Evacuation assisted by endoscopy has better efficacy for supratentorial intracerebral hematoma than CT-guided minimally invasive aspiration: a retrospective observational cohort study.

This retrospective study aimed to compare the efficacy of evacuation assisted by endoscopy and CT-guided minimally invasive aspiration for supratentorial intracerebral hematoma (SICH). Total 81 patients were classified into two groups to receive evacuation assisted by endoscopy or CT-guided minimally invasive aspiration. The therapeutic outcomes were compared between two groups. The evacuation rate was significantly higher while infection rate was significantly lower in endoscopy group than in minimally invasive aspiration group ( < .05). Mortality rate showed no significant difference between the two groups. The patients operated within six hours had better outcome than those operated between 6-24 h ( < .05). For the patients with SICH, evacuation assisted by endoscopy is recommended for significantly shorter hospital stay and lower cost compared with CT-guided minimally invasive aspiration.