Minimally Invasive Neurosurgery for Spontaneous Intracerebral Hemorrhage—10 Years of Working Progress at National Taiwan University Hospital

• DOI: 10.3389/fneur.2022.817386
• Publication Date: 2022-05-20T04:30:29Z
• Authors: Chiu-Hao Hsu; Sheng-Chieh Chou; Lu-Ting Kuo; Sheng-Jean Huang; Shih-Hung Yang; Dar-Ming Lai; Abel Po-Hao Huang
• Keywords: Interquartile range; Neurointensive care; Glasgow Outcome Scale

Intracerebral hemorrhage (ICH) is a life-threatening disease with global health burden. Traditional craniotomy has neither improved functional outcomes nor reduced mortality. Minimally invasive neurosurgery (MIN) holds promise for reducing mortality and improving outcomes. To evaluate the feasibility of MIN ICH, retrospective analysis patients ICH undergoing endoscopic-assisted evacuation was performed. From 2012 to 2018, total 391 who underwent 76 received early (<8 h) were included. The rebleeding, mortality, morbidity rates 3.9, 7.9, 3.9%, respectively, 1 month after surgery. At 6 months, median [interquartile range (IQR)] Glasgow Coma Scale score 12 (4.75) [preoperative: 10 (4)], (IQR) Extended Outcome 3 (1), Modified Rankin 4 (1). results suggested that endoscope-assisted safe effective selected ICH. morbidity, in this study are lower than those traditional reported previous studies. However, management intraoperative bleeding hard clots critical performing endoscopic evacuation. With cases, we hope promote specialization surgery field MIN.