Evidence map›Paper›PMID 41247653›Full record

ArticleCurrent medical science2025

Utilization of the Cavitron Ultrasound Surgical Aspiration System in Resective Epilepsy Surgery.

Si-Qi Ou, Ming-Yang Jiang, Jia-Yu Tan, Yong-Fu Li, Cheng-Zhe Wang, Yuan-Lin Chen, Yan Li, Ke-Jun He

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In one paragraph

Article in Current medical science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Si-Qi Ou *Department of Neurosurgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, China.
Ming-Yang Jiang *Department of Neurosurgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, China.
Jia-Yu TanDepartment of Anesthesiology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, China.
Yong-Fu LiDepartment of Neurosurgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, China.
Cheng-Zhe WangDepartment of Neurosurgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, China.
Yuan-Lin ChenDepartment of Neurosurgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, China.
Yan LiDepartment of Neurosurgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, China.
Ke-Jun HeDepartment of Neurosurgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, China. hekejun3@mail.sysu.edu.cn.

Funding

Featured Clinical Technique of Guangzhou 2023P-TS09
6 · The paper itself

Abstract

objectiveThis study aimed to systematically evaluate the application of the Cavitron Ultrasonic Surgical Aspirator (CUSA) system in epilepsy surgery and summarize associated surgical experiences.

methodsIn this retrospective analysis, 70 patients with refractory epilepsy underwent CUSA-assisted resection, while 20 controls underwent conventional surgical resection. Patients were categorized according to surgical scenarios for CUSA application, including lesion-related epilepsy resections, mesial temporal lobe procedures, neocortical resections within eloquent areas, and cases requiring preservation of critical vascular structures. Detailed operative metrics were analyzed for each category. Comparative assessments between the CUSA and conventional groups included surgical efficiency, complication rates, and postoperative seizure outcomes on the basis of the modified Engel classification.

resultsCUSA was used for the following procedures: resection of epileptic lesions (n = 26), mesial temporal structures (n = 32), the epileptogenic neocortex (n = 28), and the rolandic cortex (n = 17). Additionally, it was utilized in 6 cases requiring vascular protection during insular resection and in 18 cases involving preservation of cortical dangerous veins. Although the overall surgical efficiency was comparable between the CUSA and conventional groups (68.0 ± 18.2 vs. 61.1 ± 14.7 min, P = 0.180), the CUSA group demonstrated superior efficiency in resecting low-grade tumors (58.6 ± 14.9 vs. 68.1 ± 11.2 min, P = 0.034). Furthermore, the CUSA group presented significantly fewer permanent complications (5.7% vs. 10%, P < 0.0001) and a higher rate of Engel Class I outcomes (82.9% vs. 70.0%, P = 0.278).

conclusionsThe CUSA system represents a suitable and promising surgical tool for resective epilepsy surgery, potentially serving as a valuable option for epilepsy surgeons. Further studies are warranted to validate these findings.

Indexed as

Drug Resistant EpilepsyEpilepsyNeurosurgical ProceduresUltrasonic Surgical ProceduresAdolescentAdultChildFemaleHumansMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesTreatment OutcomeYoung AdultCavitron ultrasound surgical aspirator (CUSA)Epilepsy surgeryRefractory epilepsyResectionUltrasonic aspirator

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.