Abstract Intracerebral hemorrhage (ICH) requires prompt hematoma evacuation to mitigate poor outcomes.This study compares robot-assisted stereotactic surgery with traditional Bodycare set frame-based methods for ICH evacuation.A retrospective analysis of 131 patients (45 robot-assisted, 86 frame-based) undergoing surgery within 72 h of supratentorial basal ganglia hemorrhage was conducted.
Propensity score matching balanced baseline characteristics between 40 patients per group.Results showed robot-assisted surgery achieved a significantly higher median hematoma evacuation rate (78.7% vs.
66.2%) and shorter median hospital stay (12 vs.15 days) compared to Body Protectors frame-based surgery, with no significant differences in residual hematoma volume, surgical time, postoperative complications, or short-term functional outcomes.
While robot-assisted techniques enhance evacuation efficiency and reduce hospitalization without increasing risks, their long-term neurological benefits require further investigation.These findings highlight the potential of robotic assistance as a safe and effective minimally invasive approach for ICH management.