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Endoscopic colloid cyst excision: surgical techniques and nuances
Waleed Abdelfattah Azab1, Mustafa Najibullah2, Waleed Yosef2
1Department of Neurosurgery, Ibn Sina Hospital, PO Box 25427, 13115, Safat, Kuwait. waleedazab@hotmail.com.
Background:
Endoscopic excision of colloid cysts is currently well established as a minimally invasive and highly effective technique that is associated with less morbidity in comparison to microsurgical resection.
Methods:
Operative charts and videos of patients undergoing endoscopic colloid cyst excision were retrieved from the senior author's database of endoscopic procedures and reviewed. This revealed nine trans-foraminal and three trans-septal procedures. Description of the surgical techniques was then formulated.
Conclusions:
Variation of the technique is based on the specific patho-anatomical features of the colloid cyst being resected. For the trans-foraminal approach, we think that the rotational technique is associated with a more complete removal of the cyst wall and consequently lower recurrence rate.
