title: [Endoscopic ventriculocisternostomy complications in 108 hydrocephalic patients].
abstract: OBJECTIVE
  Several reports have been published in relation to complications, sometimes fatal, associated to endoscopic ventriculocisternostomy (EVC). The objective of this study was to determine the range of complications using this surgical technique in a series of 108 patients.
  
  
  METHODS
  A retrospective and descriptive study was performed on 108 hydrocephalic patients: 76 children and 32 adults. All of them presented various forms of obstructive hydrocephalus.
  
  
  RESULTS
  In a total of 108 patients, 114 EVC were performed. The follow-up period ranged between 6 months and 10 years (mean 6.8 years). Age of patients ranged from 6 days to 75 years old (mean 18 years). Aqueductal stenosis was the most common aetiology, with 62 patients (57.4%). Significant complications occurred in 10 patients (9.2%). During the course of the study, the complication rate dropped significantly. No patient died because of the procedure (mortality 0%). We applied the Endoscopic Third Ventriculostomy Success Score (ETVSS) developed by Kulkarni and collaborators to our series to know if this score could be useful in predicting ETV results.
  
  
  CONCLUSIONS
  Like all minimally-invasive techniques, there is a steep learning curve for EVC. Correct patient selection and surgeon experience (which means not only familiarity with endoscopic techniques but also the performance of a minimum number of surgeries per year) are very important to avoid complications. The ETV Success Score devised closely approximates the predicted probability of ETV success.
authors: Especialista de 2.̊ grado en Neurocirugía, Profesor e Investigador Auxiliar, Departamento de Neurocirugía, Centro Nacional de Cirugía de Mínimo Acceso (CNCNA), 10 de octubre, La Habana, Cuba. Electronic address: alonsof@infomed.sld.cu.
authors: Luis
authors: L
authors: Alonso-Fernández
authors: Especialista de 2.̊ grado en Neurocirugía, Máster en Urgencias Médicas, Profesora Auxiliar, Departamento de Neurocirugía, Centro Nacional de Cirugía de Mínimo Acceso (CNCNA), 10 de octubre, La Habana, Cuba.
authors: Tania
authors: T
authors: Leyva-Mastrapa
authors: Especialista de 2.̊ grado en Neurocirugía, Profesor Auxiliar, Departamento de Neurocirugía, Clínica Central «Cira García», La Habana, Cuba.
authors: Enrique
authors: E
authors: deJongh-Cobo
authors: Especialista de 2.̊ grado en Neonatología, Doctor en Ciencias Médicas, Profesor Titular, Hospital Pediátrico Docente «Juan Manuel Márquez», La Habana, Cuba.
authors: Manuel
authors: M
authors: Díaz-Alvarez
authors: Especialista de 1.(er) grado en Anestesiología y Reanimación, Centro Nacional de Cirugía de Mínimo Acceso (CNCNA), 10 de octubre, La Habana, Cuba.
authors: Ingrid
authors: I
authors: Quintana-Pajon
authors: Profesora Auxiliar, Doctora en Ciencias, Metodóloga Departamento de Docencia CNCMA, Centro Nacional de Cirugía de Mínimo Acceso (CNCNA), 10 de octubre, La Habana, Cuba.
authors: Irene Barrios
authors: IB
authors: Osuna
authors: Especialista de 1.(er) grado en Medicina General Integral y Bioestadística, Profesora Instructora, Centro Nacional de Cirugía de Mínimo Acceso (CNCNA), 10 de octubre, La Habana, Cuba.
authors: Maricela
authors: M
authors: Morera-Pérez
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D004724:Endoscopy; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000601:surgery*; D007223:Infant; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014696:Ventriculostomy / Q000009:adverse effects* / Q000379:methods*; D055815:Young Adult
keywords: Complicaciones; Complications; Endoscopic ventriculocisternostomy; Hidrocefalia; Hydrocephalus; Neuroendoscopia; Neuroendoscopy; Ventriculocisternostomía endoscópica