Iyer Rajiv R, Uribe-Cardenas Rafael, Ahn Edward S
Division of Pediatric Neurosurgery, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Phipps 560A, Baltimore, MD, 21287, USA.
Childs Nerv Syst. 2017 Jan;33(1):1-5. doi: 10.1007/s00381-016-3228-6. Epub 2016 Oct 11.
The objective of this study is to present the novel technique and associated results of a single-incision endoscope-assisted procedure for the treatment of sagittal craniosynostosis.
We retrospectively reviewed the charts of infants who underwent single-incision endoscope-assisted sagittal craniectomy for craniosynostosis at our institution. Demographic data collected included patient age, blood loss, operative time, pre- and post-operative hemoglobin, pre- and post-operative cephalic index (CI), and hospital length of stay.
Seven consecutive infants underwent surgery for sagittal craniosynostosis using a single-incision endoscopic technique. Average operative time was 87 (±10.5) minutes. Average blood loss was 32 (±13.5) cubic centimeters (cc). Post-operative hemoglobin was an average of 7.1 (±0.2) g/dL. No patients required a blood transfusion intra-operatively or in the post-operative setting. Dural tears were encountered in one patient. The average hospital length of stay was 1.4 (±1.1) days. Difference between pre- and post-operative CI was 8.4 % (±3.5; p < 0.05).
We demonstrate the novel use of a single-incision technique for endoscope-assisted sagittal craniosynostosis correction that improves upon the classically described surgical procedure by decreasing invasiveness, while allowing for excellent clinical outcomes.
本研究的目的是介绍一种单切口内镜辅助手术治疗矢状缝早闭的新技术及相关结果。
我们回顾性分析了在我院接受单切口内镜辅助矢状缝颅骨切除术治疗矢状缝早闭的婴儿病历。收集的人口统计学数据包括患者年龄、失血量、手术时间、术前和术后血红蛋白、术前和术后头指数（CI）以及住院时间。
7例连续的婴儿采用单切口内镜技术进行了矢状缝早闭手术。平均手术时间为87（±10.5）分钟。平均失血量为32（±13.5）立方厘米（cc）。术后血红蛋白平均为7.1（±0.2）g/dL。没有患者在术中或术后需要输血。1例患者出现硬脑膜撕裂。平均住院时间为1.4（±1.1）天。术前和术后CI的差异为8.4%（±3.5；p<0.05）。
我们展示了单切口技术在内镜辅助矢状缝早闭矫正中的新应用，该技术通过降低侵袭性改进了经典描述的手术方法，同时获得了良好的临床效果。
