Evidence map›Paper›PMID 42787828›Full record

ArticleNeurosurgery practice2026

Optimized Endoscopic Hemostasis in Spontaneous Intracerebral Hemorrhage: A Pilot Study of the "Chopsticks" Technique.

Shuang Liu, Zijiang Yang, Shengyang Su, Shikui Cao, Xiaobiao Zhang

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Article in Neurosurgery practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Shuang LiuDepartment of Neurosurgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Zijiang YangDepartment of Neurosurgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Shengyang SuDepartment of Surgery, People's Hospital of Jinping Miao, Yao and Dai Autonomous County, Honghe Prefecture, Yunnan Province, China.
Shikui CaoDepartment of Surgery, People's Hospital of Jinping Miao, Yao and Dai Autonomous County, Honghe Prefecture, Yunnan Province, China.
Xiaobiao ZhangDepartment of Neurosurgery, Zhongshan Hospital, Fudan University, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesEndoscopic evacuation for spontaneous intracerebral hemorrhage can limit approach-related injury, but hemostasis and visualization within a narrow corridor remain challenging. We evaluated whether a single-surgeon "chopsticks" configuration was associated with improved operative efficiency and early neurological recovery compared with a conventional 2-surgeon, 3-handed technique.

methodsWe performed a single-center retrospective cohort study of supratentorial spontaneous intracerebral hemorrhage treated with endoport-assisted endoscopic evacuation (control, n = 25; chopsticks, n = 20) after excluding structured training-phase cases. Primary outcomes were operative time and estimated blood loss. Early neurological recovery (secondary outcome) was assessed using the Full Outline of UnResponsiveness (FOUR) score on postoperative day 3 (D3) and day 7 (D7); ΔFOUR was defined as FOUR_D7 - FOUR_D3. Other outcomes were exploratory.

resultsBaseline characteristics were similar between groups. Operative time was shorter with the chopsticks configuration (118.3 ± 14.8 vs 147.3 ± 52.9 minutes;

conclusionIn this pilot cohort, the chopsticks configuration was associated with improved operative efficiency and a steeper early neurological recovery trajectory without differences in gross evacuation extent. Prospective validation is warranted.

Indexed as

Chopsticks techniqueEndoscopic surgeryHemostasisLearning curveSpontaneous intracerebral hemorrhage

Identifiers

PMID42787828
PMCPMC13606016

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