The efficacy of robot-assisted surgery on minor basal ganglia cerebral hemorrhage with neurological dysfunction.
30 ml
Favorable prognosis
Minor basal ganglia hemorrhage
Robot-assisted surgery
Journal
Neurosurgical review
ISSN: 1437-2320
Titre abrégé: Neurosurg Rev
Pays: Germany
ID NLM: 7908181
Informations de publication
Date de publication:
26 Jul 2024
26 Jul 2024
Historique:
received:
27
02
2024
accepted:
23
07
2024
revised:
10
06
2024
medline:
27
7
2024
pubmed:
27
7
2024
entrez:
26
7
2024
Statut:
epublish
Résumé
This study aims to compare the outcomes of robot-assisted drainage and conservative treatment in minor basal ganglia hemorrhage (10ml< hemorrhage volume ≤ 30 ml) patients with neurological dysfunction, and analyze patients treated with robot-assisted drainage in order to optimize this treatment strategy. In a retrospective study conducted in December 2021 to December 2023, minor basal ganglia cerebral hemorrhage patients with neurological dysfunction were enrolled from the Department of Neurosurgery, Shanghai Ninth People's Hospital. The patients included both the surgical (robot-assisted drainage) and conservative groups. The efficacy of robot-assisted drainage compared with conservative treatment in patients with minor cerebral hemorrhage and neurological dysfunction was evaluated by modified Rankin Scale (mRS) score after 3 months, muscle strength (grade 1 to 5) and cost of hospitalization. Of the patients included, 23 received robot-assisted drainage and 20 received conservative treatment. There were no significant differences in gender, age, history of hypertension and diabetes, muscle strength and mRS score at admission. Female patients accounted for 32.6%, and male patients accounted for 67.4%. About 90% of the patients enrolled had a pre-existing hypertension history. The mRS score after 3 months indicated that prognosis of the patients was significantly better in the surgical treatment group than the conservative treatment group (favorable prognosis 69.57% VS. 35%, P = 0.034) while the patients underwent surgery paid higher hospital bills than patients treated conservatively. Compared with traditional conservative treatment, robot-assisted drainage surgery is more helpful to improve the prognosis of patients with minor basal ganglia hemorrhage (volume ≤ 30mL) accompanied by neurological dysfunction. Robot assisted surgery can safely and effectively remove the hematoma of minor basal ganglia hemorrhage, and there were 69.6% of surgery group patients had a good prognosis in this study.
Identifiants
pubmed: 39060801
doi: 10.1007/s10143-024-02614-7
pii: 10.1007/s10143-024-02614-7
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
359Subventions
Organisme : the Cross-disciplinary Research Fund of Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine
ID : JYJC202131
Informations de copyright
© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Montaño A, Hanley DF, Hemphill JC (2021) 3rd. Hemorrhagic stroke. Handbook of clinical neurology. ;176:229 – 48. Epub 2020/12/05. https://doi.org/10.1016/b978-0-444-64034-5.00019-5 . PubMed PMID: 33272397
Harciarek M, Mańkowska A (2021) Hemispheric stroke: Mood disorders. Handb Clin Neurol 183:155–167. https://doi.org/10.1016/b978-0-12-822290-4.00007-4 . Epub 2021/08/15. PubMed PMID: 34389115
doi: 10.1016/b978-0-12-822290-4.00007-4
pubmed: 34389115
Kase CS, Hanley DF (2021) Intracerebral hemorrhage: advances in Emergency Care. Neurol Clin 39(2):405–418 Epub 2021/04/27. https://doi.org/10.1016/j.ncl.2021.02.002
doi: 10.1016/j.ncl.2021.02.002
pubmed: 33896526
Zhao YN, Chen XL (2016) Endoscopic treatment of hypertensive intracerebral hemorrhage: A technical review. Chronic diseases and translational medicine. ;2(3):140-6. Epub 2017/10/25. https://doi.org/10.1016/j.cdtm.2016.11.002 . PubMed PMID: 29063035; PubMed Central PMCID: PMCPMC5643758
Zuo S, Pan P, Li Q, Chen Y, Feng H White Matter Injury and Recovery after Hypertensive Intracerebral Hemorrhage. Biomed Res Int. 2017;2017:6138424. Epub 2017/07/07. https://doi.org/10.1155/2017/6138424 . PubMed PMID: 28680884; PubMed Central PMCID: PMCPMC5478825.
