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Effect comparison of neuroendoscopic vs. craniotomy in the treatment of adult intracranial arachnoid cyst

PURPOSE: Intracranial arachnoid cysts are common, accounting for about 1%–2% of intracranial space-occupying lesions. There is controversy over the method of surgical intervention, and in order to provide guidance for surgical decision making, this study compares the efficacy of craniotomy vs. neuro...

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Autores principales: Liang, Jianfeng, Li, Kai, Luo, Bin, Zhang, Jun, Zhao, Peng, Lu, Changyu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9852610/
https://www.ncbi.nlm.nih.gov/pubmed/36684173
http://dx.doi.org/10.3389/fsurg.2022.1054416
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author Liang, Jianfeng
Li, Kai
Luo, Bin
Zhang, Jun
Zhao, Peng
Lu, Changyu
author_facet Liang, Jianfeng
Li, Kai
Luo, Bin
Zhang, Jun
Zhao, Peng
Lu, Changyu
author_sort Liang, Jianfeng
collection PubMed
description PURPOSE: Intracranial arachnoid cysts are common, accounting for about 1%–2% of intracranial space-occupying lesions. There is controversy over the method of surgical intervention, and in order to provide guidance for surgical decision making, this study compares the efficacy of craniotomy vs. neuroendoscopic surgery in treating arachnoid cysts. METHODS: The adult patients with arachnoid cyst admitted to our department from October 2016 to August 2021 were retrospectively analyzed. Thirteen adult patients were recruited, and divided into two groups: neuroendoscopic group (group A) and craniotomy group (group B). We compared the gender, age, clinical symptoms, preoperative and postoperative cyst sizes, symptom improvement, complications, length of hospital stay, and hospital costs between two groups to analyze the therapeutic effects of these two surgical methods. RESULTS: The cost of hospitalization in group A was significantly lower than that in group B (47,292.8 vs. 65,151.8 yuan, P < 0.05), and there was no difference in the length of hospital stay between the two groups. The preoperative cysts in group A were significantly larger than those in group B (6.38 vs. 2.97 cm, P < 0.05). In groups A and B, the short-term symptom improvement rates were 100% and 75.0%, respectively. The long-term symptom improvement rates were 77.78% and 75.0% (P > 0.05), respectively. CONCLUSION: Both neuroendoscopic and craniotomy have good curative effects for the treatment of intracranial arachnoid cysts. There was no significant difference in the outcomes between the two surgical techniques. The cost of hospitalization can be reduced with neuroendoscopic surgery. Neuroendoscopic treatment is recommended for large intracranial arachnoid cysts, and craniotomy is suitable for small intracranial arachnoid cysts.
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spelling pubmed-98526102023-01-21 Effect comparison of neuroendoscopic vs. craniotomy in the treatment of adult intracranial arachnoid cyst Liang, Jianfeng Li, Kai Luo, Bin Zhang, Jun Zhao, Peng Lu, Changyu Front Surg Surgery PURPOSE: Intracranial arachnoid cysts are common, accounting for about 1%–2% of intracranial space-occupying lesions. There is controversy over the method of surgical intervention, and in order to provide guidance for surgical decision making, this study compares the efficacy of craniotomy vs. neuroendoscopic surgery in treating arachnoid cysts. METHODS: The adult patients with arachnoid cyst admitted to our department from October 2016 to August 2021 were retrospectively analyzed. Thirteen adult patients were recruited, and divided into two groups: neuroendoscopic group (group A) and craniotomy group (group B). We compared the gender, age, clinical symptoms, preoperative and postoperative cyst sizes, symptom improvement, complications, length of hospital stay, and hospital costs between two groups to analyze the therapeutic effects of these two surgical methods. RESULTS: The cost of hospitalization in group A was significantly lower than that in group B (47,292.8 vs. 65,151.8 yuan, P < 0.05), and there was no difference in the length of hospital stay between the two groups. The preoperative cysts in group A were significantly larger than those in group B (6.38 vs. 2.97 cm, P < 0.05). In groups A and B, the short-term symptom improvement rates were 100% and 75.0%, respectively. The long-term symptom improvement rates were 77.78% and 75.0% (P > 0.05), respectively. CONCLUSION: Both neuroendoscopic and craniotomy have good curative effects for the treatment of intracranial arachnoid cysts. There was no significant difference in the outcomes between the two surgical techniques. The cost of hospitalization can be reduced with neuroendoscopic surgery. Neuroendoscopic treatment is recommended for large intracranial arachnoid cysts, and craniotomy is suitable for small intracranial arachnoid cysts. Frontiers Media S.A. 2023-01-06 /pmc/articles/PMC9852610/ /pubmed/36684173 http://dx.doi.org/10.3389/fsurg.2022.1054416 Text en © 2023 Liang, Li, Luo, Zhang, Zhao and Lu. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . 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 Surgery
Liang, Jianfeng
Li, Kai
Luo, Bin
Zhang, Jun
Zhao, Peng
Lu, Changyu
Effect comparison of neuroendoscopic vs. craniotomy in the treatment of adult intracranial arachnoid cyst
title Effect comparison of neuroendoscopic vs. craniotomy in the treatment of adult intracranial arachnoid cyst
title_full Effect comparison of neuroendoscopic vs. craniotomy in the treatment of adult intracranial arachnoid cyst
title_fullStr Effect comparison of neuroendoscopic vs. craniotomy in the treatment of adult intracranial arachnoid cyst
title_full_unstemmed Effect comparison of neuroendoscopic vs. craniotomy in the treatment of adult intracranial arachnoid cyst
title_short Effect comparison of neuroendoscopic vs. craniotomy in the treatment of adult intracranial arachnoid cyst
title_sort effect comparison of neuroendoscopic vs. craniotomy in the treatment of adult intracranial arachnoid cyst
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9852610/
https://www.ncbi.nlm.nih.gov/pubmed/36684173
http://dx.doi.org/10.3389/fsurg.2022.1054416
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