Home Publications Research Grants Inventions & Patents Awards Additional Research Activities Faculties & Institutions Research Areas

Smartphone navigated endoscopic port surgery of hypertensive basal ganglia hemorrhage

Li F, Gan Z, Xu X, Zhao Y, Wang Q, Chen C, Liu H, Xiong R, Qi Z, Sun G, Zhang J, Xu B, Chen X (2022)

---

Publication Type: Journal article

Publication year: 2022

Journal

Book Volume: 101

Pages Range: 193-197

DOI: 10.1016/j.jocn.2022.05.012

Abstract

OBJECTIVE: Endoscopic port surgery is a promising alternative for the surgical treatment of intracerebral hypertensive basal ganglia hemorrhage (HBGH). The precise location of hematoma is a crucial step for surgery. The authors developed a simple, low-cost navigation method using an Android smartphone for the localization of HBGH. METHODS: All patients' CT DICOM data were processed with an open-source software (3D Slicer). The volume of hematoma, angle, and length of trajectory were calculated automatically. A smartphone running the Android system and the Compass APP was used to help insert the inner introducer. An endoscopic port system was applied to create a working channel for neuro-endoscopic hematoma evacuation. RESULTS: There were 27 patients enrolled in this study (mean age 56). All patients underwent successful surgical evacuation of HBGH with neuroendoscopic evacuation. The mean time taken for the surgical plan was 4 min. The total operation time from skin incision to final suture was 82.6 min. Compared with standard neuronavigation, mean error of trajectory was 5.1 mm. The mean preoperative hematoma volume was 44.8 ml. The optimal trajectory angle averaged 39.5°and the length was 71 mm. Intraoperative blood loss was about 45 ml. Post-operative hematoma volume was 2.9 ml, and the average evacuation rate was 93.6%. One week after surgery, the mean GCS score was improved from 8.2 to 13.8 (p < 0.01). CONCLUSIONS: This simple, low-cost navigation method using 3D Slicer, an Android smartphone with the Compass APP, helps precisely insert the endoscopic working channel to the desired point, which is crucial for satisfactory evacuation of HBGH.

Authors with CRIS profile

Involved external institutions

How to cite

APA:

Li, F., Gan, Z., Xu, X., Zhao, Y., Wang, Q., Chen, C.,... Chen, X. (2022). Smartphone navigated endoscopic port surgery of hypertensive basal ganglia hemorrhage. Journal of Clinical Neuroscience, 101, 193-197. https://dx.doi.org/10.1016/j.jocn.2022.05.012

MLA:

Li, Fangye, et al. "Smartphone navigated endoscopic port surgery of hypertensive basal ganglia hemorrhage." Journal of Clinical Neuroscience 101 (2022): 193-197.

BibTeX: Download