Robot assisted stereotactic surgery improves hematoma evacuation in intracerebral hemorrhage compared to frame based method.

Intracerebral hemorrhage (ICH) requires prompt hematoma evacuation to mitigate poor outcomes. This study compares robot-assisted stereotactic surgery with traditional 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 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.