Wu Haitao, Lu Bin, Wang Wei, Wang Xiaoyi, Wang Tingxuan, Bao Yue, Li Luo
Qingdao University Medical College, Qingdao University, Qingdao, Shandong, China.
Department of Neurosurgery, Qingdao Hospital, University of Health and Rehabilitation Sciences (Qingdao Municipal Hospital), No.5 Donghai Zhong Road, Qingdao, 266000, Shandong, China.
Transl Stroke Res. 2025 Feb 1. doi: 10.1007/s12975-025-01330-8.
This study compares the clinical efficacy and outcomes of three surgical techniques-robot-assisted stereotactic assistance (ROSA), neuroendoscopy, and craniotomy-in the removal of intracranial hematomas in patients with cerebral hemorrhage affecting the basal ganglia. This retrospective study included 110 patients, who were grouped based on the surgical method used: 40 patients in the ROSA group, 50 in the craniotomy group, and 20 in the endoscopy group. We then compared the outcomes of the ROSA group with those of the craniotomy and endoscopy groups. Compared with the craniotomy group, the ROSA group had a significantly shorter operation time, higher hematoma clearance rate, lesser intraoperative blood loss, fewer postoperative pulmonary infections, and lower modified Rankin Scale (mRS) score at discharge and > 3 months after discharge. Compared with the endoscopy group, the ROSA group had a shorter operation time, lesser intraoperative blood loss, and fewer intraoperative blood transfusions. The ROSA robot provided superior surgical outcomes and patient prognoses compared to craniotomy and neuroendoscopy for the removal of intracranial hematomas in patients with basal ganglia cerebral hemorrhage.
本研究比较了三种手术技术——机器人辅助立体定向辅助（ROSA）、神经内镜和开颅手术——在清除基底节区脑出血患者颅内血肿方面的临床疗效和结果。这项回顾性研究纳入了110例患者，根据所采用的手术方法进行分组：ROSA组40例患者，开颅手术组50例，内镜组20例。然后我们比较了ROSA组与开颅手术组和内镜组的结果。与开颅手术组相比，ROSA组手术时间显著更短，血肿清除率更高，术中出血量更少，术后肺部感染更少，出院时及出院后>3个月时改良Rankin量表（mRS）评分更低。与内镜组相比，ROSA组手术时间更短，术中出血量更少，术中输血次数更少。对于基底节区脑出血患者，与开颅手术和神经内镜相比，ROSA机器人在清除颅内血肿方面提供了更好的手术效果和患者预后。
