Lobectomy in traumatic brain injury patients with intracerebral hemorrhage and delayed contusion

Background: tbi, standing for traumatic brain injury, is a leading cause of death worldwide;nonetheless, data on its management has hitherto been sparse. in view of the fact that brainlobectomy is a contentious issue in the management of tbi, we set out the current study to assessthe mortality rate and outcomes of tbi with delayed contusion or intracerebral hemorrhage (ich)undergoing lobectomy.methods: we evaluated 135 tbi patients with delayed contusion or ich undergoing brainlobectomy from 2001 to 2013. withal, the mortality and glasgow outcome scale (gos) andglasgow comma scale (gcs) rates were assessed in these patients and the association inbetween was sought.results: the tbi patients undergoing brain lobectomy (77% male versus 23 % female) had amean age of 43.4±20.3 years and experienced a survival rate of 62.2% (71% in femalesversus 60% in males). favorable gos was observed in 53% of male patients, compared with27% in the females. age was demonstrated to significantly affect the mortality rate (p=0.0001).initial gcs score was associated with gos as 79.1% of the survived patients with a gcs ofhigher than 9 on admission were discharged with favorable gos.conclusions: the evidence from the present study indicates that lobectomy can be an acceptablesurgical procedure in management of tbi patients with delayed contusion or ich.