Endoscopic Excision of 3rd Ventricular Colloid Cyst

Objective: To evaluate the surgical outcomes of endoscopic resection of colloid cysts, focusing on assessing the extent of resection achieved and determining the rate of complications associated with the procedure. Materials & Methods: This prospective cohort study was conducted on symptomatic patients who underwent endoscopic removal of colloid cysts Neurosurgery department of Nishtar Medical University, Multan for 2 years. Demographic data, radiological data, clinical data, co-morbidities, length of hospital stay, duration of surgery, and complications that occurred in post-operative time were recorded. Preoperative radiological evaluations through CT scan and MRI were made for the determination of cyst size, location, presence of hydrocephalus, and enhancement. Results: The mean size of cysts of the patients was 17.54±1.17 mm. The mean operative time and length of stay in the hospital of the patients was 115.26±12.63 minutes and 5.38±1.72 days, respectively. It was seen that content suction was easy in 76.5% of patients and difficult in 23.5% of patients. EVD insertion was observed in 14.7% of patients. According to extent resection, there was complete resection in 73.5% of patients and subtotal resection along with coagulation of residual contents in 26.5% of patients. Wound infection was found in only one patient 2.9% and 2.9% of the patient died. Conclusion: Endoscopic resection of colloid cysts is an effective and reliable method, achieving complete removal in most cases while carrying a low risk of recurrence and exhibiting low morbidity and mortality rates.