title: Treatment Efficacy of the Transsylvian Approach Versus the Transtemporal Cortex Approach to Evacuate Basal Ganglia Hematoma Under a Microscope.
abstract: This study aimed to evaluate the clinical efficacy of the transsylvian approach versus the transtemporal cortex approach to evacuate basal ganglia hemorrhage under a microscope. The relevant literature was collected from PubMed, Embase, Cochrane Central Register of Controlled Trials, Chinese Biomedical Literature database, and China National Knowledge Infrastructure databases. The meta-analysis was conducted by Stata 12.0 software. Seven studies were included in the meta-analysis. There were 659 patients, including 329 patients who were treated by the transsylvian approach and 330 patients who were treated by the transtemporal cortex approach. There were significant advantages in the transsylvian approach group, including a high clearance rate of hematoma (OR = 2.361; 95% CI: 1.443-3.861) and a better postoperative recovery (OR = 2.248; 95% CI: 1.598-3.160). A better postoperative recovery could also be found in patients with a history of hypertension (OR = 2.063; 95% CI: 1.429-2.980) and patients whose volume of hematoma ranged from 25 to 60 mL (OR = 2.275; 95% CI: 1.466-3.529). The authors conclude that there are significant advantages to the transsylvian approach, such as a high clearance rate of hematoma and a good postoperative recovery. These advantages should be taken into account when devising appropriate therapeutic strategies for patients with basal ganglia hematoma.
authors.affiliation: *Department of Neurosurgery, The Traditional Chinese Medicine (TCM) Hospital affiliated with Sichuan Medical University, Luzhou†Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu‡Department of Breast Surgery§Department of Neurosurgery||Department of Endocrinology and Metabolism, Affiliated Hospital of Sichuan Medical University, Luzhou, China.
authors.forename: Tao
authors.initials: T
authors.lastname: Xu
authors.forename: Hao
authors.initials: H
authors.lastname: Liu
authors.forename: Lin
authors.initials: L
authors.lastname: Peng
authors.forename: Hao
authors.initials: H
authors.lastname: Li
authors.forename: Jiying
authors.initials: J
authors.lastname: Wang
authors.forename: Yong
authors.initials: Y
authors.lastname: Jiang
authors.forename: Yingjiang
authors.initials: Y
authors.lastname: Gu
mesh_terms: D020145:Basal Ganglia Hemorrhage / Q000601:surgery*; D016022:Case-Control Studies; D002540:Cerebral Cortex / Q000601:surgery*; D002681:China; D003399:Craniotomy / Q000379:methods*; D006801:Humans; D008866:Microsurgery / Q000379:methods*; D011183:Postoperative Complications / Q000209:etiology; D013702:Temporal Lobe / Q000601:surgery*; D016896:Treatment Outcome