小脳出血における内視鏡下血腫吸引除去術の有用性

Abstract

Endoscopic surgery for spontaneous cerebral hemorrhage is less invasive surgery. However, the management of spontaneous cerebral hemorrhage remains controversial. We compared the surgical results and outcomes at discharge of cerebellar hemorrhage patients who underwent craniotomy with those of patients who received endoscopic surgery. Patients treated by endoscopic surgery (n=11) were compared with patients treated by conventional surgical hematoma evacuation (n=14). The endoscopic surgery took less time than the craniotomy (67.8 min vs. 207.1 min, p<0.01). The period of ventricular drainage was shorter in the endoscopic surgery group (1.8 days vs. 5.8 days). There was no significant difference in the hematoma evacuation rate between the craniotomy group and the endoscopic surgery group. There was no re-bleeding in the endoscopic surgery group, and no patients in this group required cerebrospinal fluid shunt surgery. Outcome at discharge was not significantly different between the craniotomy and endoscopic surgery groups. We believe that endoscopic surgery is an effective, safe and less invasive technique for treating patients with cerebellar hemorrhage.