Repository of Research and Investigative Information

Repository of Research and Investigative Information

Ilam University of Medical Sciences

Comparison of microscopic and endoscopic resection of third-ventricular colloid cysts: A systematic review and meta-analysis

Fri Oct 7 02:42:55 2022

(2022) Comparison of microscopic and endoscopic resection of third-ventricular colloid cysts: A systematic review and meta-analysis. Clinical Neurology and Neurosurgery. p. 107179. ISSN 1872-6968 (Electronic) 0303-8467 (Linking)

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Official URL: https://www.ncbi.nlm.nih.gov/pubmed/35220036

Abstract

BACKGROUND AND AIM: Colloid cysts are uncommon benign lesions. There is a lack of consensus regarding the preferred surgical strategy for colloid cyst resection; the technique with the optimal rates of remission, recurrence, mortality, and complications is debatable. MATERIALS AND METHODS: To determine surgical outcomes, we performed a systematic review of the published literature on Colloid cysts. Eligible studies (n = 63) with a prospective or retrospective evaluation of endoscopic or microscopic resection of third ventricle colloid cysts were included, which contained data describing extents of resection, seizures, meningitis, and tumor recurrence. A total of 3143 patients (1741 microscopically and 1402 endoscopically operated) were included in the final analysis. RESULTS: According to the results of the meta-analysis, there was a higher rate of gross total resection (GTR) (98.15 versus 91.29, p = 0.00), need for shunting (4.75 versus 1.46, p = 0.04), postoperative complications (20.68 versus 10.42, P = 0.03), mean operating time (194.18 versus 113.04 min), and duration of hospitalization (7.85 versus 4.69 days) for microscopic resection compared with endoscopic resection. While endoscopic resection is associated with a higher rate of cyst recurrence (1.78 versus 0.00, P = 0.00), there was no difference in reoperation rate (0.49 for endoscopic versus 0.09 for microscopic resection). CONCLUSION: Microsurgical resection of third ventricle colloid cysts was associated with a higher rate of GTR and a lower rate of recurrence, while there was a lower rate of postoperative complications, duration of surgery, and shorter hospitalization period in the endoscopic group.

Item Type: Article
Creators:
CreatorsEmail
Sayehmiri, F.UNSPECIFIED
Starke, R. M.UNSPECIFIED
Eichberg, D. G.UNSPECIFIED
Ghanikolahloo, M.UNSPECIFIED
Rahmatian, A.UNSPECIFIED
Fathi, M.UNSPECIFIED
Vakili, K.UNSPECIFIED
Ebrahimzadeh, K.UNSPECIFIED
Rezaei, O.UNSPECIFIED
Samadian, M.UNSPECIFIED
Mousavinejad, S. A.UNSPECIFIED
Maloumeh, E. N.UNSPECIFIED
Tavasol, H. H.UNSPECIFIED
Sharifi, G.UNSPECIFIED
Keywords: Colloid cyst Endoscopic surgery Microscopic surgery Third ventricle
Divisions:
Page Range: p. 107179
Journal or Publication Title: Clinical Neurology and Neurosurgery
Journal Index: Pubmed
Volume: 215
Identification Number: https://doi.org/10.1016/j.clineuro.2022.107179
ISSN: 1872-6968 (Electronic) 0303-8467 (Linking)
Depositing User: مهندس مهدی شریفی
URI: http://eprints.medilam.ac.ir/id/eprint/3860

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