Robot-assisted drainage: A safer and more effective approach to Basal Ganglia Hemorrhage.
Basal ganglia hemorrhage
Craniotomy
Hypertensive intracerebral hemorrhage
Patient outcomes
Robot-assisted drainage
Journal
Neurosurgical review
ISSN: 1437-2320
Titre abrégé: Neurosurg Rev
Pays: Germany
ID NLM: 7908181
Informations de publication
Date de publication:
14 Aug 2024
14 Aug 2024
Historique:
received:
08
08
2024
accepted:
11
08
2024
revised:
08
08
2024
medline:
14
8
2024
pubmed:
14
8
2024
entrez:
14
8
2024
Statut:
epublish
Résumé
Hypertensive intracerebral hemorrhage (HICH), particularly affecting the basal ganglia, is a devastating condition with high mortality and morbidity rates. Traditional management, primarily conservative or invasive craniotomy, often leads to poor outcomes. This study highlights the potential of robot-assisted drainage as a superior treatment option for minor basal ganglia hemorrhage. A retrospective comparison of robot-assisted drainage and conservative treatment demonstrated significantly improved patient outcomes in the surgical group, with higher rates of favorable prognosis and better functional recovery. Additionally, robot-assisted surgery has been shown to reduce operation time, blood loss, and hospital stay compared to traditional neuroendoscopic hematoma evacuation. While these findings are encouraging, the study's limitations, including small sample size and retrospective design, necessitate further research. A large-scale randomized controlled trial is essential to evaluate the long-term cost-effectiveness and overall impact of robot-assisted drainage on patient outcomes.
Identifiants
pubmed: 39141247
doi: 10.1007/s10143-024-02685-6
pii: 10.1007/s10143-024-02685-6
doi:
Types de publication
Journal Article
Review
Letter
Langues
eng
Sous-ensembles de citation
IM
Pagination
429Informations de copyright
© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Watanabe G, Conching A, Ogasawara C, Chavda V, Bin-Alamer O, Haider AS et al (2023) Bilateral basal ganglia hemorrhage: a systematic review of etiologies, management strategies, and clinical outcomes. Neurosurgical Review, vol 46. Springer Science and Business Media Deutschland GmbH
Zhong W, Meng X, Zhu L, Yang X, Wang W, Sun Z et al (2024) The efficacy of robot-assisted surgery on minor basal ganglia cerebral hemorrhage with neurological dysfunction. Neurosurg Rev. ;47(1)
Wu S, Wang H, Wang J, Hu F, Jiang W, Lei T et al (2021) Effect of Robot-assisted neuroendoscopic hematoma evacuation combined intracranial pressure monitoring for the treatment of Hypertensive Intracerebral Hemorrhage. Front Neurol. ;12
Miller CE, Quayyum Z, Mcnamee P, Salman RAS (2009) Economic burden of intracranial vascular malformations in adults: prospective population-based study. Stroke 40(6):1973–1979
doi: 10.1161/STROKEAHA.108.539528
pubmed: 19359648