Efficacy and Prognostic Analysis of Neuro-Navigation Robot-Assisted Puncture Drainage for Thalamic Hemorrhage: A Comparison With Neuro-Endoscopy and External Ventricular Drainage

AIM: This study aims to compare the clinical efficacy of three surgical techniques—robot-assisted neuro-navigation, external ventricular drainage (EVD), and neuro-endoscopy—in evacuating intracranial hematomas in patients with thalamic hemorrhage. METHODS: This retrospective study included 110 patients, divided into three groups based on the surgical method: robot group (n = 30), EVD group (n = 37), and neuro-endoscopy group (n = 43). Baseline characteristics, perioperative parameters, neurological function, inflammatory response, complications, and functional outcomes were compared and analyzed among the three patient groups. RESULTS: Compared with the EVD and neuro-endoscopy groups, the robot group had shorter operative times (p < 0.001), higher hematoma clearance rates (p < 0.001), better postoperative neurological function (p < 0.05), a lower inflammatory response (p < 0.05), fewer complications (p < 0.05), and better functional outcomes (p < 0.05). Robot-assisted neuro-navigation-guided puncture drainage was associated with better clinical outcomes than EVD and neuro-endoscopy in this retrospective study. CONCLUSIONS: Robot-assisted neuro-navigation-guided puncture drainage was associated with improved neurological recovery and short-term outcomes in patients with thalamic hemorrhage.