Evidence map›Paper›PMID 39060801›Full record

ArticleNeurosurgical review2024

The efficacy of robot-assisted surgery on minor basal ganglia cerebral hemorrhage with neurological dysfunction.

Weijie Zhong, Xuchen Meng, Lin Zhu, Xiaosheng Yang, Wei Wang, Zhaoliang Sun, Yingfan Xiong, Yang Wang, Zhixin Duan, Shenghua Chu and 3 more

Abstract read
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In one paragraph

Article in Neurosurgical review, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Weijie Zhong *Department of Neurosurgery, Ninth People Hospital Afliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, People's Republic of China.
Xuchen Meng *Department of Neurosurgery, Ninth People Hospital Afliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, People's Republic of China.
Lin Zhu *Department of Neurosurgery, Ninth People Hospital Afliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, People's Republic of China.
Xiaosheng YangDepartment of Neurosurgery, Ninth People Hospital Afliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, People's Republic of China.
Wei WangDepartment of Neurosurgery, Ninth People Hospital Afliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, People's Republic of China.
Zhaoliang SunDepartment of Neurosurgery, Ninth People Hospital Afliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, People's Republic of China.
Yingfan XiongDepartment of Neurosurgery, Ninth People Hospital Afliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, People's Republic of China.
Yang WangDepartment of Neurosurgery, Ninth People Hospital Afliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, People's Republic of China.
Zhixin DuanDepartment of Neurosurgery, Ninth People Hospital Afliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, People's Republic of China.
Shenghua ChuDepartment of Neurosurgery, Ninth People Hospital Afliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, People's Republic of China.
Wenchuan ZhangDepartment of Neurosurgery, Ninth People Hospital Afliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, People's Republic of China. zhangwench88@hotmail.com.
Xiufeng JiangDepartment of Neurosurgery, Ninth People Hospital Afliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, People's Republic of China. jiangxiufengchina@163.com.
Yi LiDepartment of Neurosurgery, Ninth People Hospital Afliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, People's Republic of China. snailliyi@163.com.

Funding

the Cross-disciplinary Research Fund of Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine JYJC202131
6 · The paper itself

Abstract

objectiveThis study aims to compare the outcomes of robot-assisted drainage and conservative treatment in minor basal ganglia hemorrhage (10ml< hemorrhage volume ≤ 30 ml) patients with neurological dysfunction, and analyze patients treated with robot-assisted drainage in order to optimize this treatment strategy.

methodsIn a retrospective study conducted in December 2021 to December 2023, minor basal ganglia cerebral hemorrhage patients with neurological dysfunction were enrolled from the Department of Neurosurgery, Shanghai Ninth People's Hospital. The patients included both the surgical (robot-assisted drainage) and conservative groups. The efficacy of robot-assisted drainage compared with conservative treatment in patients with minor cerebral hemorrhage and neurological dysfunction was evaluated by modified Rankin Scale (mRS) score after 3 months, muscle strength (grade 1 to 5) and cost of hospitalization.

resultsOf the patients included, 23 received robot-assisted drainage and 20 received conservative treatment. There were no significant differences in gender, age, history of hypertension and diabetes, muscle strength and mRS score at admission. Female patients accounted for 32.6%, and male patients accounted for 67.4%. About 90% of the patients enrolled had a pre-existing hypertension history. The mRS score after 3 months indicated that prognosis of the patients was significantly better in the surgical treatment group than the conservative treatment group (favorable prognosis 69.57% VS. 35%, P = 0.034) while the patients underwent surgery paid higher hospital bills than patients treated conservatively.

conclusionCompared with traditional conservative treatment, robot-assisted drainage surgery is more helpful to improve the prognosis of patients with minor basal ganglia hemorrhage (volume ≤ 30mL) accompanied by neurological dysfunction. Robot assisted surgery can safely and effectively remove the hematoma of minor basal ganglia hemorrhage, and there were 69.6% of surgery group patients had a good prognosis in this study.

Indexed as

Basal Ganglia HemorrhageRobotic Surgical ProceduresAdultAgedCerebral HemorrhageDrainageFemaleHumansMaleMiddle AgedNervous System DiseasesNeurosurgical ProceduresRetrospective StudiesTreatment Outcome30 mlFavorable prognosisMinor basal ganglia hemorrhageRobot-assisted surgery

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.