Endoscopic-Assisted evacuation vs. burr-hole drainage for chronic subdural hematoma: a retrospective comparative study - Takeaways - MDSpire

Endoscopic-Assisted evacuation vs. burr-hole drainage for chronic subdural hematoma: a retrospective comparative study

  • By

  • Yang Mi

  • Chunhong Wang

  • Xiaohui Yao

  • Chunlei Ju

  • Kai Yang

  • Xulei Hu

  • Hao Li

  • Haiyang Su

  • Hongming Ji

  • May 12, 2026

  • 0 min

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  • 1

    Endoscopic-assisted evacuation significantly reduces residual hematoma rates compared to burr-hole drainage (35.00% vs. 54.78%, p = 0.0255).

  • 2

    Patients undergoing endoscopic-assisted evacuation demonstrate improved neurological outcomes with an odds ratio of 0.30 for favorable functional recovery (p = 0.0021).

  • 3

    Endoscopic-assisted evacuation is associated with longer operative times, averaging 40.12 minutes more than burr-hole drainage (p < 0.0001).

  • 4

    The cost of hospitalization is higher for endoscopic-assisted evacuation, averaging ¥9,600 more than burr-hole drainage (p < 0.0001).

  • 5

    Postoperative complications, including intracranial pneumocephalus and hematoma recurrence, do not significantly differ between the two surgical techniques.

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