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Child's Nervous System

, Volume 27, Issue 9, pp 1489–1492 | Cite as

Pure endoscopic removal of pineal region tumors

  • Sandeep SoodEmail author
  • Mark Hoeprich
  • Steven D. Ham
Technical Note

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.

Keywords

Pineal tumor Endoscopic surgery Tumor resection 

Supplementary material

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

References

  1. 1.
    Broggi M, Darbar A, Teo C (2010) The value of endoscopy in the total resection of pineocytomas. Neurosurgery 67(3 Suppl Operative):ons159–ons165PubMedCrossRefGoogle Scholar
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    Gore PA, Gonzalez LF, Rekate HL, Nakaji P (2008) Endoscopic supracerebellar infratentorial approach for pineal cyst resection: technical case report. Neurosurgery 62(3 Suppl 1):108–109, discussion 109PubMedCrossRefGoogle Scholar
  3. 3.
    Grover K, Sood S (2010) Midline suboccipital burr hole for posterior fossa craniotomy. Childs Nerv Syst 26(7):953–955PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  1. 1.Department of Pediatric NeurosurgeryChildren’s Hospital of Michigan, Wayne State University School of MedicineDetroitUSA
  2. 2.Department of NeurosurgeryWayne State University School of MedicineDetroitUSA

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