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CC BY-NC-ND 4.0 · J Neurol Surg B Skull Base 2018; 79(S 02): S201-S202
DOI: 10.1055/s-0037-1620244
Skull Base: Operative Videos
Georg Thieme Verlag KG Stuttgart · New York

Extended Endoscopic Approach for Resection of Craniopharyngiomas

João Paulo Almeida
1   Division of Neurosurgery, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada
,
Suganth Suppiah
1   Division of Neurosurgery, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada
,
Claire Karekezi
1   Division of Neurosurgery, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada
,
Miguel Marigil-Sanchez
1   Division of Neurosurgery, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada
,
Jay S. Wong
2   Department of Otolaryngology/Head and Neck Surgery, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada
,
Allan Vescan
2   Department of Otolaryngology/Head and Neck Surgery, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada
,
Fred Gentili
1   Division of Neurosurgery, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada
,
Gelareh Zadeh
1   Division of Neurosurgery, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada
› Author Affiliations
Further Information

Publication History

12 October 2017

12 December 2017

Publication Date:
16 January 2018 (online)

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Abstract

Objectives Extended endoscopic approaches are useful for resection of selected craniopharyngiomas. Midline, extraventricular, and predominantly cystic lesions are good candidates for endoscopic resection. In this video, we demonstrate the endoscopic endonasal resection of a large suprasellar craniopharyngioma and discuss the nuances of the surgical technique.

Design/Setting Surgical video of an extended endoscopic approach for resection of a suprasellar craniopharyngioma.

Results We report the case of a 56-year-old woman who presented with bitemporal hemianopsia and visual acuity deterioration secondary to a large suprasellar solid–cystic lesion. The patient underwent an extended endoscopic transtuberculum approach for resection of the lesion, which was diagnosed as a papillary craniopharyngioma. This video discusses the anatomy and surgical technique applied for endoscopic resection of such lesions.

Conclusion Endoscopic endonasal surgery is a useful technique for management of craniopharyngiomas. It is associated with good clinical outcomes in selected cases. Complications, such as postoperative CSF leak, may occur and should be carefully managed.

The link to the video can be found at: https://youtu.be/EneOCiQE7yo.

Keywords

craniopharyngiomas - tuberculum - endoscopic - extended - endonasal