Islamic International Medical College, Rawalpindi, Pakistan.
, 947, street 91, I8/4, Islamabad, Pakistan.
Neurosurg Rev. 2024 Aug 14;47(1):429. doi: 10.1007/s10143-024-02685-6.
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.
高血压性脑出血(HICH),特别是影响基底节区的出血,具有高死亡率和高发病率,是一种破坏性极大的疾病。传统的治疗方法,主要是保守治疗或开颅手术,往往导致不良预后。本研究强调了机器人辅助引流作为一种治疗轻微基底节区出血的优越治疗选择的潜力。机器人辅助引流与保守治疗的回顾性比较表明,手术组患者的预后明显改善,预后良好的比例更高,功能恢复更好。此外,与传统的神经内镜血肿清除术相比,机器人辅助手术还可以减少手术时间、出血量和住院时间。虽然这些发现令人鼓舞,但该研究存在一些局限性,包括样本量小和回顾性设计,需要进一步研究。需要进行大规模的随机对照试验来评估机器人辅助引流对患者预后的长期成本效益和总体影响。