Observational Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 16, 2023; 11(14): 3204-3210
Published online May 16, 2023. doi: 10.12998/wjcc.v11.i14.3204
Positioning and design by computed tomography imaging in neuroendoscopic surgery of patients with chronic subdural hematoma
Xue-Jian Wang, Yu-Hua Yin, Long-Yao Zhang, Zhi-Feng Wang, Cheng Sun, Zhi-Ming Cui
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
Processing time: 150 Days and 21.2 Hours
Core Tip

Core Tip: Via minimally invasive neuroendoscopic surgery, one can use smaller surgical incisions and bone windows to achieve effective removal of intracranial hematoma, minimal trauma to brain tissue, and effective reduction of recurrence rate. However, due to variations in hematoma site, shape, size and degree of clots, the location of bone hole and approaches for minimally invasive endoscopy are also different for each patient. How to accurately locate the intracerebral hematoma in chronic subdural hematoma (cSDH) patients before surgery and design an individualized approach for minimally invasive endoscopy is one of the keys to success. To better treat cSDH patients using minimally invasive neuroendoscopy, we use computed tomography scanning to locate cSDH and select the best endoscopic micro-mirror approach before performing minimally invasive neuroendoscopic surgery and analyzed the clinical data and treatment efficacy.