Comparison of different endoscopic techniques for the treatment of hydrocephalus in children

İngilizce (OpenAlex)

AIM: To present a series of hydrocephalus cases treated with different endoscopic techniques, and to compare their surgical outcomes. MATERIAL AND METHODS: Sixty-one patients underwent endoscopic approach for treating hydrocephalus over a 5-year period. Forty-six patients were children. Three surgical techniques [i.e., endoscopic third ventriculostomy (ETV), ETV plus shunting, and simultaneous ETV plus aqueductoplasty] were used in these patients. Surgical results were statistically analyzed based on age, gender, and type of surgery. RESULTS: Of the 46 children, 24 (52.17%) were female with a mean age of 25.33 months. Twenty-one (45.65%) children underwent ETV alone, 19 underwent ETV plus ventriculoperitoneal shunting, and six underwent simultaneous ETV plus aqueductoplasty. Five (10.87%) children died during the follow-up period. No correlation was observed between surgery type and patient age. No statistically significant differences in sex and complications were found between the surgical techniques. CONCLUSION: ETV alone is the safest method for treating hydrocephalus in children. Mortality is higher in patients younger than 12 months who underwent combined surgical methods, instead of ETV alone.