Journal of cerebrovascular and endovascular neurosurgery · 2026
Postoperative patient experience following different minimally invasive surgical approaches for unruptured intracranial aneurysms: Superciliary approach versus trans-scalp lateral supraorbital approach.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Kim Myungsoo, Park Jaechan, Son Wonsoo, Kang Dong-Hun, Shin Im Hee, Hong Yeon Ran
Аннотация
OBJECTIVE: This prospective study compared postoperative patient experience between the superciliary approach (supra-eyebrow incision) and the trans-scalp lateral supraorbital approach (scalp incision) for unruptured anterior circulation aneurysms.
METHODS: Patients (n=111) undergoing a superciliary or trans-scalp lateral supraorbital approach completed a six-item daily Visual Analogue Scale (VAS) symptom questionnaire (wound-related pain, generalized headache, depressed mood, fatigue, decreased appetite, and nausea) and underwent neurological examinations for 5 days postoperatively.
RESULTS: Surgical outcomes, including clip placement adequacy and complications, did not differ between groups. On postoperative day (POD) 5, the superciliary group reported significantly less wound-related pain (3.34 vs. 4.70, p=0.003), headache (3.54 vs. 5.16, p=0.001), depressed mood (2.33 vs. 3.44, p=0.018), fatigue (3.11 vs. 4.46, p=0.009), and decreased appetite (3.61 vs. 5.00, p= 0.007) than the trans-scalp group. Stepwise regression identified the trans-scalp approach as a dominant predictor of wound-related pain, headache, depressed mood, and fatigue. Significant mood depression (VAS ≥5) occurred in 10 patients (16.4%) in the superciliary group versus 17 (34.0%) in the trans-scalp group on POD 5, and depressed mood correlated significantly with fatigue, decreased appetite, nausea, and headache.
CONCLUSIONS: The superciliary approach was associated with less postoperative pain and discomfort than the trans-scalp lateral supraorbital approach in the early period after successful aneurysm clipping. The trans-scalp approach was a dominant determinant of wound-related pain, headache, depressed mood, and fatigue, and depressed mood correlated with other postoperative symptoms in both groups.
METHODS: Patients (n=111) undergoing a superciliary or trans-scalp lateral supraorbital approach completed a six-item daily Visual Analogue Scale (VAS) symptom questionnaire (wound-related pain, generalized headache, depressed mood, fatigue, decreased appetite, and nausea) and underwent neurological examinations for 5 days postoperatively.
RESULTS: Surgical outcomes, including clip placement adequacy and complications, did not differ between groups. On postoperative day (POD) 5, the superciliary group reported significantly less wound-related pain (3.34 vs. 4.70, p=0.003), headache (3.54 vs. 5.16, p=0.001), depressed mood (2.33 vs. 3.44, p=0.018), fatigue (3.11 vs. 4.46, p=0.009), and decreased appetite (3.61 vs. 5.00, p= 0.007) than the trans-scalp group. Stepwise regression identified the trans-scalp approach as a dominant predictor of wound-related pain, headache, depressed mood, and fatigue. Significant mood depression (VAS ≥5) occurred in 10 patients (16.4%) in the superciliary group versus 17 (34.0%) in the trans-scalp group on POD 5, and depressed mood correlated significantly with fatigue, decreased appetite, nausea, and headache.
CONCLUSIONS: The superciliary approach was associated with less postoperative pain and discomfort than the trans-scalp lateral supraorbital approach in the early period after successful aneurysm clipping. The trans-scalp approach was a dominant determinant of wound-related pain, headache, depressed mood, and fatigue, and depressed mood correlated with other postoperative symptoms in both groups.