Jung Tae-Young, Chong Sangjoon, Kim In-Young, Lee Ji Yeoun, Phi Ji Hoon, Kim Seung-Ki, Kim Jae-Hyoo, Wang Kyu-Chang
Department of Neurosurgery, Chonnam National University Medical School and Hwasun Hospital, Hwasun, Korea.
Division of Pediatric Neurosurgery and Clinical Pediatric Neuroscience Center, Seoul National University Children's Hospital, Seoul, Korea.
J Korean Neurosurg Soc. 2017 May;60(3):282-288. doi: 10.3340/jkns.2017.0101.014. Epub 2017 May 1.
A variety of complications in endoscopic third ventriculostomy have been reported, including neurovascular injury, hemodynamic alterations, endocrinologic abnormalities, electrolyte imbalances, cerebrospinal fluid leakage, fever and infection. Even though most complications are transient, the overall rate of permanent morbidity is 2.38% and the overall mortality rate is 0.28%. To avoid these serious complications, we should keep in mind potential complications and how to prevent them. Proper decisions with regard to surgical indication, choice of endoscopic entry and trajectory, careful endoscopic procedures with anatomic orientation, bleeding control and tight closure are emphasized for the prevention of complications.
内镜下第三脑室造瘘术已报道了多种并发症，包括神经血管损伤、血流动力学改变、内分泌异常、电解质失衡、脑脊液漏、发热和感染。尽管大多数并发症是短暂的，但永久性致残率总体为2.38%，总死亡率为0.28%。为避免这些严重并发症，我们应牢记潜在并发症及其预防方法。强调在手术适应证、内镜进入路径和轨迹的选择、基于解剖定位的仔细内镜操作、出血控制及严密缝合等方面做出恰当决策，以预防并发症。
