A Comparative Study Of Minimally Invasive Surgery Combined Lateral Ventricle Drainage And Craniotomy Hematoma Evacuation On HICH

Objective:To investigate the advantages of minimally invasive surgery combined lateralventricle drainage by comparing the clinical outcomes versus craniotomy hematomaevacuation and to evaluate the clinical value of minimally invasive surgery combinedlateral ventricle drainage.Methods:We retrospectively reviewed 67 cases of HICH from August 2000 to October 2004 inour hospital. Minimally invasive surgery was performed for 32 cases, and 35 patientsunderwent craniotomy hematoma evacuation during the same period. Clinical dataincluding post-treatment neurological impairment, postoperative hospital stay,complication incidence, fatality rate and prospective efficacy were recorded andcompared between the two groups.Results:In the Minimally invasive surgery group, postoperative hospital stay, complicationincidence, fatality rate were 25d, 53%, 11.4% .And the data in the craniotomyhematoma evacuation group were 29d,31%,18.7%.The post-treatment neurologicalimpairment in the Minimally invasive surgery group was significantly less than in thecraniotomy hematoma evacuation group(P<0.05),while the prospective efficacy wasmore than in the craniotomy hematoma evacuation group(P<0.05).Conclusions: Minimally invasive surgery has several advantages over craniotomy hematoma evacuation, namely a smaller wound, less operative time, less complication incidence, less fatality rate, less hospitalization cost. We believe that with these benefits it may provide a safe and effective method for HICH .