large pineal tumor, were operated in sitting position through a subtorcular approach. Endoscope was held in the left hand with suction tip extending beyond the tip through its instrument channel. Regular microsurgical instrumentation/CUSA/Nico Aspirator was used with the right hand for dissection, cutting, and removing the tumor under endoscopic vision.

Result

Surgeon comfort was superior to when microscope is used in sitting position. Complete resection was achieved in all cases.

Conclusion

The two-handed endoscopic technique using a mounted suction on the endoscope as described is a safe and effective strategy for resecting pineal region tumors.

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Author information

Authors and Affiliations

  1. Department of Pediatric Neurosurgery, Children’s Hospital of Michigan, Wayne State University School of Medicine, 3901 Beaubien, second floor, Detroit, MI, 48201, USA

    Sandeep Sood & Steven D. Ham

  2. Department of Neurosurgery, Wayne State University School of Medicine, Detroit, MI, USA

    Mark Hoeprich

Authors
  1. Sandeep Sood
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  2. Mark Hoeprich
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  3. Steven D. Ham
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Corresponding author

Correspondence to Sandeep Sood.

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Video legend: Endoscopic subtorcular approach with two-handed technique showing resection of pineal tumor (MPG 15,858 kb)

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Sood, S., Hoeprich, M. & Ham, S.D. Pure endoscopic removal of pineal region tumors. Childs Nerv Syst 27, 1489–1492 (2011). https://doi.org/10.1007/s00381-011-1490-1

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  • DOI: https://doi.org/10.1007/s00381-011-1490-1

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