AANS Online Scientific Sessions: Tumor-The Safety and Feasibility of Brain Tumor Resection in the Outpatient Setting

The Safety and Feasibility of Brain Tumor Resection in the Outpatient Setting – A Pilot Study

Video Transcription

Video Summary

In this video, Nikita LaCompkin, a recent graduate of the Mount Sinai School of Medicine, discusses the safety and feasibility of neuro-oncology surgeries in ambulatory surgery centers (ASCs). LaCompkin explains that ASCs were originally designed as alternatives to hospital outpatient services and have seen a significant increase in use by various surgical subspecialties. The lower costs and convenience offered by ASCs have resulted in higher patient satisfaction. Neurosurgery has also seen an increase in ASC utilization, especially in simpler brain tumor cases. LaCompkin emphasizes the need to identify patients who could benefit from ASCs and presents findings from a multicenter study suggesting that carefully selected brain tumor patients can safely undergo surgery at ASCs, with comorbidity burden being a key factor to consider. The cutoff point for safe outpatient treatment was identified as a modified Charleston Comorbidity Index score below three. The study has limitations, including retrospective design and limited variables available for analysis.

Asset Subtitle

Nikita Lakomkin

Keywords

Neuro-oncology surgeries

Ambulatory surgery centers

Safety and feasibility

ASC utilization

Comorbidity burden