Endoscopic surgery of hypertensive intracerebral and intraventricular hemorrhages: variants of the technique
https://doi.org/10.17650/1683-3295-2020-22-2-83-89
Abstract
Based on first-hand experience and literature data, the authors present detailed descriptions of different types of endoscopic interventions for intracerebral and intraventricular hemorrhages removal using rigid and flexible endoscopes, ports and trocars for ventricular surgery. Knowledge on techniques of endoscopic aspiration of hypertensive intracranial hemorrhages is structured and summarized, recommendations on use of different techniques depending on the type of hemorrhage and available equipment are presented. Endoscopic aspiration is described as an effective technique allowing to solve the problem of low-injury intracerebral and intraventricular hemorrhages removal in almost any localization.
About the Authors
V. G. Dashyan
A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of Russia; N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department
Russian Federation
Russian Federation
Bld. 1, 20 Delegatskaya St., Moscow 127473; 3 Bolshaya Sukharevskaya Sq., Moscow 129090
I. M. Godkov
N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department
Russian Federation
Russian Federation
3 Bolshaya Sukharevskaya Sq., Moscow 129090
References
1. Krylov V.V., Dashyan V.G., Burov S.A., Petrikov S.S. Surgery of hemorrhagic stroke. Moscow: Meditsina, 2012. 336 p. (In Russ.).
2. Auer L.M., Holzer P., Ascher P.W., Heppner F. Endoscopic neurosurgery. Acta Neurochir (Wien) 1988;90(1—2):1—14. DOI: 10.1007/BF01541260.
3. Bakshi A., Bakshi A., Banerji A. Neuroendoscope-assisted evacuation of large intracerebral hematomas: introduction of a new, minimally invasive technique. Preliminary Report. Neurosurg Focus 2004;16(6):e9. DOI: 10.3171/foc.2004.16.6.8.
4. Kuo L.-T., Chen C.-M., Li C.-H. et al. Early endoscope-assisted hematoma evacuation in patients with supratentorial intracerebral hemorrhage: case selection, surgical technique, and long-term results. Neurosurg Focus 2011;30(4):E9. DOI: 10.3171/2011.2.FOCUS10313.
5. Nishihara T., Nagata K., Tanaka S. et al. Newly developed endoscopic instruments for the removal of intracerebral hematoma. Neurocrit Care 2005;2(1):67—74. DOI: 10.1385/NCC:2:1:067.
6. Cho D.Y., Chen C.C., Chang C.S. et al. Endoscopic surgery for spontaneous basal ganglia hemorrhage: comparing endoscopic surgery, stereotactic aspiration, and craniotomy in noncomatose patients. Surg Neurol 2006;65(6):547—55. DOI: 10.1016/j.surneu.2005.09.032.
7. Letyagin G.V. Endoscopy in the treatment of non-traumatic intracerebral hematomas. Abstract of the dis. ... cand. of med. sciences. Novosibirsk, 2005. 32 p. (In Russ.).
8. Auer L.M., Deinsberger W., Niederkorn K. et al. Endoscopic evacuation of intracerebral hemorrhage. High-tec-surgical treatment — a new approach to the problem? Acta Neurochir 1985;74(3—4):124—8. DOI: 10.1007/BF01418801.
9. Dye J.A., Dusick J.R., Lee D.J. et al. Frontal bur hole through an eyebrow incision for image-guided endoscopic evacuation of spontaneous intracerebral hemorrhage. J Neurosurg 2012;117(4): 767-73. DOI: 10.3171/2012.7.JNS111567.
10. Oertel J., Krauss J.K., Gaab M.R. Ultrasonic aspiration in neuroendoscopy: first results with a new tool. J Neurosurg 2008;109(5):908—11. DOI: 10.3171/JNS/2008/109/11/0908.
11. Nishihara T., Teraoka A., Morita A. et al. A transparent sheath for endoscopic surgery and its application in surgical evacuation of spontaneous intracerebral hematomas. Technical note. J Neurosurg 2000;92(6):1053—5. DOI: 10.3171/jns.2000.92.6.1053.
12. Krylov V.V., Dashyan V.G., Godkov I.M. Endoscopic surgery of hemorrhagic stroke. Moscow: Binom, 2014. Pp. 24—25.
13. Dash’jan V.G., Godkov I.M., Sytnik A.V. Endoscopic surgery of hemorrhagic stroke through the transparent port. Endoskopicheskaya khirurgiya = Endoscopic Surgery 2016;(1):57—63. (In Russ.). DOI: 10.17116/endoskop201622157-63.
14. Ogura K., Tachibana E., Aoshima C., Sumitomo M. New microsurgical technique for intraparenchymal lesions of the brain: transcylinder approach. Acta Neurochir (Wien) 2006;148(7):779—85. DOI: 10.1007/s00701-006-0768-7.
15. Dashyan V.G., Godkov I.M., Sytnik A.V. Improvement of endoscopic aspiration of hypertensive hematoma. Endoskopicheskaya khirurgiya = Endoscopic Surgery 2019;25(5):37—44. (In Russ.). DOI: 10.17116/endoskop20192505137.
16. Gushcha A.O., Semenov M.S., Kashcheev A.A. Flexible endoscopy in neurosurgery. 2015;9(4):42—8. (In Russ.).
17. Lebedev V.V., Krylov V.V. Emergency neurosurgery. Moscow: Me-ditsina, 2000. Pp. 506—530. (In Russ.).
18. Chen C.C., Liu C.L., Tung Y.N. et al. Endoscopic surgery for intraventricular hemorrhage (IVH) caused by thalamic hemorrhage: comparisons of endoscopic surgery and external ventricular drainage (EVD) surgery. Wrld Neurosurg 2011;75(2): 264—8. DOI: 10.1016/j.wneu.2010.07.041.
19. Basaldella L., Marton E., Fiorindi A. et al. External ventricular drainage alone versus endoscopic surgery for severe intraventricular hemorrhage: a comparative retrospective analysis on outcome and shunt dependency. Neurosurg Focus 2012;32(4):E4. DOI: 10.3171/2012.1.FOCUS11349.
20. Godkov I.M., Dashyan V.G. Endoscopic intraventricular hemorrhage removal: clinical observation and technical features. Neyrokhirurgiya = Russian Journal of Neurosurgery 2019;21(2):45—52. (In Russ.). DOI: 10.17650/1683-3295-2019-21-2-45-52.
21. Komatsu F., Wakuta N., Komatsu M. et al. A pitfall of neuroendoscopic intraventricular hematoma removal — delayed obstructive hydrocephalus caused by a small remnant clot. Case report. Neurol Med Chir (Tokyo) 2011;51(4):293—5. DOI: 10.2176/nmc.51.293.
22. Horvath Z., Veto F., Balas I. et al. Biportal endoscopic removal of primary intraventricular hematoma: case report. Minim Invasive Neurosurg 2000;43(1):4—8. DOI: 10.1055/s-2000-8410.
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For citations:
Dashyan V.G., Godkov I.M. Endoscopic surgery of hypertensive intracerebral and intraventricular hemorrhages: variants of the technique. Russian journal of neurosurgery. 2020;22(2):83-89. (In Russ.) https://doi.org/10.17650/1683-3295-2020-22-2-83-89
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