Endoscopic surgery versus minimal puncture drainage surgery for treatment of supratentorial intracerebral hemorrhage

Xiao, Tao; Wan, Juan; Qu, Hongtao; Jiang, Wenwu; Zhou, Xiangyang

doi:10.5137/1019-5149.jtn.27977-19.2

Cited by 4 publications

(5 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Previous studies of endoscopic hematoma removal have reported a hematoma removal rate of 90.3% (87.0%-90.9%) and a rebleeding rate of 3.3% (2.9%-4.0%). 7 , 11 , 12 , 26 - 32 ) The surgical results in this study were comparable to those previously reported, and the hematoma stiffness was correlated with these results. As expected, group S had more FHR and shorter endoscopic procedure times than group F. Furthermore, both patients whose endoscopic hematoma removal procedure was abandoned belong to group F. Therefore, hematoma stiffness correlates with the surgical results, and predicting hematoma stiffness during endoscopic surgery may help surgeons determine the appropriate treatment strategies.…”

Section: Discussionsupporting

confidence: 91%

“…While it remains unclear which MIS procedure is the best, several studies comparing various surgical methods suggested that endoscopic surgery achieved a higher hematoma removal rate and better functional outcomes than stereotactic surgery. [10][11][12][13] In endoscopic surgery, the hematoma is often removed successfully; however, removal may be challenging in some cases. When removing brain tumors, especially meningiomas, tumor consistency is considered an important factor affecting the surgical outcome.…”

Section: Introductionunclassified

See 1 more Smart Citation

Clinical Significance of Stiffness during Endoscopic Surgery for Intracerebral Hemorrhage: A Retrospective Study

KISHIDA,

MARUYAMA,

KOTANI

et al. 2023

Neurol. Med. Chir.(Tokyo)

View full text Add to dashboard Cite

Studies regarding hematoma stiffness and removal difficulty are scarce. This study explored the association between hematoma stiffness and surgical results of endoscopic hematoma removal for intracerebral hemorrhage. It also aimed to clarify factors associated with hematoma stiffness. We classified intracerebral hematoma as either soft or firm stiffness by retrospectively evaluating operative videos by two neurosurgeons. The interobserver reliability of the classification was assessed by calculating the κ values. We investigated the relationship between hematoma stiffness and surgical results. Favorable hematoma removal (FHR) was defined as a residual hematoma volume of ≤15 mL or removal rate of ≥70%. Furthermore, we compared the background characteristics, imaging findings, and laboratory data between the two groups. Forty patients were included in this study. The mean baseline hematoma volume was 69.9 mL (range, 41.3-97.6 mL). FHR was accomplished in 35 cases (87.5%). Thirty-four patients (85%) were in the soft hematoma group (group S). Six patients (15%) were in the firm hematoma group (group F). Classification of hematoma stiffness demonstrated an excellent degree of interobserver agreement (κ score = 0.91). Patients in group S had a high FHR rate (p = 0.018) and short endoscopic procedure times (p = 0.00034). The island sign was present in group S (p = 0.030). Patients in group F had significantly high fibrinogen levels (p = 0.049) and low serum total calcium (p = 0.032), hemoglobin (p = 0.041), and hematocrit (p = 0.011) levels. Hematoma stiffness during endoscopic surgery for intracerebral hemorrhage correlates with surgical results, including the endoscopic procedure time and accomplishing rate of FHR.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Introductionunclassified

Clinical Significance of Stiffness during Endoscopic Surgery for Intracerebral Hemorrhage: A Retrospective Study

KISHIDA,

MARUYAMA,

KOTANI

et al. 2023

Neurol. Med. Chir.(Tokyo)

View full text Add to dashboard Cite

show abstract

“…A recent meta-analysis[ 8 ] has reported that endoscopic evacuation is more favorable than catheter drainage. However, other researchers claim that the latter is more favorable[ 4 , 9 ]. Moreover, with the help of more accurate instruments and neuronavigation methods, endoscopic hematoma evacuation can be conducted under the guidance of visualization of ventricles.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic surgery for intraventricular hemorrhage: A comparative study and single center surgical experience

