Fully Endoscopic Freehand Evacuation of Spontaneous Supratentorial Intraparenchymal Hemorrhage
| Autor: | Daniele Marino, Francesco Tomasello, Rosaria Viola Abbritti, Felice Esposito, Filippo Flavio Angileri, Antonino Germanò, M. Giusa, Stefano M. Priola, Giovanni Raffa |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Glasgow Outcome Scale Endoscopic management Intraparenchymal hemorrhage Stroke Surgical treatment Neurology (clinical) Surgery 03 medical and health sciences Fatal Outcome 0302 clinical medicine Hematoma Modified Rankin Scale Humans Minimally Invasive Surgical Procedures Medicine Glasgow Coma Scale Aged Cerebral Hemorrhage Intracerebral hemorrhage business.industry Recovery of Function Middle Aged medicine.disease Treatment Outcome 030220 oncology & carcinogenesis Neuroendoscopy Operative time Female business 030217 neurology & neurosurgery |
| Zdroj: | World Neurosurgery. 94:268-272 |
| ISSN: | 1878-8750 |
| DOI: | 10.1016/j.wneu.2016.07.015 |
| Popis: | Objective A modification of other reported endoscopic techniques for intracerebral clot evacuation is described and illustrated. Methods From January 2014 to December 2014, we operated on 6 patients harboring a spontaneous supratentorial intracerebral hemorrhage using a fully endoscopic freehand technique. Clinical chart and surgical videos were analyzed. Volumetric evaluation of the clot preoperatively and the residual hematoma postoperatively was performed. Clinical outcome was measured using the modified Rankin Scale and Glasgow Outcome Scale. Results The mean operative time was 96 minutes (range, 72–125 minutes). Clot evacuation was >90% in all patients. No patient experienced rebleeding after surgery. Two patients died. The Glasgow Outcome Scale score at 6 months was 4 in 2 patients, 3 in 2 patients, and 1 (death) in 2 patients. The modified Rankin Scale score at 6 months was 6 (death) in 2 patients, 4 in 2 patients, 3 in 1 patient and 2 in 1 patient. Conclusions The proposed minimally invasive technique allows a good rate of hematoma evacuation and intraoperative bleeding control. Further studies in large series are needed to confirm the role of this freehand endoscopic technique. |
| Databáze: | OpenAIRE |
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