Li Chuzhong, Zong Xuyi, Wang Xinsheng, Gui Songbai, Zhang Yazhuo
Beijing Neurosurgical Institute, Capital Medical University, Beijing, China; Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China; Beijing Institute for Brain Disorders Brain Tumor Center, Beijing, China; China National Clinical Research Center for Neurological Diseases, Beijing, China.
Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
World Neurosurg. 2016 Apr;88:548-551. doi: 10.1016/j.wneu.2015.10.041. Epub 2015 Oct 26.
The ventriculoscopic approach has been considered to be more safe and effective in the treatment of hydrocephalus, arachnoid cysts and intraventricular lesions in neurosurgery. We found that intraoperative bleeding-related complications have the greatest impact on ventriculoscopic surgery. Until now, few studies fully discussed this complication.
Patients who underwent ventriculoscopic surgery between May 2011 and December 2012 at Beijing Tiantan Hospital were analyzed.
A total of 126 patients were enrolled in the study. Intraoperative hemorrhage was observed in 75 cases (59.5%). Intraoperative hemorrhage classification of patients was as follows: stage I (n = 62); stage II (n = 11); stage III (n = 2). We found that there was no significant difference in complication rate and rate of symptom improvement between the patients who had hemorrhage and the patients who did not (P < 0.05).
Intraoperative hemorrhage in ventriculoscopic surgery should be paid more attention. Generally, a skilled neurosurgeon can address hemorrhage with a low complication rate. Consequently, the ventriculoscopic approach is safe and effective in the treatment of specified brain ventricular disease.
