{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T03:39:31Z","timestamp":1778643571541,"version":"3.51.4"},"reference-count":29,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2019,11,19]],"date-time":"2019-11-19T00:00:00Z","timestamp":1574121600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Brain and Behavior"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Hypertensive cerebral hemorrhage (HCH) is a potentially life\u2010threatening neurological condition with an extremely high morbidity and mortality. In recent years, neuroendoscopy has been used to treat intracerebral hemorrhage (ICH). However, the choice of neuroendoscopic surgery versus craniotomy for patients with intracerebral hemorrhages is controversial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>We conducted this meta\u2010analysis to assess the efficacy of neuroendoscopic surgery compared with craniotomy in patients with supratentorial hypertensive ICH.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A systematic electronic search was conducted of online electronic databases: PubMed, Embase, and the Cochrane Library updated on December 2017. The meta\u2010analysis only included randomized controlled studies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three randomized controlled trials met our inclusion criteria. The pooled analysis of death showed that neuroendoscopic surgery decreased the rate of death when compared with craniotomy (RR\u00a0=\u00a00.58, 95% CI 0.26\u20131.29; <jats:italic>p<\/jats:italic>\u00a0=\u00a0.18). The pooled result of complications indicated that neuroendoscopic surgery has a tendency toward lower complications (RR\u00a0=\u00a00.37, 95% CI 0.28\u20130.49; <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our results suggested that neuroendoscopic surgery has lower complications, but no superior advantages in morbidity rates. Since the advantage of neuroendoscopic surgery has been performed in some area, the continuation of multi\u2010center comparative investigation with craniotomy may be necessary. Moreover, some efforts need to be taken in selecting appropriate patients with different treatments.<\/jats:p><\/jats:sec>","DOI":"10.1002\/brb3.1471","type":"journal-article","created":{"date-parts":[[2019,11,19]],"date-time":"2019-11-19T19:10:26Z","timestamp":1574190626000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Efficacy of neuroendoscopic surgery versus craniotomy for supratentorial hypertensive intracerebral hemorrhage: A meta\u2010analysis of randomized controlled trials"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8648-2631","authenticated-orcid":false,"given":"Xu\u2010Hui","family":"Zhao","sequence":"first","affiliation":[{"name":"Department of Neurosurgery Xingtai People's Hospital Xingtai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Su\u2010Zhen","family":"Zhang","sequence":"additional","affiliation":[{"name":"Clinical Laboratory Xingtai People's Hospital Xingtai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin","family":"Feng","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery The Frist Hospital of Xingtai Xingtai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhen\u2010Zhong","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Xingtai People's Hospital Xingtai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zeng\u2010Lu","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Xingtai People's Hospital Xingtai China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,11,19]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1989.70.4.0530"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1990.00530100071015"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/3-211-30714-1_16"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/WCO.0000000000000167"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surneu.2005.09.032"},{"issue":"1","key":"e_1_2_8_7_1","first-page":"84","article-title":"Endoscope\u2010assisted keyhole technique for hypertensive cerebral hemorrhage in elderly patients: A randomized controlled study in 184 patients","volume":"26","author":"Feng Y.","year":"2016","journal-title":"Turkish Neurosurgery"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0000000000000069"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/sim.1186"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.327.7414.557"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0967-5868(03)00061-4"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2014.04.021"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.3109\/02688697.2013.765938"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2017.05.134"},{"issue":"8","key":"e_1_2_8_15_1","first-page":"1352","article-title":"[Therapeutic effects of aspiration with a directional soft tube and conservative treatment on mild hemorrhage in the basal ganglion]","volume":"28","author":"Luo J. 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