Intraventricular Tumor Resection

1. Introduction

2. Craniotomy over Coronary Suture

1. Prep and Drape
2. Incision
3. Drill Burr Holes
4. Use Craniotome and Remove Bone Flap
5. Hemostasis

3. Preparing Interhemespheric Space

1. Open Dura
2. Suture Dura to Bone
3. Preparing Interhemespheric Fissure
4. Resolve Cingulate Gyrus Adhesions

4. Opening the Corpus Callosum

1. Identifying Anterior Pericallosal Arteries
2. Gauge Location with Navigation
3. Open Ventricle and Drain CSF
4. Obtain Entry into Ventricle

5. Identify and Prepare Tumor

1. Identify Tumor
2. Identify and Prepare Tumor Boundaries

6. Tumor Resection

1. Remove Tumor
2. Check for Tumor Remnants
3. Ensure All Important Structures are Intact
4. Hemostasis

7. Craniotomy Closure

1. Close Callosotomy
2. Close Dura
3. Refix Bone Flap
4. Wound Closure

8. Post-op Remarks