Efficacy of neuroendoscopic minimally invasive surgery in the treatment of severe spontaneous cerebellar hemorrhage
Wang Lianyun
Wang Yongkang
Gao Changbin
Zhang Zeli
Abstract：Objective To explore the clinical efficacy of neuroendoscopic minimally invasive surgery in the treatment of severe spontaneous cerebellar hemorrhage(SCH).Methods Clinical data of 48 patients with severe SCH were analyzed retrospectively,including 26 patients treated with neuroendoscopic surgery(neuroendoscopic group)and 22 patients treated with microsurgical craniotomy(microscopic craniotomy group).The operative time,intraoperative blood loss,ventricular drainage time,postoperative hematoma evacuation rate,postoperative rebleeding rate,intracranial infection rate,and favorable outcome rate were compared between the two groups.Results The operative time in the neuroendoscopic group was(114.92±18.65)minutes,intraoperative blood loss was(141.67±34.07)ml,and ventricular drainage duration was(4.27±0.88)days,all of which were lower than those in the microscopic craniotomy group[(154.00±13.27)minutes,(217.50±31.20)ml,and(6.82±1.09)days,respectively].The hematoma evacuation rate in the neuroendoscopic group was(91.48±4.96)%,which was higher than that in the microscopic craniotomy group(85.43±4.85)%.The differences between the two groups were all statistically significant(all P<0.05).The postoperative rehemorrhage rate and intracranial infection rate in the neuroendoscopic group were 3.85%each,both lower than those in the microscopic craniotomy group,but the differences between the two groups were not statistically significant(both P>0.05).After a 3-month follow-up,the number of patients with a favorable outcome(mRS≤3 points)in the neuroendoscopic group and the microscopic craniotomy group was 21(80.77%,21/26)and 11(50.00%,11/22),respectively,and the difference was statistically significant(P=0.0258).Conclusions Neuroendoscopic surgery for severe SCH is a minimally invasive technique with short operative time,minimal blood loss,high hematoma clearance rate,less trauma,and favorable prognosis,thus being clinically valuable for promotion.
Keywords：cerebral hemorrhagecerebellumneuroendoscopyneurosurgery
Publication Date：2025-05-20
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 280-284 )