ArticleAsian journal of neurosurgery2025
Keyhole Brain Surgery without Neuronavigation: Innovative Usage of Limited Available Resources.
Article in Asian journal of neurosurgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
- Keyhole retrosigmoid approach for microvascular decompression surgery: systematic review and single-arm meta-analysis.Neurosurgical review · 2026Pooled it
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Neurosurgical practices have evolved from exploratory techniques requiring extensive craniotomies to more refined methods facilitated by advanced imaging technologies. The advent of neuronavigation systems and modern imaging modalities has enabled precise localization of intracranial lesions, allowing for minor skin and craniotomy flaps, thereby promoting minimally invasive approaches. This study aims to evaluate the efficacy of open-source Digital Imaging and Communications in Medicine (DICOM) software in preoperative planning for keyhole neurosurgical procedures, particularly in resource-limited settings where traditional navigation systems may not be available. Objective: The primary objective was to assess the utility of open-source DICOM software in planning keyhole surgeries, focusing on parameters such as incision length, lesion identification accuracy, operative time, blood loss, bone loss, craniotomy size, resection extent, recovery rate, and complication rates compared with traditional methods. Materials and Methods: A retrospective analysis was conducted on 176 patients undergoing keyhole procedures using DICOM software versus a control group of 172 matched patients. Preoperative imaging requirements included high-resolution volumetric scans (magnetic resonance imaging and computed tomography) for accurate three-dimensional (3D) reconstruction. The DICOM software enabled interactive 3D visualization and variable windowing for enhanced preoperative and intraoperative planning. Results: The keyhole technique resulted in significantly smaller incision lengths (50 ± 12 vs. 200 ± 20 mm, Conclusion: This study demonstrates that accessible DICOM software can effectively support neurosurgeons in executing keyhole procedures and promoting minimally invasive techniques in settings with limited resources. Regular use of this method enhances surgical precision and improves patient outcomes by reducing surgical trauma and recovery times.
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Registered trials
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