Characterization of complications associated with open and endoscopic XXXX surgery at a single institution.

@entity1 @entity190 @entity8213 @entity927 @entity230 @entity91
UNASSIGNED: OBJECT The authors present a retrospective cohort study examining complications in @entity1 undergoing surgery for @entity91 using both minimally invasive endoscopic and open approaches. METHODS Over the past 10 years, 295 nonsyndromic @entity1 (140 undergoing endoscopic procedures and 155 undergoing open procedures) and 33 syndromic @entity1 (endoscopic procedures in 10 and open procedures in 23) met the authors' criteria. Variables analyzed included age at surgery, presence of a preexisting CSF shunt, skin incision method, estimated @entity190 , transfusions of packed red blood cells, use of intravenous @entity230 or @entity927 , intraoperative durotomies, procedure length, and length of hospital stay. Complications were classified as either surgically or medically related. RESULTS In the nonsyndromic endoscopic group, the authors experienced 3 (2.1%) surgical and 5 (3.6%) medical complications. In the nonsyndromic open group, there were 2 (1.3%) surgical and 7 (4.5%) medical complications. Intraoperative durotomies occurred in 5 (3.6%) endoscopic and 12 (7.8%) open cases, were repaired primarily, and did not result in reoperations for CSF leakage. Similar complication rates were seen in syndromic cases. There was no death or permanent morbidity. Additionally, endoscopic procedures were associated with significantly decreased estimated @entity190 , transfusions, procedure length, and length of hospital stay compared with open procedures. CONCLUSIONS Rates of intraoperative durotomies and surgical and medical complications were comparable between endoscopic and open techniques. This is the largest direct comparison to date between endoscopic and open interventions for @entity8213 , and the results are in agreement with previous series that endoscopic surgery confers distinct advantages over open surgery in appropriate @entity1 populations.
