Endoscopic Evacuation of Basal Ganglia Hemorrhage via Keyhole Approach Using an Adjustable Cannula in Comparison with Craniotomy

Abstract

Neuroendoscopic (NE) surgery as a minimal invasive treatment for basal ganglia hemorrhage is a promising approach. The present study aims to evaluate the efficacy and safety of NE approach using an adjustable cannula to treat basal ganglia hemorrhage. In this study, we analysed the clinical and radiographic outcomes between NE group (21 cases) and craniotomy group (30 cases). The results indicated that NE surgery might be an effective and safe approach for basal ganglia haemorrhage, and it is also suggested that NE approach may improve good functional recovery. However, NE approach only suits the selected patient, and the usefulness of NE approach needs further randomized controlled trials (RCTs) to evaluate.

Efficacy of neuroendoscopic surgery versus craniotomy for supratentorial hypertensive intracerebral hemorrhage: A meta‐analysis of randomized controlled trials

“…The pooled analysis (Cho et al, 2006;Feng et al, 2016;Zhang et al, 2014) revealed no statistically difference in death between neuroendoscopic surgery and craniotomy (RR = 0.58, 95% CI 0.26-1.29; p = .18) ( Figure 2).…”

“…Based on the criteria described in the methods, 206 irrelevant citations were further excluded based on review of titles and abstracts. Finally, a total of 3 RCTs (Cho et al, 2006;Feng, He, Liu, Yang, & Wang, 2016;Zhang et al, 2014) were included in this meta-analysis (Figure 1). The major characteristics of included studies are depicted in Table 1.…”

“…The random-effects model was used to pool data on complications (Cho et al, 2006;Feng et al, 2016;Zhang et al, 2014). The pooled TA B L E 1 The primary characteristics of the eligible studies in more detail data showed that neuroendoscopic surgery had a lower risk of complications (RR = 0.37, 95% CI 0.28-0.49; p < .001) ( Figure 3).…”

Effectiveness of Surgical Treatments for Basal Ganglia Hemorrhage and Imaging Factors Affecting Hematoma Evacuation Rate by Neuroendoscopic Surgery

“…Thus hematoma evacuation by early craniotomy can eliminate increased intracranial pressure, alleviate midline shift, improve cerebral blood flow surrounding the hematoma, and reduce the mortality rate. 23 Compared with burr-hole drainage and neuroendoscopic surgery, craniotomy is characterized by the more effective reduction of intracranial pressure 24 and low brain rebleeding rate after surgery. Owing to effective decompression, it is particularly suitable for patients with a large hematoma volume, enlarging BGH, or herniation.…”

Endoscopic surgery of hemorrhagic stroke through the transparent port

“…Средняя продолжительность хи-рургического вмешательства в основной группе была 138 мин, в контрольной -232 мин. Использование прозрачных портов в эндоскопической хирургии ГИ, по мнению ряда авторов, улучшает исходы хирурги-ческого лечения, снижает летальность, уменьшает продолжительность хирургического вме ша тельства, следствием чего является снижение гнойно-септиче-ских осложнений [6,[8][9][10].…”