3D-Slicer Software-Assisted Neuroendoscopic Surgery in the Treatment of Hypertensive Cerebral Hemorrhage

Abstract

Objective. To explore the 3D-slicer software-assisted endoscopic treatment for patients with hypertensive cerebral hemorrhage. Methods. A total of 120 patients with hypertensive cerebral hemorrhage were selected and randomly divided into control group and 3D-slicer group with 60 cases each. Patients in the control group underwent traditional imaging positioning craniotomy, and patients in the 3D-slicer group underwent 3D-slicer followed by precision puncture treatment. In this paper, we evaluate the hematoma clearance rate, nerve function, ability of daily living, complication rate, and prognosis. Results. The 3D-slicer group is better than the control group in various indicators. Compared with the control group, the 3D-slicer group has lower complications, slightly higher hematoma clearance rate, and better recovery of nerve function and daily living ability before and after surgery. The incidence of poor prognosis is low. Conclusion. The 3D-slicer software-assisted endoscopic treatment for patients with hypertensive intracerebral hemorrhage has a better hematoma clearance effect, which is beneficial to the patient’s early recovery and reduces the damage to the brain nerve of the patient.

Application of 3D Visualization Technology in Preoperative Planning of Giant Goiter

“…The latest research in the past mainly applied 3D visualization technology to preoperative planning of intracranial lesions and liver tumors [13][14][15][16][17][18][19],Through the 3D visualization technology, a 3D stereo model is constructed, and the size, specific location of the tumor and the anatomical relationship between the tumor and the surrounding adjacent tissues can be observed more intuitively [20,21], so that a fine surgical path can be formulated, which is similar to the content of this study. In all cases in this study, patients with giant goiter had varying degrees of tracheal compression, displacement, malformation, or luminal stenosis, which may make intraoperative anesthetic intubation difficult.…”

Comparison of the efficacy of neuronavigation-assisted intracerebral haematoma puncture and drainage with neuroendoscopic haematoma removal in the treatment of hypertensive cerebral haemorrhage

“…Current treatment for HICH includes conservative medication and surgery, However, the surgical management of HICH is controversial and there is no uniform standard for surgical indications, timing and choice of surgical approach. Nevertheless, for supratentorial haematoma > 30 mL with signi cant peri-haematoma oedema and midline shift, and for subratentorial haematoma > 10 mL with signi cant intracranial hypertension and cerebellar symptoms, impaired consciousness and progressive worsening of the condition; When brain herniation is present after a brain haemorrhage with dilated pupils on one side and loss of response to light; Intracerebroventricular haematoma cast or presence of obstructive hydrocephalus; All should be treated with aggressive surgical procedures [11][12][13] . The main objective of surgery is to relieve the pressure of the intracerebral haematoma on the surrounding brain tissue, relieve intracranial hypertension, minimise secondary brain damage caused by haematoma compression, save the patient's life and improve the patient's healing and quality of life.…”

Contact neuro-endoscopy-assisted cerebral hematoma evacuation under direct vision

“…The volume of the hematoma was measured to be 112.3 ml. Subsequently, the model was reconstructed using 3D-Slicer software ( 20 ), and a surgical plan was devised. The left hematoma was successfully cleared, and a right ventricular drainage procedure was performed.…”