{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T01:21:31Z","timestamp":1790299291483,"version":"4.1.0"},"reference-count":18,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JNS"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:sec>\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>Outpatient craniotomy has many advantages to the psychological and physical well-being of patients, as well as benefits to the health care system. Its efficacy and safety have been well demonstrated, but barriers to its widespread adoption remain. Among the challenges is a perception that its application is limited to cases performed under conscious sedation, which is not always feasible given certain patient or surgeon factors. The object of this study was to characterize the rate of patient discharge from the day surgery unit (DSU) following craniotomy for tumor resection in a patient under general anesthesia. The authors identify postoperative complications and discuss appropriate patient selection for day surgery craniotomy.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>METHODS<\/jats:title>\n<jats:p>Patients undergoing elective craniotomy for supratentorial tumors between January 2010 and June 2014 were prospectively considered for outpatient management. Authors of the present study performed a retrospective chart review of these patients, analyzing cases by intention to treat.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>Of 318 craniotomies undertaken in the study period, 141 were performed with the patient under general anesthesia. The day surgery protocol was initiated in 44 cases and completed in 38 (86%). Five patients required admission from the DSU, and 1 was discharged but admitted within the 1st postoperative day. In-hospital medical complications were fewer in the outpatient group, and no patients experienced an adverse outcome due to early discharge.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>CONCLUSIONS<\/jats:title>\n<jats:p>Close clinical and imaging surveillance in the early postoperative period allows for safe discharge of patients following craniotomy for tumor resection performed under general anesthesia. Therefore, general anesthesia does not preclude the application of outpatient craniotomy.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2015.11.jns152151","type":"journal-article","created":{"date-parts":[[2016,3,4]],"date-time":"2016-03-04T14:58:28Z","timestamp":1457103508000},"page":"1130-1135","source":"Crossref","is-referenced-by-count":32,"title":["Outpatient brain tumor craniotomy under general anesthesia"],"prefix":"10.3171","volume":"125","author":[{"given":"Karolyn","family":"Au","sequence":"first","affiliation":[{"name":"Division of Neurosurgery, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suparna","family":"Bharadwaj","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Toronto Western Hospital, University Health Network, University of Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lashmi","family":"Venkatraghavan","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Toronto Western Hospital, University Health Network, University of Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Bernstein","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-jns152151","series-title":"Can J Neurol Sci","doi-asserted-by":"publisher","first-page":"120","DOI":"10.1017\/S0317167100052781","article-title":"Outpatient craniotomy for brain tumor: a pilot feasibility study in 46 patients","volume":"28","author":"Bernstein","year":"2001"},{"key":"b2-jns152151","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"649","DOI":"10.3171\/JNS\/2008\/108\/4\/0649","article-title":"Outpatient brain tumor surgery: innovation in surgical neurooncology","volume":"108","author":"Boulton","year":"2008"},{"key":"b3-jns152151","series-title":"Minim Invasive Neurosurg","doi-asserted-by":"publisher","first-page":"208","DOI":"10.1055\/s-2008-1073132","article-title":"Day surgery awake craniotomy for removing brain tumours: technical note describing a simple protocol","volume":"51","author":"Carrabba","year":"2008"},{"key":"b4-jns152151","series-title":"Qual Saf Health Care","doi-asserted-by":"publisher","first-page":"216","DOI":"10.1136\/qshc.2007.023622","article-title":"The incidence and nature of in-hospital adverse events: a systematic review","volume":"17","author":"de Vries","year":"2008"},{"key":"b5-jns152151","series-title":"Neurology","doi-asserted-by":"publisher","first-page":"1886","DOI":"10.1212\/WNL.54.10.1886","article-title":"Practice parameter: anticonvulsant prophylaxis in patients with newly diagnosed brain tumors. 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