Endoscopic hematoma removal of supratentorial intracerebral hemorrhage under local anesthesia reduces operative time compared to craniotomy

Abstract The surgical efficacy for supratentorial intracerebral hemorrhage (ICH) remains unknown. We compared the advantages of the widely practiced endoscopic hematoma removal under local anesthesia with that of craniotomy under general anesthesia for ICH. We also focused on our novel operative con...

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Autores principales:	Masahito Katsuki, Yukinari Kakizawa, Akihiro Nishikawa, Yasunaga Yamamoto, Toshiya Uchiyama
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2020
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/f47936ef55e9468682756537f600837d
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spelling	oai:doaj.org-article:f47936ef55e9468682756537f600837d2021-12-02T17:45:04ZEndoscopic hematoma removal of supratentorial intracerebral hemorrhage under local anesthesia reduces operative time compared to craniotomy10.1038/s41598-020-67456-x2045-2322https://doaj.org/article/f47936ef55e9468682756537f600837d2020-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-67456-xhttps://doaj.org/toc/2045-2322Abstract The surgical efficacy for supratentorial intracerebral hemorrhage (ICH) remains unknown. We compared the advantages of the widely practiced endoscopic hematoma removal under local anesthesia with that of craniotomy under general anesthesia for ICH. We also focused on our novel operative concept of intentional hematoma leaving technique to avoid further damage to the brain. We retrospectively analyzed 134 consecutive patients (66 endoscopies and 68 craniotomies) who were surgically treated for supratentorial ICH. The characteristics of the 134 patients were as follows: The median (interquartile range) age was 73 (61–82) years. The median Glasgow Coma Scale scores at admission, on day 7, and the median modified Rankin Scale (mRS) score at 6 months were 10 (7–13), 13 (10–14), and 4 (3–5) respectively. The statistical comparison revealed there were no differences in GCS score on day seven between the endoscopy 13 (12–14) and craniotomy group 12 (9–14). No differences were observed in mRS scores at 6 months between the endoscopy 4 (2–5) and craniotomy group 4 (3–5). However, the patients treated with our technique tended to have favorable outcomes. Multivariate analysis revealed the operative time was significantly decreased in the endoscopy group compared to the craniotomy group (p < 0.001).Masahito KatsukiYukinari KakizawaAkihiro NishikawaYasunaga YamamotoToshiya UchiyamaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 10, Iss 1, Pp 1-12 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Masahito Katsuki Yukinari Kakizawa Akihiro Nishikawa Yasunaga Yamamoto Toshiya Uchiyama Endoscopic hematoma removal of supratentorial intracerebral hemorrhage under local anesthesia reduces operative time compared to craniotomy
description	Abstract The surgical efficacy for supratentorial intracerebral hemorrhage (ICH) remains unknown. We compared the advantages of the widely practiced endoscopic hematoma removal under local anesthesia with that of craniotomy under general anesthesia for ICH. We also focused on our novel operative concept of intentional hematoma leaving technique to avoid further damage to the brain. We retrospectively analyzed 134 consecutive patients (66 endoscopies and 68 craniotomies) who were surgically treated for supratentorial ICH. The characteristics of the 134 patients were as follows: The median (interquartile range) age was 73 (61–82) years. The median Glasgow Coma Scale scores at admission, on day 7, and the median modified Rankin Scale (mRS) score at 6 months were 10 (7–13), 13 (10–14), and 4 (3–5) respectively. The statistical comparison revealed there were no differences in GCS score on day seven between the endoscopy 13 (12–14) and craniotomy group 12 (9–14). No differences were observed in mRS scores at 6 months between the endoscopy 4 (2–5) and craniotomy group 4 (3–5). However, the patients treated with our technique tended to have favorable outcomes. Multivariate analysis revealed the operative time was significantly decreased in the endoscopy group compared to the craniotomy group (p < 0.001).
format	article
author	Masahito Katsuki Yukinari Kakizawa Akihiro Nishikawa Yasunaga Yamamoto Toshiya Uchiyama
author_facet	Masahito Katsuki Yukinari Kakizawa Akihiro Nishikawa Yasunaga Yamamoto Toshiya Uchiyama
author_sort	Masahito Katsuki
title	Endoscopic hematoma removal of supratentorial intracerebral hemorrhage under local anesthesia reduces operative time compared to craniotomy
title_short	Endoscopic hematoma removal of supratentorial intracerebral hemorrhage under local anesthesia reduces operative time compared to craniotomy
title_full	Endoscopic hematoma removal of supratentorial intracerebral hemorrhage under local anesthesia reduces operative time compared to craniotomy
title_fullStr	Endoscopic hematoma removal of supratentorial intracerebral hemorrhage under local anesthesia reduces operative time compared to craniotomy
title_full_unstemmed	Endoscopic hematoma removal of supratentorial intracerebral hemorrhage under local anesthesia reduces operative time compared to craniotomy
title_sort	endoscopic hematoma removal of supratentorial intracerebral hemorrhage under local anesthesia reduces operative time compared to craniotomy
publisher	Nature Portfolio
publishDate	2020
url	https://doaj.org/article/f47936ef55e9468682756537f600837d
work_keys_str_mv	AT masahitokatsuki endoscopichematomaremovalofsupratentorialintracerebralhemorrhageunderlocalanesthesiareducesoperativetimecomparedtocraniotomy AT yukinarikakizawa endoscopichematomaremovalofsupratentorialintracerebralhemorrhageunderlocalanesthesiareducesoperativetimecomparedtocraniotomy AT akihironishikawa endoscopichematomaremovalofsupratentorialintracerebralhemorrhageunderlocalanesthesiareducesoperativetimecomparedtocraniotomy AT yasunagayamamoto endoscopichematomaremovalofsupratentorialintracerebralhemorrhageunderlocalanesthesiareducesoperativetimecomparedtocraniotomy AT toshiyauchiyama endoscopichematomaremovalofsupratentorialintracerebralhemorrhageunderlocalanesthesiareducesoperativetimecomparedtocraniotomy
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Endoscopic hematoma removal of supratentorial intracerebral hemorrhage under local anesthesia reduces operative time compared to craniotomy

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