Giant Choroid Plexus Papilloma Resection Utilizing a Transcollation System.

Area of Science:

• Neurosurgery
• Pediatric Oncology
• Vascular Surgery

Background:

• Large, vascular brain tumors like choroid plexus papilloma (CPP) present significant surgical challenges in young children.
• Intraoperative hemostasis and minimizing blood loss are critical concerns during resection of these highly vascular tumors.
• Total resection offers a cure but carries substantial surgical risks, particularly concerning hemorrhage control.

Observation:

• A 3-year-old girl with a giant choroid plexus papilloma (CPP) in the right lateral ventricle required surgical intervention.
• The tumor's significant vascularity and the patient's limited intravascular reserve necessitated advanced hemostatic techniques.
• A transcollation system was employed during surgery to mitigate intraoperative blood loss.

Findings:

• Gross total resection of the CPP was successfully achieved.
• Intraoperative blood loss was approximately 300 mL, with no reported complications.
• Postoperative recovery was uneventful, and follow-up imaging at 3 months showed restored normal brain architecture.

Implications:

• Transcollation devices represent a valuable and safe addition to neurosurgical hemostatic tools.
• This technology can be particularly beneficial in high-risk intracranial tumor resections where hemorrhage is a major concern.
• The successful application in this pediatric case suggests broader utility in managing vascular neurosurgical challenges.