Al-Rekabi, M., Alkuzee, K. (2025). Comparative Outcomes of Transcallosal Microsurgical and Endoscopic Transcortical Approaches for Colloid Cyst Removal: A Single-Center Retrospective Analysis. , 24(2), 193-198. doi: 10.52573/ipmj.2025.149835
Muthanna Noaman Al-Rekabi; Kadhim Hassan Alkuzee. "Comparative Outcomes of Transcallosal Microsurgical and Endoscopic Transcortical Approaches for Colloid Cyst Removal: A Single-Center Retrospective Analysis". , 24, 2, 2025, 193-198. doi: 10.52573/ipmj.2025.149835
Al-Rekabi, M., Alkuzee, K. (2025). 'Comparative Outcomes of Transcallosal Microsurgical and Endoscopic Transcortical Approaches for Colloid Cyst Removal: A Single-Center Retrospective Analysis', , 24(2), pp. 193-198. doi: 10.52573/ipmj.2025.149835
Al-Rekabi, M., Alkuzee, K. Comparative Outcomes of Transcallosal Microsurgical and Endoscopic Transcortical Approaches for Colloid Cyst Removal: A Single-Center Retrospective Analysis. , 2025; 24(2): 193-198. doi: 10.52573/ipmj.2025.149835

Comparative Outcomes of Transcallosal Microsurgical and Endoscopic Transcortical Approaches for Colloid Cyst Removal: A Single-Center Retrospective Analysis

Iraqi Postgraduate Medical Journal
Article 7, Volume 24, Issue 2, April 2025, Pages 193-198    PDF (303.5 K)
Document Type: Research Paper
DOI: 10.52573/ipmj.2025.149835
Authors
Muthanna Noaman Al-Rekabi* 1; Kadhim Hassan Alkuzee2
1Neurosurgical teaching hospital
2Department of neurosurgery, neurosurgery teaching hospital
Abstract
Abstract

Objectives:

Colloid cysts in the third ventricle are benign intraventricular tumors, with surgical treatment often recommended. This study compares the outcomes of endoscopic transcortical and microscopic transcallosal approaches for colloid cyst removal.

Methods:

A retrospective analysis of 22 patients (15 male, 7 female) who underwent colloid cyst resection between March 2012 and December 2018 was performed. Patients underwent either a transcallosal approach (14 patients) or an endoscopic approach (8 patients). Descriptive statistics and various tests were utilized to analyze the data.

Results:

Complete resection was achieved in 85% of transcallosal cases and 25% of endoscopic cases. Complications were fewer in the transcallosal group, with two patients experiencing memory loss and disconnection syndrome. The endoscopic group had more complications, including left-side weakness, dysarthria, and CSF leak. Surgery duration was shorter for the transcallosal group (2.5 hours) than the endoscopic group (3.25 hours). Hospital stay duration was also shorter for the transcallosal group (4 days) than the endoscopic group (6 days). Glasgow outcome scale results favored the transcallosal group.

Conclusion:

Our study demonstrated that total resection was more common in transcallosal surgery, which also had better Glasgow outcome scale results, shorter surgery times, and reduced hospitalization durations.
Keywords
Keywords: Colloid Cyst; Transcallosal Microsurgical Approach; Endoscopic Transcortical Approach
References
  1. Sabanci PA, Yavuz AR, Achmet AL, Unal TC, Dolen D, Sencer S, Nail IZ, Faruk UN, Barlas O. Transcortical removal of third ventricular colloid cysts: comparison of conventional, guided microsurgical and endoscopic approaches and review of the literature 2017;27:5-7.
  2. Alioune Badara T, Elyse Denise Okome M, Ndaraw N, Mbaye T, Seydou Boubacar B. Endoscopic treatment of colloid cysts of third ventricle: study of three cases 2016; 1 (4) :15-19.
  3. Rizk AR, Bettag M. Multiple colloid cysts: case report and literature review. Journal of Neurological Surgery Part A: Central European Neurosurgery. 2018;79(06):536-40.
  4. Sayehmiri F, Starke RM, Eichberg DG, Ghanikolahloo M, Rahmatian A, Fathi M, Vakili K, Ebrahimzadeh K, Rezaei O, Samadian M, Mousavinejad SA. Comparison of microscopic and endoscopic resection of third-ventricular colloid cysts: a systematic review and meta-analysis. Clinical neurology and neurosurgery. 2022;215:107179.
  5. Nair S, Gopalakrishnan C, Menon G, Easwer H, Abraham M. Interhemispheric transcallosal transforaminal approach and its variants to colloid cyst of third ventricle: technical issues based on a single institutional experience of 297 cases. Asian Journal of 2016;11(3):2-7.
  6. Eshra MA. Endoscopic management of third ventricular colloid cysts in mildly dilated lateral ventricles. Neurosurgical review. 2019 ;42(1):127-32.
  7. Unal TC, Sencer A, Dolas I, Gulsever CI, Sahin D, Dolen D, Ozata MS, Ozturk M, Aras Y, Aydoseli A. Full-endoscopic removal of third ventricular colloid cysts: technique, results, and limitations. Frontiers in surgery. 2023 ;10:1174144.
  8. Weaver KJ, McCord M, Neal D, Bova F, Rajon D, Quinones-Hinojosa A, Rahman M. Do tumor and ventricular volume predict the need for postresection shunting in colloid cyst patients?. Journal of neurosurgery. 2016 ;125(3):585-90.
  9. Majmundar N, Ward M, Liu JK. Feasibility and Challenges of Microsurgical Resection of Colloid Cysts in Patients with Preexisting Ventriculoperitoneal Shunts. World Neurosurgery. 2020 ;133:e492-97.
  10. Elshamy W, Burkard J, Gerges M, Erginoglu U, Aycan A, Ozaydin B, Dempsey RJ, Baskaya MK. Surgical approaches for resection of third ventricle colloid cysts: meta-analysis. Neurosurgical review. 2021 :1-0.
  11. Sethi A, Cavalcante D, Ormond DR. Endoscopic versus microscopic transcallosal excision of colloid cysts: a systematic review in the era of complete endoscopic excision. World neurosurgery. 2019;132:e53-58.
  12. Alkhaibary A, Baydhi L, Alharbi A, Alshaikh AA, Khairy S, Abbas M, Aboushady AM, Almuntashri M, Alassiri AH, Alkhani A, Alferayan AA. Endoscopic versus open microsurgical excision of colloid cysts: a comparative analysis and state-of-the-art review of neurosurgical techniques. World Neurosurgery. 2021;149:e298-308.
  13. Omay SB, Atsina KK, Baehring JM. Nonneoplastic mass lesions of the central nervous system. InHandbook of Neuro-Oncology Neuroimaging 2016:653-65. Academic Press.
  14. Esposito V, di Russo P, Del Maestro M, Ciavarro M, Vangelista T, De Angelis M, Fava A, Morace R. The interhemispheric transgenual approach for microsurgical removal of third ventricle colloid cysts. Technical note. World Neurosurgery. 2020 ;142:197-205.
  15. Barbagallo GM, Raudino G, Visocchi M, Maione M, Certo F. Out-of-third ventricle colloid cysts: review of the literature on pathophysiology, diagnosis and treatment of an uncommon condition, with a focus on headache. Journal of Neurosurgical Sciences. 2016 ;63(3):330-36.
Statistics
Article View: 322
PDF Download: 152


Journal Management System. Powered by iJournalPro.com