Wang¹,

Yuan²,

Li³

et al. 2022

WJCC

View full text Add to dashboard Cite

BACKGROUND Intraventricular hemorrhage is a neurosurgical emergency, and a dangerous condition associated with high morbidity and mortality. Previously, hematoma evacuation is generally executed by external intracranial drainage (EVD) or surgical evacuation. Nowadays, endoscopic evacuation is emerging as a good alternative because it brings relatively less invasion and injury. However, successful endoscopic evacuation requires skilled manipulation of endoscopic devices and the evidence supporting its efficacy differs in different reports. AIM To improve the technique usage and provide more evidence of endoscopic evacuation efficacy, we summarize our surgical experience and compared the outcomes of the endoscopic evacuation with EVD using real-world data. METHODS We retrospectively studied 96 consecutive patients with intraventricular hemorrhage who underwent either endoscopic surgery ( n = 43) or non-endoscopic surgery ( n = 53) for hemorrhage evacuation between November 2013 and September 2019 in our center. Patients’ conditions prior to and after the operation were evaluated and analyzed to assess the efficacy of the operation. The consciousness status improvement and perioperative in-hospital parameters in the two types of operation groups were assessed and compared. RESULTS Patients in the endoscopic and non-endoscopic groups presented with a similar state of consciousness, with a comparable Glasgow Coma Scale (GCS) index. The average operation time of the endoscopic group was longer than that of the non-endoscopic group (median 2.42 h vs 1.08 h, P < 0.001). Although the endoscopic group was older and had a baseline Graeb score that indicated more severe hemorrhage than the non-endoscopic group (Graeb median: Endoscopic group = 9 vs non-endoscopic group = 8, P = 0.023), the clearance rate of hematoma was as high as 60.5%. Both the endoscopic and non-endoscopic groups showed an improved GCS index after surgery. However, this improvement was more marked in patients in the endoscopic group (median improvement of GCS index: Endoscope group = 4 vs non-endoscopic group = 1, P < 0.001). Additionally, the endoscopic group had a lower Graeb score than the non-endoscopic group after the operation. The intensive care unit stay of the endoscopic group was significantly shorter than that of the non-endoscopic group (median: endoscopic group = 6 d vs non-endoscope group = 7 d, P = 0.017). CONCLUSION Endoscopic evacuation of intraventricular hemorrhage was generally an effective and efficient way for hemorrhage evacuation, and contributed remarkably to the improvement of consciousness in patients with intraventricular hemorrhage...

show abstract

“…With the development of modern imaging technology, neuronavigation technology has been commonly used in surgery [ 4 – 7 ]. Neuroendoscopic intracerebral hematoma removal versus hematoma cavity puncture and drainage is a minimally invasive surgical option for HICH [ 8 , 9 ]. Herein we discuss the respective advantages of these two techniques with the aid of neuronavigation.…”

Section: Introductionmentioning

confidence: 99%

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

Jiang,

Tian,

Guo

et al. 2024

BMC Surg

View full text Add to dashboard Cite

Objective To compare neuronavigation-assisted intracerebral hematoma puncture and drainage with neuroendoscopic hematoma removal for treatment of hypertensive cerebral hemorrhage. Method Ninety-one patients with hypertensive cerebral hemorrhage admitted to our neurosurgery department from June 2022 to May 2023 were selected: 47 patients who underwent endoscopic hematoma removal with the aid of neuronavigation in observation Group A and 44 who underwent intracerebral hematoma puncture and drainage in control Group B. The duration of surgery, intraoperative bleeding, hematoma clearance rate, pre- and postoperative GCS score, National Institutes of Health Stroke Scale (NIHSS) score, mRS score and postoperative complications were compared between the two groups. Results The duration of surgery, intraoperative bleeding and hematoma clearance were significantly lower in Group B than in Group A (p < 0.05). Conversely, no significant differences in the preoperative, 7-day postoperative, 14-day postoperative or 1-month postoperative GCS or NIHSS scores or the posthealing mRS score were observed between Groups A and B. However, the incidence of postoperative complications was significantly greater in Group B than in Group A (p < 0.05), with the most significant difference in incidence of intracranial infection (p < 0.05). Conclusion Both neuronavigation-assisted intracerebral hematoma puncture and drainage and neuroendoscopic hematoma removal are effective at improving the outcome of patients with hypertensive cerebral hemorrhage. The disadvantage of neuronavigation is that the incidence of complications is significantly greater than that of other methods; postoperative care and prevention of complications should be strengthened in clinical practice.

show abstract

Endoscopic surgery versus minimal puncture drainage surgery for treatment of supratentorial intracerebral hemorrhage

Cited by 4 publications

References 20 publications

Clinical Significance of Stiffness during Endoscopic Surgery for Intracerebral Hemorrhage: A Retrospective Study

Clinical Significance of Stiffness during Endoscopic Surgery for Intracerebral Hemorrhage: A Retrospective Study

Endoscopic surgery for intraventricular hemorrhage: A comparative study and single center surgical experience

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

Contact Info

Product

Resources

About