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Laser navigation combined with XperCT technology–assisted puncture of basal ganglia intracerebral hemorrhage

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Abstract

Basal ganglia hemorrhage, which is characterized by excessive incapacity charge and high mortality rates, is surgically treated by minimally invasive hematoma puncture and drainage. We aimed at determining the efficacy of laser-guided minimally invasive hematoma puncture and drainage for treatment of basal ganglia hemorrhage. A total of 61 patients with hypertensive basal ganglia hemorrhage were recruited at the Binzhou Medical University Hospital, between October 2019 and January 2021, and their clinical information retrospectively analyzed. Based on the surgical approach used, patients were assigned into either laser navigation or small bone window groups depending on the surgical approach. Then, we compared the operation times, intraoperative blood loss, clinic stay, Glasgow Outcome Score (GOS) rating at 30 days, Barthel index (BI) rating at 6 months, postoperative pneumonia incidences, and intracranial contamination complications between groups. Intraoperative blood loss, operation time, and sanatorium were significantly low in laser navigation group, relative to the small bone window group. At the same time, there were no significant differences between the groups with regard to postoperative hematoma volume, lung contamination, cerebrospinal fluid (CSF) leak, and intracranial contamination, as well as the 6-month BI and 30-day GOS rating. There were no deaths in either group. Compared with the traditional small bone window surgery, laser-guided puncture and drainage is a low-cost, accurate, and safe method for the treatment of basal ganglia hemorrhage, which is suitable for promotion in developing countries and economically underdeveloped areas.

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Availability of data and materials

Informed consent was obtained from all individual participants included in the study. The authors affirm that human research participants provided informed consent for publication of the images in Fig. 1E.

Funding

This study was financially supported by the Natural Science Foundation of Shandong (No. ZR2018LH007).

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Author notes

  1. Zhengbo Yuan and Qi Wei have contributed equally to this work and share first authorship.

Authors and Affiliations

  1. Department of Neurosurgery, Binzhou Medical University Hospital, Binzhou, 256603, Shandong, China

    Zhengbo Yuan, Hailong Xing, Tao Zhang & Zefu Li

  2. Department of Neurosurgery, Jinan People’s Hospital, Jinan, 271100, Shandong, China

    Qi Wei

  3. Department of Neurosurgery, Chengyang People’s Hospital, Qingdao, 266000, Shandong, China

    Zheng Chen

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  1. Zhengbo Yuan
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection, and analysis were performed by ZBY, QW, ZC, HLX, and TZ. The first draft of the manuscript was written by ZBY, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

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Correspondence to Zefu Li.

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This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee of Affiliated Hospital of Binzhou Medical College (2022.05.22 No.KYLL-2022-77)

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The authors declare no competing interests.

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Yuan, Z., Wei, Q., Chen, Z. et al. Laser navigation combined with XperCT technology–assisted puncture of basal ganglia intracerebral hemorrhage. Neurosurg Rev 46, 104 (2023). https://doi.org/10.1007/s10143-023-02015-2

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