Short-term outcomes of robot-assisted minimally invasive surgery for brainstem hemorrhage: A case-control study

Dejun Bao; Shengyuan Ni; Bowen Chang; Wang Zhang; Hong Zhang; Chaoshi Niu

doi:10.1016/j.heliyon.2024.e25912

Short-term outcomes of robot-assisted minimally invasive surgery for brainstem hemorrhage: A case-control study

Heliyon. 2024 Feb 10;10(4):e25912. doi: 10.1016/j.heliyon.2024.e25912. eCollection 2024 Feb 29.

Authors

Dejun Bao^{1

2}, Shengyuan Ni^{1

2}, Bowen Chang^{1

2}, Wang Zhang¹, Hong Zhang¹, Chaoshi Niu^{1

2}

Affiliations

¹ Department of Neurosurgery, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, No. 17 Lujiang Road, Hefei, 230001, Anhui Province, China.
² Anhui Province Key Laboratory of Brain Function and Brain Disease, No. 17 Lujiang Road, Hefei, 230001, Anhui Province, China.

Abstract

Objective: This work focused on investigating if robot-assisted minimally invasive surgery improved middle term vital outcome for primary brainstem hemorrhage (PBSH).

Methods: This work obtained clinical data from patients with PBSH admitted from July 2019 to August 2021. All cases were classified as surgical or conservative treatment group. The general information, Glasgow coma scale (GCS) score, Glasgow outcome score (GOS), along with survival time in patients 60 days after robot-assisted surgery were recorded and analyzed.

Results: A prospective analysis was performed on 82 cases meeting eligibility criteria, including 36 from surgical group whereas 46 from the conservative group. Sixty days after onset, the death rate was found to be 19.44% and 50.00% of surgical and conservative groups, separately (cases versus controls, P < 0.05). Furthermore, postoperative GOS and GCS scores of surgical group were significantly higher, and hydrocephalus was lower compared with conservative group. Central fever incidence did not exhibit any significant difference between two groups.

Conclusion: Robot-assisted PBSH drainage may improve survivorship and reduce the occurrence of hydrocephalus.

Keywords: Brainstem hemorrhage; Hematoma volume; Minimally invasive surgery; Outcome; Robot-assisted.