gms | German Medical Science

63rd Annual Meeting of the German Society of Neurosurgery (DGNC)
Joint Meeting with the Japanese Neurosurgical Society (JNS)

German Society of Neurosurgery (DGNC)

13 - 16 June 2012, Leipzig

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Long-term results of endoscopic third ventriculostomy

Meeting Abstract

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  • S. Vulcu - Klinik für Neurochirurgie, Universitätskliniken des Saarlandes, Homburg/Saar, Germany
  • L. Eickele - Klinik für Neurochirurgie, Universitätskliniken des Saarlandes, Homburg/Saar, Germany
  • J. Oertel - Klinik für Neurochirurgie, Universitätskliniken des Saarlandes, Homburg/Saar, Germany

Deutsche Gesellschaft für Neurochirurgie. Japanische Gesellschaft für Neurochirurgie. 63. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), Joint Meeting mit der Japanischen Gesellschaft für Neurochirurgie (JNS). Leipzig, 13.-16.06.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. DocSA.10.08

doi: 10.3205/12dgnc377, urn:nbn:de:0183-12dgnc3776

Published: June 4, 2012

© 2012 Vulcu et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

Text

Objective: Endoscopic third ventriculostomy (ETV) is the therapy of choice in obstructive hydrocephalus. in general the success rate scores between 60–85%. However, only a short follow-up period was evaluated in most studies since most surgical failures become evident within the first 8 weeks after surgery.

Methods: Data of all ETVs performed between 1993 and 1999 at the Neurochirurgische Universitätsklinik Mainz were retrospectively evaluated.

Results: Of 113 patients and 126 procedures, a complete data set was available for analysis. The mean follow-up time was 7 years with a maximum of 16 years. The perioperative complication rate was 9%. The clinical success rate at three months after surgery was 82%. This success rate remained almost unchanged over the years with a success rate of 78% after 16 years follow-up. The patient's age and general condition as well as hydrocephalus etiology at the time of surgery had a significant impact on the success rate while prior shunt dependence did not influence the ETV success.

Conclusions: All in all, this study shows that the early success rate of ETV remains almost unchanged up to 16 years after surgery. Major influencing factors for ETV success are: age, patients' preoperative health status and hydrocephalus etiology. A prior shunting procedure has no influence.