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Related Experiment Video

Updated: Jun 20, 2026

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
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Published on: October 14, 2022

Third ventriculostomy in a single pediatric surgical unit.

Dorothee Egger1, Bettina Balmer, Stefan Altermatt

  • 1Department of Pediatric Surgery, University Children's Hospital Zürich, 8032, Zürich, Switzerland. D.Egger@access.uzh.ch

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
|September 29, 2009
PubMed
Summary

Endoscopic third ventriculostomy (ETV) is a safe treatment for obstructive hydrocephalus. While successful in some infants, a lower success rate in smaller centers suggests centralization may improve outcomes.

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Area of Science:

  • Neurosurgery
  • Pediatric Neurosurgery

Background:

  • Obstructive hydrocephalus is a common condition in infants.
  • Endoscopic third ventriculostomy (ETV) has emerged as a popular treatment option.

Purpose of the Study:

  • To evaluate the outcomes of ETV in infants with obstructive hydrocephalus.
  • To assess the safety, reliability, and efficacy of ETV performed by a single surgeon.

Main Methods:

  • Retrospective data collection from July 1999 to June 2005.
  • 14 pediatric patients underwent ETV for obstructive hydrocephalus.
  • Median follow-up of 5 years and 9 months; ETV failure defined as need for further surgery.

Main Results:

  • ETV was successful in 6 out of 14 patients.
  • 8 patients required further treatment, including ventriculoperitoneal shunts.
  • One patient with shunt failure was successfully treated with a second ETV.

Conclusions:

  • ETV can be performed in small pediatric units, but success rates may be lower due to surgeon experience.
  • Centralization of cases is proposed to improve ETV success rates.
  • ETV is a safe and effective treatment, with better outcomes observed in children compared to infants.