Wang XJ, Yin YH, Zhang LY, Wang ZF, Sun C, Cui ZM. Positioning and design by computed tomography imaging in neuroendoscopic surgery of patients with chronic subdural hematoma. World J Clin Cases 2023; 11(14): 3204-3210 [PMID: 37274034 DOI: 10.12998/wjcc.v11.i14.3204]
Corresponding Author of This Article
Xue-Jian Wang, MD, PhD, Professor, Surgeon, Department of Neurosurgery, Affiliated Hospital 2 to Nantong University, No. 666 Shengli Road, Chongchuan District, Nantong 226001, Jiangsu Province, China. 6841441@163.com
Research Domain of This Article
Surgery
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Xue-Jian Wang, Long-Yao Zhang, Zhi-Feng Wang, Department of Neurosurgery, Affiliated Hospital 2 to Nantong University, Nantong 226001, Jiangsu Province, China
Yu-Hua Yin, Department of Neurosurgery, Renji Hospital, Shanghai Jiao Tong University, Shanghai 200000, China
Cheng Sun, Jiangsu Provincial Key Laboratory of Nerve Regeneration, Nantong University, Nantong 226001, Jiangsu Province, China
Zhi-Ming Cui, Department of Orthopedic, Affiliate Hospital 2 to Nantong University, Nantong 226001, Jiangsu Province, China
Author contributions: Wang XJ and Yin YH conceived and designed the trial; Wang XJ and Wang ZF collected the date; Sun C and Cui ZM analyzed the date; Wang XJ and Zhang LY wrote the manuscript; and all authors contributed to the article and approved the submitted version.
Institutional review board statement: This research has been approved by the ethics committee of our department.
Informed consent statement: Informed consent has been obtained and this investigation has been conducted according to the principles expressed in the Declaration of Helsinki. And the authors have obtained written informed consent of all the patients.
Conflict-of-interest statement: All the authors have no any conflict-of-interest statement.
Data sharing statement: All data is saved by corresponding author. If you need relevant information, you can contact corresponding author.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xue-Jian Wang, MD, PhD, Professor, Surgeon, Department of Neurosurgery, Affiliated Hospital 2 to Nantong University, No. 666 Shengli Road, Chongchuan District, Nantong 226001, Jiangsu Province, China. 6841441@163.com
Received: December 9, 2022 Peer-review started: December 9, 2022 First decision: March 10, 2023 Revised: March 22, 2023 Accepted: April 6, 2023 Article in press: April 6, 2023 Published online: May 16, 2023
ARTICLE HIGHLIGHTS
Research background
This technology can be further promoted and applied in clinical practice, which will certainly achieve better clinical therapeutic effect, improve the curative effect of surgery, and be more minimally invasive and reasonable.
Research motivation
Patients with Chronic Subdural Hematoma (CSH) can achieve good therapeutic effect by using our way to positioning and design to assist the operation of CSH according to computed tomography (CT) scan and image, and our way is very useful and necessary.
Research objectives
We designed a new surgical incision method of neuroendoscopy under CT imaging technology for chronic subdural hematoma (cSDH), and achieved satisfactory therapeutic effect through the application of the above methods.
Research methods
A minimally invasive surgical incision design suitable for cSDH under neuroendoscopy was designed by using neuroendoscopy technology, combined with the study of CT and other imaging technologies.
Research results
To study more convenient methods of surgical incision and bone window size for the treatment of cSDH under neuroendoscopy, so as to make the operation more minimally invasive.
Research conclusions
The bone window for the treatment of cSDH under neuroendoscopy needs to vary from person to person; otherwise, the bone window may be too large or too small during the operation, which may affect the operation.
Research perspectives
Neuroendoscopy is a very useful technique to CSH. But how to achieve the goal of treatment more minimally invasive? How can incisions be designed and positioned to be more minimally invasive?
