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Intraoperative Hemorrhage in Ventriculoscopic Surgery: Experience of a Single Chinese Neurosurgery Center
Chuzhong Li1, Xuyi Zong2, Xinsheng Wang2
1Beijing 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.
Insights
Intraoperative bleeding is a common complication in ventriculoscopic surgery but does not significantly impact outcomes. Skilled neurosurgeons can manage this complication, confirming the safety and effectiveness of the ventriculoscopic approach for brain ventricular diseases.
Area of Science:
- Neurosurgery
- Minimally Invasive Surgery
Background:
- Ventriculoscopic surgery is a preferred method for treating hydrocephalus, arachnoid cysts, and intraventricular lesions.
- Intraoperative bleeding is a significant complication impacting ventriculoscopic procedures.
- Limited research has comprehensively addressed intraoperative bleeding in this context.
Purpose of the Study:
- To analyze the incidence and impact of intraoperative hemorrhage during ventriculoscopic surgery.
- To evaluate the relationship between intraoperative bleeding and patient outcomes.
Main Methods:
- Retrospective analysis of 126 patients undergoing ventriculoscopic surgery at Beijing Tiantan Hospital from May 2011 to December 2012.
- Classification of intraoperative hemorrhage into stages.
Main Results:
- Intraoperative hemorrhage occurred in 59.5% of patients (75 out of 126).
- Hemorrhage was classified as Stage I (62), Stage II (11), and Stage III (2).
- No significant difference in complication rates or symptom improvement was observed between patients with and without hemorrhage (P < 0.05).
Conclusions:
- Intraoperative hemorrhage during ventriculoscopic surgery warrants attention.
- Effective management by skilled neurosurgeons leads to low complication rates.
- The ventriculoscopic approach remains a safe and effective treatment for specific brain ventricular diseases.
Background:
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.
Methods:
Patients who underwent ventriculoscopic surgery between May 2011 and December 2012 at Beijing Tiantan Hospital were analyzed.
Results:
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).
Conclusions:
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.