Yan YF, Ru DW, Du JR, Shen X, Wang ES, Yao HB (2015) The clinical efficacy of neuronavigation-assisted minimally invasive operation on hypertensive basal ganglia hemorrhage. Eur Rev Med Pharmacol Sci 19(14):2614–2620 Epub 2015/07/30. PubMed PMID: 26221891
pubmed: 26221891
Lee YH, Kwon YS, Yang KH (2017) Multiloculated Hydrocephalus: open craniotomy or Endoscopy? J Korean Neurosurg Soc 60(3):301–305 Epub 2017/05/12. https://doi.org/10.3340/jkns.2017.0101.013
doi: 10.3340/jkns.2017.0101.013
pubmed: 28490156
pmcid: 5426446
Labib MA, Shah M, Kassam AB, Young R, Zucker L, Maioriello A et al (2017) The safety and feasibility of image-guided BrainPath-Mediated Transsulcul Hematoma Evacuation: a Multicenter Study. Neurosurgery 80(4):515–524 Epub 2016/06/21. https://doi.org/10.1227/neu.0000000000001316
doi: 10.1227/neu.0000000000001316
pubmed: 27322807
Minkin K, Gabrovski K, Sirakov S, Penkov M, Todorov Y, Karakostov V et al (2019) Three-dimensional neuronavigation in SEEG-guided epilepsy surgery. Acta Neurochir 161(5):917–923 Epub 2019/04/03. https://doi.org/10.1007/s00701-019-03874-9
doi: 10.1007/s00701-019-03874-9
pubmed: 30937608
Kellner CP, Chartrain AG, Nistal DA, Scaggiante J, Hom D, Ghatan S et al (2018) The stereotactic intracerebral hemorrhage underwater blood aspiration (SCUBA) technique for minimally invasive endoscopic intracerebral hemorrhage evacuation. J Neurointerventional Surg 10(8):771–776 Epub 2018/03/25. https://doi.org/10.1136/neurintsurg-2017-013719
doi: 10.1136/neurintsurg-2017-013719
Chen KY, Kung WM, Kuo LT, Huang AP (2021) Ultrarapid endoscopic-aided hematoma evacuation in patients with thalamic hemorrhage. Behav Neurol. ;2021:8886004. Epub 2021/02/06. doi: 10.1155/2021/8886004. PubMed PMID: 33542768; PubMed Central PMCID: PMCPMC7843189 publication of this paper.
Hecht N, Czabanka M, Kendlbacher P, Raff JH, Bohner G, Vajkoczy P (2020) Intraoperative CT and cone-beam CT imaging for minimally invasive evacuation of spontaneous intracerebral hemorrhage. Acta Neurochir 162(12):3167–3177 Epub 2020/03/21. https://doi.org/10.1007/s00701-020-04284-y
doi: 10.1007/s00701-020-04284-y
pubmed: 32193726
Sharif S, Afsar A (2018) Learning curve and minimally invasive spine surgery. World Neurosurg 119:472–478 Epub 2018/06/24. https://doi.org/10.1016/j.wneu.2018.06.094
doi: 10.1016/j.wneu.2018.06.094
pubmed: 29935319
Zhang J, Cheng H, Zhou S, Huang L, Lv J, Wang P et al (2020) 3D-printed model-guided endoscopic evacuation for basal ganglia hemorrhage. Sci Rep 10(1):5196 Epub 2020/04/07. https://doi.org/10.1038/s41598-020-62232-3
doi: 10.1038/s41598-020-62232-3
pubmed: 32251343
pmcid: 7090061
de la Pérez RA, Ramanathan S, Williams AL, Perez-Cruet MJ (2022) Minimally-invasive assisted robotic spine surgery (MARSS). Front Surg 9:884247 Epub 2022/07/30. https://doi.org/10.3389/fsurg.2022.884247
doi: 10.3389/fsurg.2022.884247
Vardiman AB, Wallace DJ, Booher GA, Crawford NR, Riggleman JR, Greeley SL et al (2020) Does the accuracy of pedicle screw placement differ between the attending surgeon and resident in navigated robotic-assisted minimally invasive spine surgery? J Robotic Surg 14(4):567–572 Epub 2019/09/23. https://doi.org/10.1007/s11701-019-01019-9
doi: 10.1007/s11701-019-01019-9
