2026/11/15 08:30-10:10 Room 301
- ICH Diagnosis & Treatment
- Time
- Topic
- Speaker
- Moderator
- 09:00-09:30
- Endoscopic Experience in ICH Operation
- SPEAKER:
Jui-Sheng Chen
陳睿生
Taiwan (台灣)
- MODERATOR:
Chao-Liang Chou
周兆亮
Taiwan (台灣)
Po-Hao Huang
黃博浩
Taiwan (台灣)
- Jui-Sheng Chen
- MD PhD
-
Attending Physician, Department of Neurosurgery, E-Da Hospital
Lecture Abstract：
Background/Purpose. The role of surgical evacuation for deep supratentorial (basal ganglia and thalamic) intracerebral hemorrhage (ICH) remains uncertain, and minimally invasive endoscopic evacuation is increasingly used. We compared endoscopic with open surgical evacuation.
Methods. In this single-center retrospective cohort study we analyzed 96 patients with spontaneous putaminal or thalamic ICH treated from June 2014 to February 2026 (34 endoscopic, 62 open). Operative time, blood loss, intensive care stay, rebleeding, in-hospital mortality, and modified Rankin Scale (mRS) and Glasgow Outcome Scale (GOS) scores were compared. The primary outcome, 6-month mRS (ordinal, death=6), was analyzed with proportional-odds regression adjusted for age, admission Glasgow Coma Scale score, hematoma volume, intraventricular hemorrhage and location. Results. Endoscopy was associated with shorter operative time (median 150 vs 210 min), less blood loss (median 50 vs 300 mL; both p<0.001), and better 6-month mRS (median 4 [IQR 4–5] vs 5 [4–5], p=0.009) and GOS (p=0.009). Intensive care stay, rebleeding and in-hospital mortality did not differ significantly. The association persisted after adjustment (common odds ratio 0.37, 95% CI 0.14–0.97; p=0.044; n=95) but was fragile, did not survive correction for multiplicity, and was not significant in propensity-score analysis (0.50, 0.19–1.29).
Conclusion. Endoscopic evacuation was associated with shorter operative time and lower blood loss without a detectable difference in rebleeding or in-hospital mortality, and was associated with a more favorable recorded follow-up mRS after adjustment; exact encounter dates were not routinely retained and 18 survivor outcomes were investigator assigned, so the functional association remains exploratory and warrants randomized confirmation.
Background/Purpose. The role of surgical evacuation for deep supratentorial (basal ganglia and thalamic) intracerebral hemorrhage (ICH) remains uncertain, and minimally invasive endoscopic evacuation is increasingly used. We compared endoscopic with open surgical evacuation.
Methods. In this single-center retrospective cohort study we analyzed 96 patients with spontaneous putaminal or thalamic ICH treated from June 2014 to February 2026 (34 endoscopic, 62 open). Operative time, blood loss, intensive care stay, rebleeding, in-hospital mortality, and modified Rankin Scale (mRS) and Glasgow Outcome Scale (GOS) scores were compared. The primary outcome, 6-month mRS (ordinal, death=6), was analyzed with proportional-odds regression adjusted for age, admission Glasgow Coma Scale score, hematoma volume, intraventricular hemorrhage and location. Results. Endoscopy was associated with shorter operative time (median 150 vs 210 min), less blood loss (median 50 vs 300 mL; both p<0.001), and better 6-month mRS (median 4 [IQR 4–5] vs 5 [4–5], p=0.009) and GOS (p=0.009). Intensive care stay, rebleeding and in-hospital mortality did not differ significantly. The association persisted after adjustment (common odds ratio 0.37, 95% CI 0.14–0.97; p=0.044; n=95) but was fragile, did not survive correction for multiplicity, and was not significant in propensity-score analysis (0.50, 0.19–1.29).
Conclusion. Endoscopic evacuation was associated with shorter operative time and lower blood loss without a detectable difference in rebleeding or in-hospital mortality, and was associated with a more favorable recorded follow-up mRS after adjustment; exact encounter dates were not routinely retained and 18 survivor outcomes were investigator assigned, so the functional association remains exploratory and warrants randomized confirmation.
