Postoperative intracerebral haematomas following stereotactic biopsies : Poor planning or poor execution?
© 2021 John Wiley & Sons Ltd..
BACKGROUND: Postoperative intracerebral haematomas represent a serious complication following stereotactic biopsy. We investigated the possible underlying causes - poor planning or poor execution - of postoperative intracerebral haematomas following stereotactic biopsies.
METHODS: We performed a technical investigation using a retrospective single-centre consecutive series of robot-assisted stereotactic biopsies for a supratentorial diffuse glioma in adults. Each actual biopsy trajectory was reviewed to search for a conflict with an anatomical structure at risk.
RESULTS: From 379 patients, 12 (3.2%) presented with a postoperative intracerebral haematoma ≥20 mm on postoperative CT-scan (3 requiring surgical evacuation); 11 of them had available intraoperative imaging (bi-planar stereoscopic teleangiography x-rays at each biopsy site). The actual biopsy trajectory was similar to the planned biopsy trajectory in these 11 cases. In 72.7% (8/11) of these cases, the actual biopsy trajectory was found to contact a structure at risk (blood vessel and cerebral sulcus) and identified as the intracerebral haematoma origin.
CONCLUSIONS: Robot-assisted stereotactic biopsy is an accurate procedure. Postoperative intracerebral haematomas mainly derive from human-related errors during trajectory planning.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:17 |
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| Enthalten in: |
The international journal of medical robotics + computer assisted surgery : MRCAS - 17(2021), 2 vom: 15. Apr., Seite e2211 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Zanello, Marc [VerfasserIn] |
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| Links: |
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| Themen: |
Computer-assisted |
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| Anmerkungen: |
Date Completed 20.07.2021 Date Revised 20.07.2021 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1002/rcs.2211 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM319102912 |
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| 245 | 1 | 0 | |a Postoperative intracerebral haematomas following stereotactic biopsies |b Poor planning or poor execution? |
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| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2021 John Wiley & Sons Ltd. | ||
| 520 | |a BACKGROUND: Postoperative intracerebral haematomas represent a serious complication following stereotactic biopsy. We investigated the possible underlying causes - poor planning or poor execution - of postoperative intracerebral haematomas following stereotactic biopsies | ||
| 520 | |a METHODS: We performed a technical investigation using a retrospective single-centre consecutive series of robot-assisted stereotactic biopsies for a supratentorial diffuse glioma in adults. Each actual biopsy trajectory was reviewed to search for a conflict with an anatomical structure at risk | ||
| 520 | |a RESULTS: From 379 patients, 12 (3.2%) presented with a postoperative intracerebral haematoma ≥20 mm on postoperative CT-scan (3 requiring surgical evacuation); 11 of them had available intraoperative imaging (bi-planar stereoscopic teleangiography x-rays at each biopsy site). The actual biopsy trajectory was similar to the planned biopsy trajectory in these 11 cases. In 72.7% (8/11) of these cases, the actual biopsy trajectory was found to contact a structure at risk (blood vessel and cerebral sulcus) and identified as the intracerebral haematoma origin | ||
| 520 | |a CONCLUSIONS: Robot-assisted stereotactic biopsy is an accurate procedure. Postoperative intracerebral haematomas mainly derive from human-related errors during trajectory planning | ||
| 650 | 4 | |a Journal Article | |
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| 650 | 4 | |a haematoma | |
| 650 | 4 | |a image processing | |
| 650 | 4 | |a robotic surgical procedures | |
| 650 | 4 | |a stereotactic biopsy | |
| 700 | 1 | |a Roux, Alexandre |e verfasserin |4 aut | |
| 700 | 1 | |a Debacker, Clément |e verfasserin |4 aut | |
| 700 | 1 | |a Peeters, Sophie |e verfasserin |4 aut | |
| 700 | 1 | |a Edjlali-Goujon, Myriam |e verfasserin |4 aut | |
| 700 | 1 | |a Dhermain, Frédéric |e verfasserin |4 aut | |
| 700 | 1 | |a Dezamis, Edouard |e verfasserin |4 aut | |
| 700 | 1 | |a Oppenheim, Catherine |e verfasserin |4 aut | |
| 700 | 1 | |a Lechapt-Zalcman, Emmanuèle |e verfasserin |4 aut | |
| 700 | 1 | |a Harislur, Marc |e verfasserin |4 aut | |
| 700 | 1 | |a Varlet, Pascale |e verfasserin |4 aut | |
| 700 | 1 | |a Chretien, Fabrice |e verfasserin |4 aut | |
| 700 | 1 | |a Devaux, Bertrand |e verfasserin |4 aut | |
| 700 | 1 | |a Pallud, Johan |e verfasserin |4 aut | |
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