Wu S, Wang H, Wang J, Hu F, Jiang W, Lei T et al (2021) Effect of Robot-assisted neuroendoscopic hematoma evacuation combined intracranial pressure monitoring for the treatment of Hypertensive Intracerebral Hemorrhage. Front Neurol 12:722924 PubMed PMID: 34925205; PubMed Central PMCID: PMCPMC8674426
doi: 10.3389/fneur.2021.722924
pubmed: 34925205
pmcid: 8674426
Tiwari A, Dmytriw AA, Bo R, Farkas N, Ye P, Gordon DS et al (2021) Diagnostics (Basel Switzerland) 11(2) Epub 2021/02/11. https://doi.org/10.3390/diagnostics11020257 . Recurrence and Coniglobus Volumetric Resolution of Subacute and Chronic Subdural Hematoma Post-Middle Meningeal Artery Embolization
Wei JH, Tian YN, Zhang YZ, Wang XJ, Guo H, Mao JH (2021) Short-term effect and long-term prognosis of neuroendoscopic minimally invasive surgery for hypertensive intracerebral hemorrhage. World J Clin Cases 9(28):8358–8365 Epub 2021/11/11. https://doi.org/10.12998/wjcc.v9.i28.8358
doi: 10.12998/wjcc.v9.i28.8358
pubmed: 34754845
pmcid: 8554417
Andrejeva J, Kasradze M, Mockiene A, Radziuviene R, Zakharchuk J, IMPACT OF TRX SUSPENSION TRAINING, ON PATIENTS’ BALANCE, COORDINATION AND QUALITY OF LIFE AFTER TRAUMATIC BRAIN INJURY. Georgian Med News. 2020(298):119–122. Epub 2020/03/07. PubMed PMID: 32141863.
Wang WZ, Jiang B, Liu HM, Li D, Lu CZ, Zhao YD et al (2009) Minimally invasive craniopuncture therapy vs. conservative treatment for spontaneous intracerebral hemorrhage: results from a randomized clinical trial in China. International journal of stroke: official journal of the International Stroke Society. ;4(1):11 – 6. Epub 2009/02/25. https://doi.org/10.1111/j.1747-4949.2009.00239.x . PubMed PMID: 19236490
Qureshi AI, Suri MF, Ostrow PT, Kim SH, Ali Z, Shatla AA et al (2003) Apoptosis as a form of cell death in intracerebral hemorrhage. Neurosurgery 52(5):1041–1047 discussion 7–8. Epub 2003/04/18. PubMed PMID: 12699545
pubmed: 12699545
Wang MH, Cheng SY, Wang YC, Lee BW, Lin YY, Tseng CL (1993) [The effect of intracranial pressure caused by airway suction in hypertensive intracerebral hemorrhagic comatose patients]. Zhonghua Yi Xue Za Zhi = Chinese medical journal. Free China ed 52(2):109–115 Epub 1993/08/01. PubMed PMID: 8402364
Zhao X, Kruzel M, Aronowski J (2021) Lactoferrin and hematoma detoxification after intracerebral hemorrhage. Biochemistry and cell biology = Biochimie. et Biol Cellulaire 99(1):97–101 Epub 2020/09/05. https://doi.org/10.1139/bcb-2020-0116
doi: 10.1139/bcb-2020-0116
Wang G, Wang L, Sun XG, Tang J (2018) Haematoma scavenging in intracerebral haemorrhage: from mechanisms to the clinic. J Cell Mol Med 22(2):768–777 Epub 2017/12/27. https://doi.org/10.1111/jcmm.13441
doi: 10.1111/jcmm.13441
pubmed: 29278306
Tan LA, Lopes DK, Munoz LF, Shah Y, Bhabad S, Jhaveri M et al (2016) Minimally invasive evacuation of intraventricular hemorrhage with the Apollo vibration/suction device. J Clin Neuroscience: Official J Neurosurgical Soc Australasia. ;27:53 – 8. Epub 2016/01/19. doi: 10.1016/j.jocn.2015.08.037. PubMed PMID: 26778051.
AL de Oliveira Manoel (2020) Surgery for spontaneous intracerebral hemorrhage. Crit Care (London England) 24(1):45. https://doi.org/10.1186/s13054-020-2749-2 . Epub 2020/02/09. PubMed PMID: 32033578; PubMed Central PMCID: PMCPMC7006102