Abstract:Objective To investigate the application of various microsurgical approaches and microsurgical treatment strategy for lateral ventricle tumor.Methods A retrospective analysis was performed for the clinical data of 42 patients with lateral ventricle tumor who underwent microsurgical treatment in Wuhan Union Hospital from March 2006 to April 2013, including surgical approach, outcome, and prognosis. The patients' mean age was 35.8 years (range 1.25-67 years). All the patients underwent the microsurgical treatment, of whom 7 used middle frontal gyrus approach, 2 used longitudinal fissure-anterior transcallosal approach, 18 used superior parietal lobule approach, and 15 used temporal lobe cortex approach.Results Of all patients, 28 (66.7%) underwent total resection, 11 (26.2%) underwent subtotal resection, and 3 (7.1%) underwent partial resection. Two patients (4.8%) died after surgery. A total of 38 patients were followed up for a mean time of 70 months (range 39-97 months). As for the Glasgow Outcome Scale score, 8 patients had 1 point, 2 had 3 points, 3 had 4 points, and 25 had 5 points.Conclusions Lateral ventricle tumor has a deep location and a complex local anatomical relationship, and the determination of surgical approaches should consider the factors such as tumor location, size, and growth direction. Appropriate surgical approaches and proficient microsurgical skills help patients with lateral ventricle tumor to achieve a good outcome.