Abstract
There exists a growing body of evidence that outpatient brain biopsy and craniotomy for supratentorial tumour is both safe and effective. Furthermore, qualitative studies support high patient satisfaction and preliminary findings suggest a theoretical benefit in decreased post-operative nosocomial complications, health-care spending and patient flow. However, to be properly instituted a day surgery unit (DSU) requires rigorous adherence to well-established protocols, thorough patient education and a knowledgeable team of anesthetists, surgeons and nurses.
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References
Barnett GH, Miller DW, Weisenberger J (1999) Frameless stereotaxy with scalp-applied fiducial markers for brain biopsy procedures: experience in 218 cases. J Neurosurg 91:569–576
Bednar DA (1999) Analysis of factors affecting successful discharge in patients undergoing lumbar discectomy for sciatica performed on a day-surgical basis: a prospective study of sequential cohorts. J Spinal Disord 12:359–362
Bernstein M (2001) Outpatient craniotomy for brain tumor: a pilot feasibility study in 46 patients. Can J Neurol Sci 28:120–124
Bernstein M, Parrent AG (1994) Complications of CT-guided stereotactic biopsy of intra-axial brain lesions. J Neurosurg 81:165–168
Bhardwaj RD, Bernstein M (2002) Prospective feasibility study of outpatient stereotactic brain lesion biopsy. Neurosurgery 51:358–361
Cabantog AM, Bernstein M (1994) Complications of first craniotomy for intra-axial brain tumour. Can J Neurol Sci 21:213–218
Carrabba G, Venkatraghavan L, Bernstein M (2008) Day surgery awake craniotomy for removing brain tumours: technical note describing a simple protocol. Minim Invasive Neurosurg 51:208–210
Fadul C, Wood J, Thaler H, Galicich J, Patterson RH Jr, Posner JB (1988) Morbidity and mortality of craniotomy for excision of supratentorial gliomas. Neurology 38:1374–1379
Field M, Witham TF, Flickinger JC, Kondziolka D, Lunsford LD (2001) Comprehensive assessment of hemorrhage risks and outcomes after stereotactic brain biopsy. J Neurosurg 94:545–551
Grundy PL, Weidmann C, Bernstein M (2008) Day-case neurosurgery for brain tumours: the early United Kingdom experience. Br J Neurosurg 22:360–367
Kaakaji W, Barnett GH, Bernhard D, Warbel A, Valaitis K, Stamp S (2001) Clinical and economic consequences of early discharge of patients following supratentorial stereotactic brain biopsy. J Neurosurg 94:892–898
Khu KJ, Doglietto F, Radovanovic I, Taleb F, Mendelsohn D, Zadeh G et al (2009) Patients’ perceptions of awake and outpatient craniotomy for brain tumor: a qualitative study. J Neurosurg 112:1056–1060
Kulkarni AV, Guha A, Lozano A, Bernstein M (1998) Incidence of silent hemorrhage and delayed deterioration after stereotactic brain biopsy. J Neurosurg 89:31–35
Liu JT, Briner RP, Friedman JA (2009) Comparison of inpatient vs. outpatient anterior cervical discectomy and fusion: a retrospective case series. BMC Surg 9:3
Patchell RA, Tibbs PA, Walsh JW, Dempsey RJ, Maruyama Y, Kryscio RJ et al (1990) A randomized trial of surgery in the treatment of single metastases to the brain. N Engl J Med 322:494–500
Purzner T, Purzner J, Massicotte EM, Bernstein M (2011) Outpatient brain tumor surgery and spinal decompression: a prospective study of 1003 patients. Neurosurgery 69:119–127
Sawaya R, Hammoud M, Schoppa D, Hess KR, Wu SZ, Shi WM et al (1998) Neurosurgical outcomes in a modern series of 400 craniotomies for treatment of parenchymal tumors. Neurosurgery 42:1044–1055
Sawin PD, Hitchon PW, Follett KA, Torner JC (1998) Computed imaging-assisted stereotactic brain biopsy: a risk analysis of 225 consecutive cases. Surg Neurol 49:640–649
Warnick RE, Longmore LM, Paul CA, Bode LA (2003) Postoperative management of patients after stereotactic biopsy: results of a survey of the AANS/CNS section on tumors and a single institution study. J Neurooncol 62:289–296
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© 2012 Springer Science+Business Media Dordrecht
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Purzner, T., Purzner, J., Bernstein, M. (2012). Outpatient Brain Biopsy and Craniotomy for Supratentorial Tumor. In: Hayat, M. (eds) Tumors of the Central Nervous System, Volume 9. Tumors of the Central Nervous System, vol 9. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-5488-1_11
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DOI: https://doi.org/10.1007/978-94-007-5488-1_11
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