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Endoscopic surgery versus craniotomy in the treatment of spontaneous intracerebral hematoma: a systematic review and meta-analysis.
Du, Xiaolin; Lin, Xiaoning; Wang, Cheng; Zhou, Kun; Wei, Yigong; Tian, Xinhua.
Afiliación
  • Du X; Department of Neurosurgery, The Jinyang Hospital Affiliated to Guizhou Medical University, Guiyang, 550084, China.
  • Lin X; Department of Neurosurgery, Zhong Shan hospital Xiamen University, Xiamen, 361012, China.
  • Wang C; Department of Neurosurgery, The Jinyang Hospital Affiliated to Guizhou Medical University, Guiyang, 550084, China.
  • Zhou K; Department of Neurosurgery, The Jinyang Hospital Affiliated to Guizhou Medical University, Guiyang, 550084, China.
  • Wei Y; Department of Neurosurgery, The Jinyang Hospital Affiliated to Guizhou Medical University, Guiyang, 550084, China.
  • Tian X; Department of Neurosurgery, Zhong Shan hospital Xiamen University, Xiamen, 361012, China. txhphd@163.com.
Chin Neurosurg J ; 8(1): 36, 2022 Nov 25.
Article en En | MEDLINE | ID: mdl-36434680
BACKGROUND: Spontaneous intracerebral hemorrhage (SICH) has high morbidity and mortality, with no clear standard of treatment available. Compared with the craniotomy approach, neuroendoscopy is a relatively minimally invasive treatment method, and may be an efficient alternative. Therefore, this meta-analysis aimed to assess the clinical efficacy of neuroendoscopy and craniotomy in SICH patients. METHODS: The electronic databases Web of Science, PubMed, EmBase, MEDLINE, and the Cochrane Library were systematically searched. According to the PRISMA template, we finally selected and analyzed 14 eligible studies that evaluated neuroendoscopy versus craniotomy. Primary outcomes included operation time, intraoperative blood loss volume, evacuation rate, residual hematoma, complications, hospital stay duration, clinical outcomes, and other parameters. RESULTS: A total of 4 randomized controlled trials (RCTs) and 10 retrospective studies (non-RCTs) involving 1652 patients were included in the final analysis. In the neuroendoscopy (NE) group, operation time (p < 0.00001), intraoperative blood loss volume (p < 0.0001), hematoma evacuation rate (p = 0.0002), complications (p < 0.00001), hospitalization days (p = 0.004), and mortality (p < 0.0001) were significantly different from those of the craniotomy (C) group, with a higher rate of good recovery compared with the craniotomy group (P < 0.00001). CONCLUSIONS: These findings suggest that patients with SICH and physicians may benefit more from neuroendoscopic surgery than craniotomy.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials / Observational_studies / Systematic_reviews Idioma: En Revista: Chin Neurosurg J Año: 2022 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials / Observational_studies / Systematic_reviews Idioma: En Revista: Chin Neurosurg J Año: 2022 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido