Nonacute Subdural Hematoma Evacuation Using a Rigid Endoscopy System: A Clinical Study

被引：0

作者：

Egemen, Emrah ^{[1
]}

Dere, Umit Akin ^{[1
]}

Celtikci, Emrah ^{[2
]}

Nehir, Ali ^{[3
]}

Dogruel, Yucel ^{[4
]}

Sahinoglu, Defne ^{[1
]}

Asar, Rasim ^{[1
]}

Bakirarar, Batuhan ^{[5
]}

Albuz, Baris ^{[1
]}

Coskun, Mehmet Erdal ^{[1
]}

Yakar, Fatih ^{[1
]}

机构：

[1] Pamukkale Univ, Sch Med, Dept Neurosurg, Denizli, Turkiye

[2] Gazi Univ, Sch Med, Dept Neurosurg, Ankara, Turkiye

[3] 25 Aralik State Hosp, Dept Neurosurg, Gaziantep, Turkiye

[4] Yeditepe Univ, Sch Med, Dept Neurosurg, Istanbul, Turkiye

[5] Ankara Univ, Sch Med, Dept Biostat, Ankara, Turkiye

来源：

TURKISH NEUROSURGERY | 2024年 / 34卷 / 06期

关键词：

Subdural; Endoscopy; Hematoma; Minimally invasive; BURR-HOLE CRANIOSTOMY; SURGICAL-TREATMENT; MANAGEMENT; CRANIOTOMY; EFFICACY;

D O I：

10.5137/1019-5149.JTN.46194-23.2

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

AIM: To determine the clinical relevance of a rigid endoscopy surgical method for subdural hematomas, as previously described in a cadaver study. MATERIAL and METHODS: Between May 2021 and September 2023, 21 patients underwent subdural hematoma drainage using a 0-degree rigid endoscope. Traumatic acute subdural hematomas were excluded. The demographic data of the patients, antiplatelet/ antiaggregant use, perioperative findings, and pre- and post-surgery modified Rankin Scale (mRS) scores were recorded and analyzed. RESULTS: The mean age of our cohort was 65.63 (+/- 20.52), and the male/ female ratio was 3.2: 1. The hematoma was unilateral in 90.5% of the patients, and the rate of trauma history was 42.9%. The most common radiological diagnosis was chronic subdural hematoma with septa (61.9%). The percentage of patients with a history of antiplatelet/ antiaggregant therapy was 23.8%. No mortality related to the surgery was observed in the early postoperative period; however, two patients underwent reoperation for further bleeding. The neurological grade was the only preoperative factor that had a statistically significant effect on the mRS score at discharge, with significantly better discharge mRS scores in grade 1 and 2 patients (p=0.014). CONCLUSION: The procedure was found to be safe and feasible, with surgery-related morbidity and mortality within acceptable limits.

引用

页码：1102 / 1109

页数：8

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