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Recent Application of Neuroendoscopy in Neurosurgery: Complications and Management

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Clinical Neurology".

Deadline for manuscript submissions: closed (25 December 2024) | Viewed by 1125

Special Issue Editor


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Guest Editor
Department of Neurosurgery, The University of Tokyo Hospital, Tokyo, Japan
Interests: sneurysm; chordoma; chondrosarcoma; endoscopic surgery; meningioma; pituitary tumor; skull base surgery; stereotactic radiosurgery

Special Issue Information

Dear Colleagues,

This Special Issue focuses on the "Recent Application of Neuroendoscopy in Neurosurgery: Complications and Management". Neuroendoscopy has revolutionized the field of neurosurgery, providing minimally invasive approaches to complex intracranial disorders. As the adoption of these techniques widens, understanding the spectrum of associated complications and their management is imperative for improving patient outcomes. This Special Issue aims to collate a comprehensive range of research articles and reviews that address the challenges and innovations in neuroendoscopic procedures. We welcome contributions that explore the technical nuances, safety, and efficacy of neuroendoscopy, including the management of common and rare complications. Studies on patient selection, preoperative planning, intraoperative techniques, and postoperative care are particularly encouraged. Contributors may also present advancements in equipment and technology, operative methodologies, and educational strategies for training neurosurgeons in these procedures. By highlighting recent developments and discussing the complexities of complication management, this Special Issue seeks to provide a valuable resource for neurosurgeons, enhancing both practice and patient care in the field of neuroendoscopy.

Dr. Hirotaka Hasegawa
Guest Editor

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Keywords

  • neuroendoscopy
  • neuroimaging
  • ventriculoscopy
  • skull base
  • pituitary
  • neurosurgery
  • endoscopic surgery
  • complication
  • management

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Published Papers (1 paper)

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Research

11 pages, 1054 KiB  
Article
Three-Month Incidence of Venous Thromboembolism in Patients Who Underwent Neurological Surgeries
by Petnumnueng Ponsumritchok, Praepattra Chaijaroen, Tin Ayurag, Nattaphan Siritikul, Piangrawee Niprapan, Nonthakorn Hantrakun, Jirapong Vongsfak and Chatree Chai-Adisaksopha
J. Clin. Med. 2025, 14(2), 552; https://doi.org/10.3390/jcm14020552 - 16 Jan 2025
Viewed by 769
Abstract
Background/Objectives: The incidences of venous thromboembolism (VTE) in patients undergoing neurological surgeries vary. The objectives were to assess the incidence and risk factors of VTE, bleeding and all-cause mortality in patients undergoing neurological surgery. Methods: This retrospective cohort study was conducted [...] Read more.
Background/Objectives: The incidences of venous thromboembolism (VTE) in patients undergoing neurological surgeries vary. The objectives were to assess the incidence and risk factors of VTE, bleeding and all-cause mortality in patients undergoing neurological surgery. Methods: This retrospective cohort study was conducted at a single center, a university-based hospital in Thailand. Inclusion criteria comprised patients aged 15 years or older who were admitted for elective or emergency neurosurgery. Patients with preoperative VTE diagnosed within three months or a history of anticoagulant use were excluded. Outcomes measured included the 90-day incidences of VTE, any bleeding, major bleeding, and mortality. Results: Between January 2021 and December 2022, a total of 626 patients were included. The mean age was 50.21 ± 17.37 years, and 55.27% were males. Thromboprophylaxis was administered to 86 patients (13.74%, 95% CI 11.14–16.69). Fourteen patients were confirmed to have symptomatic VTE, resulting in an incidence of 2.24%, with a 95% confidence interval (CI) of 1.23–3.72. Patients aged ≥75 years (HR 4.53; 95% CI 1.25–16.38; p = 0.021), those with cancer (HR 8.51; 95% CI 2.95–24.60, p <0.001), and those experiencing postoperative paraparesis/paralysis (HR 3.26; 95% CI 1.12–9.45; p = 0.030) were associated with an increased risk of postoperative VTE. Fifty-three patients (8.47%, 95% CI 6.41–10.93) experienced any bleeding, with 23 patients (3.67%, 95% CI 2.34–5.46) having major bleeding. The incidence of postoperative mortality was 6.55%, with a 95% CI of 4.74–8.78. Conclusions: This study revealed that elderly patients, those with cancer or those experiencing postoperative paraparesis/paralysis were at higher risk of VTE. These patients were likely to benefit from VTE prophylaxis. Full article
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