Surgical application of endoscopic-assisted minimally-invasive neurosurgery to traumatic brain injury: Case series and review of literature
Background/purpose: Adequate decompression is the primary goal during surgical management of patients with traumatic brain injury (TBI). Therefore, it may seem counterintuitive to use minimally-invasive strategies to treat these patients. However, recent studies show that endoscopic-assisted minimal...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-07-01
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| Series: | Journal of the Formosan Medical Association |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S0929664621005301 |
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| author | Wei-Lung Tseng Lu-Ting Kuo Chien-Min Chen Shih-Hung Yang Chi-Tun Tang Dar-Ming Lai Abel Po-Hao Huang |
| author_facet | Wei-Lung Tseng Lu-Ting Kuo Chien-Min Chen Shih-Hung Yang Chi-Tun Tang Dar-Ming Lai Abel Po-Hao Huang |
| author_sort | Wei-Lung Tseng |
| collection | DOAJ |
| description | Background/purpose: Adequate decompression is the primary goal during surgical management of patients with traumatic brain injury (TBI). Therefore, it may seem counterintuitive to use minimally-invasive strategies to treat these patients. However, recent studies show that endoscopic-assisted minimally-invasive neurosurgery (MIN) can provide both adequate decompression (which is critical for preserving viable brain tissue) and maximize neurological recovery for patients with TBI. Hence, we reviewed the pertinent literature and shared our experiences on the use of MIN. Methods: This was a retrospective multi-center study. We collected data of 22 TBI patients receiving endoscopic-assisted MIN within 72 hours after the onset, with Glasgow Coma Scale (GCS) scores of 6–14 and whose hemorrhage volume ranging from 30 to 70 mL. Results: We have applied MIN techniques to a group of 22 patients with traumatic ICH (TICH), epidural hematoma (EDH), and subdural hematoma (SDH). The mean pre-operative GCS score was 7.5 (median 7), and mean hemorrhage volume was 57.14 cm3 Surgery time was shortened with MIN approaches to a mean of 59.6 min. At 6-month follow-up, the mean GCS score had improved to 12.3 (median 15). By preserving more normal brain tissue, MIN for patients with TBI can result in beneficial effects on recoveries and neurological outcomes. Conclusion: Endoscopic-assisted MIN in TBI is safe and effective in a carefully selected group of patients. |
| first_indexed | 2024-04-13T21:48:23Z |
| format | Article |
| id | doaj.art-c12b80b1f944410e80de14372004093d |
| institution | Directory Open Access Journal |
| issn | 0929-6646 |
| language | English |
| last_indexed | 2024-04-13T21:48:23Z |
| publishDate | 2022-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the Formosan Medical Association |
| spelling | doaj.art-c12b80b1f944410e80de14372004093d2022-12-22T02:28:30ZengElsevierJournal of the Formosan Medical Association0929-66462022-07-01121712231230Surgical application of endoscopic-assisted minimally-invasive neurosurgery to traumatic brain injury: Case series and review of literatureWei-Lung Tseng0Lu-Ting Kuo1Chien-Min Chen2Shih-Hung Yang3Chi-Tun Tang4Dar-Ming Lai5Abel Po-Hao Huang6Fu Jen Catholic University Hospital, Department of Surgery, Division of Neurosurgery, New Taipei, Taiwan; National Taiwan University Hospital, Department of Surgery, Division of Neurosurgery, Taipei, Taiwan; Graduate Institute of Biomedical Electronics and Bioinformatics, National Taiwan University, Taipei, TaiwanNational Taiwan University Hospital, Department of Surgery, Division of Neurosurgery, Taipei, TaiwanDivision of Neurosurgery, Department of Surgery, Changhua Christian Hospital, Changhua, Taiwan; School of Medicine, Kaohsiung Medical University, Kaohsiung, TaiwanNational Taiwan University Hospital, Department of Surgery, Division of Neurosurgery, Taipei, TaiwanTri-service General Hospital/National Defense Medical Center, Division of Neurosurgery, Taipei, TaiwanNational Taiwan University Hospital, Department of Surgery, Division of Neurosurgery, Taipei, TaiwanNational Taiwan University Hospital, Department of Surgery, Division of Neurosurgery, Taipei, Taiwan; Corresponding author. National Taiwan University Hospital, Room 815, 8th floor, research building, No.7, Chung Shan S. Rd. (Zhongshan S. Rd.), Zhong-zheng Dist., Taipei City, 10002, Taiwan. Fax: +886 2312 3456.Background/purpose: Adequate decompression is the primary goal during surgical management of patients with traumatic brain injury (TBI). Therefore, it may seem counterintuitive to use minimally-invasive strategies to treat these patients. However, recent studies show that endoscopic-assisted minimally-invasive neurosurgery (MIN) can provide both adequate decompression (which is critical for preserving viable brain tissue) and maximize neurological recovery for patients with TBI. Hence, we reviewed the pertinent literature and shared our experiences on the use of MIN. Methods: This was a retrospective multi-center study. We collected data of 22 TBI patients receiving endoscopic-assisted MIN within 72 hours after the onset, with Glasgow Coma Scale (GCS) scores of 6–14 and whose hemorrhage volume ranging from 30 to 70 mL. Results: We have applied MIN techniques to a group of 22 patients with traumatic ICH (TICH), epidural hematoma (EDH), and subdural hematoma (SDH). The mean pre-operative GCS score was 7.5 (median 7), and mean hemorrhage volume was 57.14 cm3 Surgery time was shortened with MIN approaches to a mean of 59.6 min. At 6-month follow-up, the mean GCS score had improved to 12.3 (median 15). By preserving more normal brain tissue, MIN for patients with TBI can result in beneficial effects on recoveries and neurological outcomes. Conclusion: Endoscopic-assisted MIN in TBI is safe and effective in a carefully selected group of patients.http://www.sciencedirect.com/science/article/pii/S0929664621005301DecompressionMinimally-invasive surgeryNeurosurgeryTraumatic brain injury |
| spellingShingle | Wei-Lung Tseng Lu-Ting Kuo Chien-Min Chen Shih-Hung Yang Chi-Tun Tang Dar-Ming Lai Abel Po-Hao Huang Surgical application of endoscopic-assisted minimally-invasive neurosurgery to traumatic brain injury: Case series and review of literature Journal of the Formosan Medical Association Decompression Minimally-invasive surgery Neurosurgery Traumatic brain injury |
| title | Surgical application of endoscopic-assisted minimally-invasive neurosurgery to traumatic brain injury: Case series and review of literature |
| title_full | Surgical application of endoscopic-assisted minimally-invasive neurosurgery to traumatic brain injury: Case series and review of literature |
| title_fullStr | Surgical application of endoscopic-assisted minimally-invasive neurosurgery to traumatic brain injury: Case series and review of literature |
| title_full_unstemmed | Surgical application of endoscopic-assisted minimally-invasive neurosurgery to traumatic brain injury: Case series and review of literature |
| title_short | Surgical application of endoscopic-assisted minimally-invasive neurosurgery to traumatic brain injury: Case series and review of literature |
| title_sort | surgical application of endoscopic assisted minimally invasive neurosurgery to traumatic brain injury case series and review of literature |
| topic | Decompression Minimally-invasive surgery Neurosurgery Traumatic brain injury |
| url | http://www.sciencedirect.com/science/article/pii/S0929664621005301 |
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