title: The use of transcallosal-interforniceal approach for microsurgical removal of the third ventricle tumors.
abstract: OBJECTIVE
  The third ventricle is located deep in the brain and is adjacent to important neurovascular structures. This makes tumor resection in this region difficult and causes more postoperative complications than surgeries in other regions of the brain. The objective of this study was to investigate the feasibility and clinical effects of transcallosal-interforniceal approach for microsurgical removal of the third ventricle tumors.
  
  
  METHODS
  After preoperative evaluation, 23 patients with the third ventricle tumors were microsurgically operated using the transcallosal-interforniceal approach.
  
  
  RESULTS
  Of these 23 patients, 12 (52.2%) underwent total excision, 9 (39.1%) had subtotal resection, and the remaining 2 (8.7%) underwent partial excision. After surgery, the following complications were observed: diabetes insipidus (11 patients), hemorrhages of the upper digestive tract (2 patients), central fever (1 patient), and memory impairment (1 patient). No mortality in the perioperative period was reported.
  
  
  CONCLUSIONS
  The surgical procedure using the transcallosal-interforniceal approach is direct and provides good surgical field exposure and fewer post operational compilations. This approach should be considered as the method of choice for surgical removal of the third ventricle tumors.
authors.affiliation: Department of Neurosurgery, The First Affiliated Hospital of Xinxiang Medical University, Weihui, China - 13938765496@136.com.
authors.forename: B Z
authors.initials: BZ
authors.lastname: Jin
authors.forename: G Y
authors.initials: GY
authors.lastname: Yuan
authors.forename: S Z
authors.initials: SZ
authors.lastname: Yue
authors.forename: X
authors.initials: X
authors.lastname: Zhou
authors.forename: Q K
authors.initials: QK
authors.lastname: Guan
authors.forename: D W
authors.initials: DW
authors.lastname: Xu
authors.forename: L Y
authors.initials: LY
authors.lastname: Huang
authors.forename: W K
authors.initials: WK
authors.lastname: Zhou
authors.forename: G S
authors.initials: GS
authors.lastname: Zhou
authors.forename: X Z
authors.initials: XZ
authors.lastname: Zhang
mesh_terms: D000293:Adolescent; D000328:Adult; D002551:Cerebral Ventricle Neoplasms / Q000601:surgery*; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000379:methods*; D020542:Third Ventricle / Q000473:pathology / Q000601:surgery*; D055815:Young Adult