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AC or RCC | Author and year | Case numbers | Decompression method | Packing or reconstruction method | Complications | Recurrence |
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AC | Dubuisson et al. (2007) [3] | 9 | Microscopically, cyst removed totally (2) and partially (7), communicating with SAS | Adipose tissue (4/9), bone pieces, biological glue, lumbar puncture drainage | 1 permanent diabetes insipidus (11%); 2 CSF fistula (22%) | FU from 2 months to 324 months, 0 recurrence |
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AC + RCC | Cavallo (2008) [2] | AC: 10 RCC: 20 | AC: microscopic or endoscopic, no cyst wall removal; RCC: endoscopic (20), cyst removed totally in purely suprasellar lesion, partially in sellar lesion | AC: adipose tissue and/or collagen sponge; RCC: 7 with reconstruction, 13 left open | AC: 2 CSF fistula (20%); RCC: 1 thalamic infarction (5%), 2 diabetes insipidus (10%), 1 CSF fistula (5%) | AC: FU 10 to 94 months, 1 recurrence (10%); RCC: FU 7 to 70 months, 2 recurrence (10%) |
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AC | Mclaughlin et al. (2012) [6] | 8 | Microscopically or endoscopic approach, no cyst wall removal | Adipose tissue, titanium micromesh, fat and collagen buttress, acetazolamide for 48 hours | No | FU 6 to 47 months, 2 recurrence (25%) |
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RCC | Benveniste et al. (2004) [9] | 62 | Microscopically sublabial (37), endonasal (23), endoscopic endonasal (1) craniotomy (1), cyst wall removed totally (6) | Adipose tissue (19) + bone piece (55) or titanium mesh (1); left open (6) | 1 CSF fistula (1.6%), 1 abdominal fat graft harvest infection | FU 1 to 166 months, 10 recurrence (16%) |
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RCC | Aho et al. (2005) [10] | 118 | Microscopically sublabial (118), 114 cyst wall removed totally, | Adipose tissue (43) | 22 diabetes insipidus (19%), 1 CSF fistula (0.8%), 1 meningitis (0.8%) | FU over 60 months, 21 recurrence (18%) |
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RCC | Lillehei et al. (2011) [11] | 82 | Microscopically sublabial and endonasal, simple cyst drainage, alcohol cauterization | Gelfoam and bone strut, fibrin glue, spinal drain for intraoperative CSF leakage, 0 adipose tissue packing | 2 CSF fistula (2.4%), 3 transient DI (3.7%) | FU 4 to 163 months, 8 recurrence (9.7%) |
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RCC | Park et al. (2012) [7] | 73 | Microscopically and endoscopic assisted, cyst drainage | 34 packing adipose tissue, 22 packing surgically, 17 no packing, sellar reconstruction with bone, porous polyethylene, TachoComb with BioGlue | 2 CSF fistula (2.7%) | FU 12–166 months, 12 recurrence (16%) |
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AC + RCC | Oyama et al. (2014) [12] | AC: 6; RCC: 1 | Microscopically extended approach, cisternostomy | 7 dura stitches, no fat packing | 1 CSF fistula | FU 36 to 49 months, 2 recurrence (28%) |
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AC + RCC | Our series | AC: 3; RCC: 5 | Endoscopically endonasal, cyst drainage cisternostomy | 8 dura stitches, no fat packing, bone and BioGlue | 0 CSF fistula | FU 4 to 50 months, 1 recurrence (12%) |
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