Abstract 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 Hayward SP1070 Series Parts 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 Queen Sofa Sleeper 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.