Laser navigation combined with XperCT technology–assisted puncture of basal ganglia intracerebral hemorrhage

Yuan, Zhengbo; Qi, Wei; Chen, Zheng; Xing, Hailong; Zhang, Tao; Li, Zefu

doi:10.1007/s10143-023-02015-2

Cited by 1 publication

(1 citation statement)

References 29 publications

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“…In addition, the presence of the laser equipment over the surgical field interferes somewhat with the operation, which can introduce a certain degree of puncture error. 23,24 Among the patients in the laser-assisted group in our study, there were 2 cases of suboptimal drainage tube positioning. We attributed this to positional drift resulting from a slight deviation in the angle of view during the lateral surgical procedure.…”

Section: Discussionmentioning

confidence: 78%

Neuroendoscopy-Assisted Entire-Process Visualization Technique of Ventricular Puncture for External Ventricular Drainage

Xu,

Li,

Zhang

et al. 2024

Journal of Craniofacial Surgery

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Objective: This study aimed to investigate the feasibility, safety, and efficacy of the neuroendoscopy-assisted entire-process visualization technique (NEAEVT) of ventricular puncture for external ventricular drainage. Methods: Eighty-eight patients with cerebral hemorrhage who underwent unilateral ventricular puncture for external ventricular drainage in our hospital from June 2021 to June 2023 were analyzed. Patients were grouped according to puncture technique: NEAEVT (30 patients), freehand (30 patients), and laser-navigation-assisted (28 patients). Operation time, drainage tube placement, and catheter-related hemorrhage incidence were compared between the groups. Results: Mean operation time significantly differed between the freehand, NEAEVT, and laser-assisted groups (17.07, 18.37, and 34.04 min, respectively; P <0.0001). The position of the drainage tube was optimal or adequate in all patients of the NEAEVT group; optimal/adequate positioning was achieved in 80% of the freehand group. No catheter-related hemorrhage occurred in the NEAEVT group. Three freehand group patients and 2 laser-assisted group patients experienced catheter-related hemorrhage. Conclusion: The NEAEVT of ventricular puncture is accurate and achieves ventricular drainage without significantly increasing surgical trauma, operation time, or incidence of hemorrhage.

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Section: Discussionmentioning

confidence: 78%