Observational Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 16, 2022; 10(35): 12920-12927
Published online Dec 16, 2022. doi: 10.12998/wjcc.v10.i35.12920
Efficacy evaluation of neuroendoscopy vs burr hole drainage in the treatment of chronic subdural hematoma: An observational study
Xue-Jian Wang, Yu-Hua Yin, Zhi-Feng Wang, Yi Zhang, Cheng Sun, Zhi-Ming Cui
Xue-Jian Wang, Zhi-Feng Wang, Yi Zhang, 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, Affiliated Hospital 2 to Nantong University, Nantong 226001, Jiangsu Province, China
Author contributions: Wang XJ and Cui ZM conceived of and designed the trial; Wang XJ and Wang ZF collected the data; Sun C and Yin YH and Wang XJ analyzed the data; Wang XJ and Zhang Y wrote the manuscript; All authors contributed to the article and approved the submitted version.
Supported by the Science and Technology Program of Nantong Health Committee, No. MA2019003, No. MA2021017, No. MB2021026, and No. MB2021027; Science and Technology Program of Nantong City, No. Key003 and No. JCZ2022040; and Kangda College of Nanjing Medical University, No. KD2021JYYJYB025.
Institutional review board statement: The study was reviewed and approved by the Ethics Committee of Affiliate Hospital 2 to Nantong University Institutional Review Board (Approval No. Key03).
Conflict-of-interest statement: The authors declare that there are no conflicts of interest to report.
Data sharing statement: Technical appendix, statistical code, and dataset available from the corresponding author at 6841441@163.com.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
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. 6 Chongchuan Street, Nantong 226001, Jiangsu Province, China. 6841441@163.com
Received: July 24, 2022
Peer-review started: July 24, 2022
First decision: September 25, 2022
Revised: October 1, 2022
Accepted: November 17, 2022
Article in press: November 17, 2022
Published online: December 16, 2022
Processing time: 143 Days and 2.9 Hours
Core Tip

Core Tip: Minimally invasive neuroendoscopic surgery uses smaller surgical incisions and bone windows to achieve effective removal of intracranial hematoma, minimal trauma to brain tissue and effective reduction of recurrence rate. Due to variations in hematoma site, shape, size and degree of clots, the location of the bone hole and approaches for minimally invasive endoscopy are different for each patient. To better treat chronic subdural hematoma patients using minimally invasive neuroendoscopy, we use computed tomography scanning to locate chronic subdural hematoma and select the best endoscopic micro-mirror approach before performing minimally invasive neuroendoscopic surgery and analyzed the clinical data and treatment efficacy.