Minim Invasive Neurosurg 2006; 49(6): 369-372
DOI: 10.1055/s-2006-961820
Original Article

© Georg Thieme Verlag KG · Stuttgart · New York

Endoscopy-Assisted Microsurgical Total Resection of Craniopharyngioma in Childhood

H. Kadri 1 , 2 , A. A. Mawla 1
  • 1Division of Paediatric Neurosurgery, Department of Neurosurgery, Moassat University Hospital, Damascus, Syria
  • 2Medical and Scientific Research Center, Arnous Squard, Damascus, Syria
Further Information

Publication History

Publication Date:
23 February 2007 (online)

Abstract

Craniopharyngioma is a benign tumour that needs total resection to reduce the recurrence rate and consequently improve the quality of life for the affected children. As this tumour is closely related to the optic nerves, chiasm and hypothalamus, total removal cannot be achieved without difficulty. It has been reported that total resection could be achieved in up to 75% of the patients by microsurgical techniques. In this study we aimed to improve the total resection rate by adding endoscopy to the microsurgical instrumentation. This has improved the total resection rate by nearly 10%.

References

  • 1 Kadri H, Mawla AA. Incidences of childhood brain tumor in Syria.  Pediatr Neurosurg. 2005;  41 173-177
  • 2 Aryan HE, Ozgur BM, Jandial R, Levy ML. Subfrontal transbasal approach and technique for resection of craniopharyngioma.  Neurosurg Focus. 2005;  18 ((6A)) E10
  • 3 Caldarelli M, Massimi L, Tamburrini G, Cappa M, Di Rocco C. Long-term results of the surgical treatment of craniopharyngioma: the experience at the Policlinico Gemelli, Catholic University, Rome.  Childs Nerv Syst. 2005;  21 747-757
  • 4 Liu JK, Cole CD, Kestle JR, Brockmeyer DL, Walker ML. Cranial base strategies for resection of craniopharyngioma in children.  Neurosurg Focus. 2005;  18 ((6A)) E9
  • 5 Rilliet B, Vernet O, Pica A. Geneva and Lausanne (French-speaking Switzerland) experience: in favor of the transsphenoidal approach when feasible.  Childs Nerv Syst. 2005;  21 725-728
  • 6 Xu JG, You C, Cai BW, Jiang S, Sun H, Guo FY, Yang YB, Wu B. Microsurgical resection of craniopharyngioma of the third ventricle via an improved transventricular approach.  Chin Med J (Engl). 2005;  118 806-811
  • 7 Fisher PG, Jenab J, Goldthwaite PT, Tihan T, Wharam MD, Foer DR, Burger PC. Outcomes and failure patterns in childhood craniopharyngiomas.  Childs Nerv Syst. 1998;  14 558-563
  • 8 Caldarelli M, di Rocco C, Papacci F, Colosimo Jr C. Management of recurrent craniopharyngioma.  Acta Neurochir (Wien). 1998;  140 447-454
  • 9 Kalapurakal JA, Goldman S, Hsieh YC, Tomita T, Marymont MH. Clinical outcome in children with craniopharyngioma treated with primary surgery and radiotherapy deferred until relapse.  Med Pediatr Oncol. 2003;  40 214-218
  • 10 Mottolese C, Szathmari A, Berlier P, Hermier M. Craniopharyngiomas: our experience in Lyon.  Childs Nerv Syst. 2005;  21 790-798
  • 11 Sosa IJ, Krieger MD, McComb JG. Craniopharyngiomas of childhood: the CHLA experience.  Childs Nerv Syst. 2005;  21 785-789
  • 12 Tomita T, Bowman RM. Craniopharyngiomas in children: surgical experience at Children's Memorial Hospital.  Childs Nerv Syst. 2005;  21 729-746
  • 13 Weiss M, Sutton L, Marcial V, Fowble B, Packer R, Zimmerman R, Schut L, Bruce D, D'Angio G. The role of radiation therapy in the management of childhood craniopharyngioma.  Int J Radiat Oncol Biol Phys. 1989;  17 1313-1321
  • 14 Zuccaro G. Radical resection of craniopharyngioma.  Childs Nerv Syst. 2005;  21 679-690
  • 15 Ersahin Y, Yurtseven T, Ozgiray E, Mutluer S. Craniopharyngiomas in children: Turkey experience.  Childs Nerv Syst. 2005;  21 766-772
  • 16 Wang KC, Hong SH, Kim SK, Cho BK. Origin of craniopharyngiomas: implication on the growth pattern.  Childs Nerv Syst. 2005;  21 628-634
  • 17 Bohn D, Davids MR, Friedman O, Halperin ML. Acute and fatal hyponatraemia after resection of a craniopharyngioma: a preventable tragedy.  QJM. 2005;  98 691-703
  • 18 Halac I, Zimmerman D. Endocrine manifestations of craniopharyngioma.  Childs Nerv Syst. 2005;  21 640-648
  • 19 Scott RM. Craniopharyngioma: a personal (Boston) experience.  Childs Nerv Syst. 2005;  21 773-777

Correspondence

Dr. Hassan KadriM.D., Ph.D., Professor 

P.O. Box 6682·Damascus

Syria

Phone: +963/94/25 71 76

Email: drkadri@yahoo.com

    >