Clinical study of robot-guided partitioned minimally invasive aspiration for the treatment of spontaneous supratentorial massive hematoma
Xiao Jie
Li Xiaolei
Hang Jianglong
Li Linjie
Zhang Long
Li Zhonghua
Abstract：Objective To investigate the efficacy,safety,and economy of robot-guided partitioned minimally invasive puncture and aspiration for the treatment of spontaneous supratentorial massive hematoma(SSMH).Methods Clinical data of 84 patients with SSMH were analyzed retrospectively.According to the different surgical methods,the patients were divided into observation group(63 cases,treated with robot-guided partitioned minimally invasive puncture and aspiration)and control group(21 cases,treated with craniotomy for hematoma evacuation combined with decompressive craniectomy).The differences in operation time,intensive care unit treatment time,length of hospital stay,mortality rate at 30 days after surgery,complication rate within 6 months after surgery,Glasgow coma scale(GCS),Barthel index score,National Institute of Health stroke scale(NIHSS)score at 6 months postoperatively,and hospitalization cost were compared between the two groups.Results Compared with the control group,the observation group exhibited shorter operative time,shorter ICU stay and hospital stay(P<0.01),lower 30-day postoperative mortality,fewer cases of pulmonary infection,renal failure,and intracranial infection,a lower incidence of hydrocephalus(all P<0.05),higher GCS and Barthel Index scores,lower NIHSS score,and lower hospitalization costs,all of which were statistically significant(all P<0.05).Conclusions Robot-guided partitioned minimally invasive puncture and aspiration for SSMH is an effective,safe,and economical treatment method for intracranial hematoma.
Keywords：intracerebral hematomasupratentorialrobotic surgical procedurespuncture aspiration
Publication Date：2025-03-20
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：7( 133-139 )