ArticleFrontiers in surgery2026
Retrospective clinical study of endoscopic transfrontal approach vs. transSylvian-transinsular craniotomy for hypertensive intracerebral hemorrhage in basal ganglia: efficacy comparison and value of anatomical cognition of Sylvian fissure.
Article in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: To compare the efficacy of endoscopic transfrontal and transSylvian-transinsular hematoma evacuation for basal ganglia hypertensive intracerebral hemorrhage (HICH), identify independent prognostic factors, and explore the value of the latter in improving young doctors' anatomical cognition of the Sylvian fissure. Methods: A retrospective analysis was performed on 230 basal ganglia HICH patients, divided into the endoscopic group ( Results: The two groups had no significant differences in hematoma clearance rate (89.2 ± 7.5% vs. 87.6 ± 8.2%), postoperative rebleeding rate (4.0% vs. 5.0%) and 3-month favorable prognosis rate (62.0% vs. 58.8%) (all Conclusion: Both approaches have comparable core efficacy for basal ganglia HICH, with endoscopic surgery having minimally invasive advantages. As an exploratory observational analysis, this study suggests that transSylvian-transinsular craniotomy may help improve young doctors' anatomical cognition of the Sylvian fissure and appears to offer certain clinical teaching value. Clinical selection of surgical methods should be based on the patient's specific condition, operator experience and hospital equipment conditions.
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