To evaluate the impact of minimally invasive surgical approaches on mortality and functional recovery in patients with spontaneous intracerebral hemorrhage (ICH).
Key Findings:
Endoscopic surgery associated with a 34% relative reduction in mortality.
Minimally invasive puncture surgery associated with a 23% relative reduction in mortality.
Endoscopic surgery linked to a 62% increased likelihood of functional independence.
Minimally invasive puncture surgery showed a 53% increase in functional independence.
Conventional craniotomy did not show significant improvements in mortality or functional outcomes.
Interpretation:
Endoscopic and minimally invasive puncture surgeries may lower mortality and improve functional outcomes in ICH patients, but evidence certainty is low due to study heterogeneity.
Limitations:
Most comparisons graded as low or very low certainty due to study bias.
Variations in definitions of functional independence.
Differences in surgical methods and timing.
Conclusion:
Further large, rigorously designed randomized trials are needed to confirm the benefits of minimally invasive surgery in ICH patients.
