Robot-assisted drainage: A safer and more effective approach to Basal Ganglia Hemorrhage.

Autor: Mansoor M; Islamic International Medical College, Rawalpindi, Pakistan. mustafakiani@live.com.; 947, street 91, I8/4, Islamabad, Pakistan. mustafakiani@live.com., Ahmed M; Islamic International Medical College, Rawalpindi, Pakistan., Awais AR; Islamic International Medical College, Rawalpindi, Pakistan.
Jazyk: angličtina
Zdroj: Neurosurgical review [Neurosurg Rev] 2024 Aug 14; Vol. 47 (1), pp. 429. Date of Electronic Publication: 2024 Aug 14.
DOI: 10.1007/s10143-024-02685-6
Abstrakt: 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.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE