3D-printed model-guided endoscopic evacuation for basal ganglia hemorrhage

• Published in: Scientific reports 2020-03, Vol.10 (1), p.5196-5196, Article 5196
• Main Authors: Zhang, Jun, Cheng, Hongyu, Zhou, Sitong, Huang, Lijin, Lv, Jianguang, Wang, Peng, Chen, Jiajing, Jin, Tongxin, Zheng, Guiyong, Ye, Haoxiang, Wang, Xuejie, Meng, Bing, Lu, Dan, Li, Yuqian
• Format: Article
• Language: English
• Subjects: 692/617/375/380/534; 692/617/375/534; Adult; Aged; Basal ganglia; Basal Ganglia Hemorrhage - diagnostic imaging; Basal Ganglia Hemorrhage - surgery; Blood Loss, Surgical; Endoscopes; Endoscopy; Endoscopy - methods; Female; Follow-Up Studies; Glasgow Coma Scale; Hemorrhage; Humanities and Social Sciences; Humans; Male; Middle Aged; Models, Anatomic; multidisciplinary; Neuroimaging; Neurosurgery; Neurosurgical Procedures - methods; Operative Time; Patients; Printing, Three-Dimensional; Prognosis; Retrospective Studies; Science; Science (multidisciplinary); Surgery; Tomography, X-Ray Computed
• ISSN: 2045-2322; 2045-2322
• DOI: 10.1038/s41598-020-62232-3

The purpose of this study was to investigate the effectiveness and practicality of 3D-printed model-guided endoscopic surgery for the treatment of basal ganglia hemorrhage. The authors retrospectively analyzed the data of all patients who underwent endoscopic evacuation of basal ganglia hemorrhage in the Department of Neurosurgery at Dalang Hospital and Shipai Hospital between December 2017 and February 2019. Twelve patients, in whom the 3D-printed model guidance was used for endoscopic evacuation, were included in this investigation. Using 3D reconstructed technology, we designed the appropriate surgical approach. Then, an individualized facial model with the guide orifice was printed by a 3D printer. Further, the 3D-printed model was employed to guide the insertion of the endoscope sheath. As a result, the average evacuation rate was 97.2% (range 90.1–100.0%). The GCS and mRS score were improved in each patient from admission to discharge examination. All patients had a good prognosis based on their functional independence measure (FIM) scores at the 6-month follow-up. The 3D-printed model-guided endoscopic evacuation was effective and safe for basal ganglia hemorrhage. This technique deserves further investigation to determine its role in intracerebral hemorrhage management.