{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T08:55:40Z","timestamp":1784105740287,"version":"3.55.0"},"reference-count":35,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Colloid cysts are intracranial lesions originating from abnormalities in the primitive neuroepithelium folding of the third ventricle. Various surgical approaches have been explored for the management of colloid cysts, each carrying its own set of advantages and limitations. Tubular retractors developed recently alleviate retraction pressure through radial distribution, potentially offering benefits for colloid cyst resection. This study aims to introduce and assess a modified microsurgical method utilizing the tubular retractor for addressing colloid cysts.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Methods: <\/jats:title>\n<jats:p>The study included a retrospective assessment of patients who had colloid cysts and who were treated between 2015 and 2023 by one experienced surgeon. The demographic, clinical, radiological, histological, and surgical data regarding these patients were evaluated. The patients were assessed using the colloid cyst risk score, indicating a risk for obstructive hydrocephalus.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Results: <\/jats:title>\n<jats:p>The minimally invasive microsurgical approach was successfully applied to all 22 identified patients. No postoperative surgical complications were reported. Gross total resection was achieved in 21 (95.5%) patients. The early complication rate was 22.7% (<jats:italic>n<\/jats:italic> = 5). There were no postoperative seizures, permanent neurological deficits, or venous injuries. The average hospital stay was 3 days. There was no evidence of recurrence at an average follow-up length of 25.9 months.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st4\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>The transtubular approach is an effective, safe method for treating colloid cysts. It achieves complete cyst removal with minimal complications, offering the benefits of less invasiveness, improved visualization, and reduced tissue disruption, strengthening its role in colloid cyst surgery.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_231_2024","type":"journal-article","created":{"date-parts":[[2024,5,31]],"date-time":"2024-05-31T09:53:37Z","timestamp":1717149217000},"page":"179","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Utilizing tubular retractors in colloid cyst resection: A single surgeon experience"],"prefix":"10.25259","volume":"15","author":[{"given":"Muhammet Enes","family":"Gurses","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Miami University, Miami, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor M.","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Miami University, Miami, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neslihan Nisa","family":"Gecici","sequence":"additional","affiliation":[{"name":"Hacettepe University School of Medicine, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khushi Hemendra","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Miami University, Miami, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elif","family":"G\u00f6kalp","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, School of Medicine, Ankara University, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malek","family":"Bashti","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Miami University, Miami, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sameah","family":"Haider","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Miami University, Miami, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricardo J.","family":"Komotar","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Miami University, Miami, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2024,5,31]]},"reference":[{"key":"10.25259\/SNI_231_2024\/ref-1","doi-asserted-by":"crossref","first-page":"1062","DOI":"10.3171\/jns.1998.89.6.1062","article-title":"Endoscopic treatment of colloid cysts of the third ventricle. 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