Abstract
Purpose. Endoscopic surgery for evacuating intracranial hemorrhage (ICH) is a minimally invasive method, hut is relatively inefficient for evacuating hematoma. To improve the efficiency of endoscopic surgery, we used a stainless steel tube as an endoscope sheath, combined with a working channel endoscope to evacuate hypertensive putaminal hematoma. Methods. From January 2004 to April 2004, eight patients with putaminal hematoma were treated by endoscopic surgery in our hospital. During surgery, we experimented with two different entry sites (temporal and frontal) to approach the hematomas. Results There were no surgical complications. The hematoma evacuation rate via the frontal approach was greater than 90% (median 92%) while the rate via the temporal approach was 66%. Conclusions. A working channel endoscope combined with a stainless steel endoscopic sheath via a frontal burr hole approach can faciltate the evacuation of putaminal hematoma in endoscopic surgery.
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