Outpatient neurosurgery in neuro-oncology.

Abstract

Technological breakthroughs along with modern application of awake craniotomy and new neuroanesthesia protocols have led to a progressive development in outpatient brain tumor surgery and improved surgical outcomes. As a result, outpatient neurosurgery has become a standard of care at the authors' center due to its clinical benefits and impact on patient recovery and overall satisfaction. On the other hand, the financial savings derived from its application is also another favorable factor exerting influence on patients, health care systems, and society. Although validated several years ago and with recent data supporting its application, outpatient brain tumor surgery has not gained the traction that it deserves, based on scientific skepticism and perceived potential for medicolegal issues. The goal of this review, based on the available literature and the senior author's experience in outpatient brain tumor surgery, was to evaluate the most important aspects regarding indications, clinical outcomes, economic burden, and patient perceptions.

• Authors: Miguel Marigil, Mark Bernstein
• Journal: Neurosurgical focus (Neurosurg Focus) Vol. 44 Issue 6 Pg. E19 (06 2018) ISSN: 1092-0684 [Electronic] United States
• PMID: 29852775 (Publication Type: Journal Article, Review)

Topics

• Ambulatory Surgical Procedures (methods, trends)
• Brain Neoplasms (diagnosis, surgery)
• Craniotomy (methods, trends)
• Humans
• Medical Oncology (methods, trends)
• Neurosurgical Procedures (methods, trends)
• Wakefulness