Cargando…

Endoscope-Assisted Surgery vs. Burr-Hole Craniostomy for the Treatment of Chronic Subdural Hematoma: A Systemic Review and Meta-Analysis

Objectives: This article aims to evaluate the safety and effectiveness of endoscope-assisted surgery for chronic subdural hematoma (cSDH) in comparison with the burr-hole craniostomy. Methods: An electronic literature research was performed in MEDLINE, the Cochrane library, and EMBASE from the incep...

Descripción completa

Detalles Bibliográficos
Autores principales: Guo, Songyi, Gao, Wei, Cheng, Wen, Liang, Chuansheng, Wu, Anhua
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7674936/
https://www.ncbi.nlm.nih.gov/pubmed/33250840
http://dx.doi.org/10.3389/fneur.2020.540911
_version_ 1783611615358222336
author Guo, Songyi
Gao, Wei
Cheng, Wen
Liang, Chuansheng
Wu, Anhua
author_facet Guo, Songyi
Gao, Wei
Cheng, Wen
Liang, Chuansheng
Wu, Anhua
author_sort Guo, Songyi
collection PubMed
description Objectives: This article aims to evaluate the safety and effectiveness of endoscope-assisted surgery for chronic subdural hematoma (cSDH) in comparison with the burr-hole craniostomy. Methods: An electronic literature research was performed in MEDLINE, the Cochrane library, and EMBASE from the inception to February 18, 2020. A systematic review with meta-analyses was conducted to compare the efficacy of endoscope-assisted surgery with Burr-hole Craniostomy (BHC) surgery. Results: This meta-analysis included four studies comprising 441 patients. Endoscope-assisted surgery significantly decreased the risk of recurrence in patients with cSDH [odds ratio, 0.368; 95% confidence interval (CI), 0.178–0.759; P = 0.007; I(2) = 0%]. The complication rate was also significantly lower in the endoscope-assisted group (OR, 0.249; 95% CI, 0.07–0.882; P = 0.031; I(2) = 71.87%). Conclusion: We conducted the first meta-analysis of endoscope-assisted surgery for cSDH. The meta-analysis of four studies comprising 441 patients with cSDH suggests a significantly decreased risk of recurrence and postoperative complications after endoscope-assisted surgery. Therefore, endoscope-assisted surgery is effective and safe in treating cSDH.
format Online
Article
Text
id pubmed-7674936
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-76749362020-11-26 Endoscope-Assisted Surgery vs. Burr-Hole Craniostomy for the Treatment of Chronic Subdural Hematoma: A Systemic Review and Meta-Analysis Guo, Songyi Gao, Wei Cheng, Wen Liang, Chuansheng Wu, Anhua Front Neurol Neurology Objectives: This article aims to evaluate the safety and effectiveness of endoscope-assisted surgery for chronic subdural hematoma (cSDH) in comparison with the burr-hole craniostomy. Methods: An electronic literature research was performed in MEDLINE, the Cochrane library, and EMBASE from the inception to February 18, 2020. A systematic review with meta-analyses was conducted to compare the efficacy of endoscope-assisted surgery with Burr-hole Craniostomy (BHC) surgery. Results: This meta-analysis included four studies comprising 441 patients. Endoscope-assisted surgery significantly decreased the risk of recurrence in patients with cSDH [odds ratio, 0.368; 95% confidence interval (CI), 0.178–0.759; P = 0.007; I(2) = 0%]. The complication rate was also significantly lower in the endoscope-assisted group (OR, 0.249; 95% CI, 0.07–0.882; P = 0.031; I(2) = 71.87%). Conclusion: We conducted the first meta-analysis of endoscope-assisted surgery for cSDH. The meta-analysis of four studies comprising 441 patients with cSDH suggests a significantly decreased risk of recurrence and postoperative complications after endoscope-assisted surgery. Therefore, endoscope-assisted surgery is effective and safe in treating cSDH. Frontiers Media S.A. 2020-11-05 /pmc/articles/PMC7674936/ /pubmed/33250840 http://dx.doi.org/10.3389/fneur.2020.540911 Text en Copyright © 2020 Guo, Gao, Cheng, Liang and Wu. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neurology
Guo, Songyi
Gao, Wei
Cheng, Wen
Liang, Chuansheng
Wu, Anhua
Endoscope-Assisted Surgery vs. Burr-Hole Craniostomy for the Treatment of Chronic Subdural Hematoma: A Systemic Review and Meta-Analysis
title Endoscope-Assisted Surgery vs. Burr-Hole Craniostomy for the Treatment of Chronic Subdural Hematoma: A Systemic Review and Meta-Analysis
title_full Endoscope-Assisted Surgery vs. Burr-Hole Craniostomy for the Treatment of Chronic Subdural Hematoma: A Systemic Review and Meta-Analysis
title_fullStr Endoscope-Assisted Surgery vs. Burr-Hole Craniostomy for the Treatment of Chronic Subdural Hematoma: A Systemic Review and Meta-Analysis
title_full_unstemmed Endoscope-Assisted Surgery vs. Burr-Hole Craniostomy for the Treatment of Chronic Subdural Hematoma: A Systemic Review and Meta-Analysis
title_short Endoscope-Assisted Surgery vs. Burr-Hole Craniostomy for the Treatment of Chronic Subdural Hematoma: A Systemic Review and Meta-Analysis
title_sort endoscope-assisted surgery vs. burr-hole craniostomy for the treatment of chronic subdural hematoma: a systemic review and meta-analysis
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7674936/
https://www.ncbi.nlm.nih.gov/pubmed/33250840
http://dx.doi.org/10.3389/fneur.2020.540911
work_keys_str_mv AT guosongyi endoscopeassistedsurgeryvsburrholecraniostomyforthetreatmentofchronicsubduralhematomaasystemicreviewandmetaanalysis
AT gaowei endoscopeassistedsurgeryvsburrholecraniostomyforthetreatmentofchronicsubduralhematomaasystemicreviewandmetaanalysis
AT chengwen endoscopeassistedsurgeryvsburrholecraniostomyforthetreatmentofchronicsubduralhematomaasystemicreviewandmetaanalysis
AT liangchuansheng endoscopeassistedsurgeryvsburrholecraniostomyforthetreatmentofchronicsubduralhematomaasystemicreviewandmetaanalysis
AT wuanhua endoscopeassistedsurgeryvsburrholecraniostomyforthetreatmentofchronicsubduralhematomaasystemicreviewandmetaanalysis