Department of Neurosurgery, Renmin Hospital of Wuhan University, Wuhan, China.
Department of Neurosurgery, Xiangyang No.1 People's Hospital, Hubei University of Medicine, Xiangyang, China.
World Neurosurg. 2019 Nov;131:e562-e569. doi: 10.1016/j.wneu.2019.07.235. Epub 2019 Aug 7.
Minimally invasive surgical techniques may have beneficial effects on spontaneous intracerebral hemorrhage. Accurate localization of the hematoma and real-time guided puncture are more important in minimally invasive surgical procedures than in traditional craniotomy. Here, we introduce a novel simple puncture positioning and guidance system for intracerebral hematoma and demonstrate its utility for hematoma puncture surgery in a simulation experiment and series of patients.
We describe the device and use of the technique for hematoma puncture surgery in basal ganglia hematomas and report on the precision of the simulation experiments compared to that of freehand puncture, as well as its clinical application in 16 cases.
The accuracy of this technique was superior to that of freehand puncture. All 16 patients underwent successful puncturing of the hematoma cavity or ventricles only once without any related complications.
We demonstrate a novel simple puncture positioning and guidance system that has the advantages of simplicity, low-cost, device availability, and individual real-time guidance. We believe this system may be useful in resource-limited centers where navigation is not available.
微创外科技术可能对自发性脑出血有有益的影响。与传统开颅术相比，微创外科手术中更准确地定位血肿和实时引导穿刺是非常重要的。在这里，我们介绍一种用于脑内血肿微创穿刺的新型简单穿刺定位和引导系统，并在模拟实验和一系列患者中展示其用于血肿穿刺手术的实用性。
我们描述了该设备在基底节血肿中的应用，并报告了模拟实验与徒手穿刺相比的精度，以及在 16 例患者中的临床应用。
该技术的准确性优于徒手穿刺。所有 16 例患者均一次成功穿刺血肿腔或脑室，无任何相关并发症。
我们展示了一种新型简单的穿刺定位和引导系统，具有简单、低成本、设备可用性和个体化实时引导的优点。我们认为，在没有导航的资源有限的中心，该系统可能会很有用。
