{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T16:00:49Z","timestamp":1791820849148,"version":"4.3.4"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,2,25]],"date-time":"2025-02-25T00:00:00Z","timestamp":1740441600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,2,25]],"date-time":"2025-02-25T00:00:00Z","timestamp":1740441600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World J Emerg Surg"],"DOI":"10.1186\/s13017-025-00592-9","type":"journal-article","created":{"date-parts":[[2025,2,25]],"date-time":"2025-02-25T05:30:31Z","timestamp":1740461431000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Robot-assisted puncture versus conservative treatment for severe brainstem hemorrhage: clinical outcomes comparison with experience of 138 cases in a single medical center"],"prefix":"10.1186","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2269-7449","authenticated-orcid":false,"given":"Xingwang","family":"Sun","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junhao","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miao","family":"Lu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhibin","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cuiling","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rucai","family":"Zhan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,2,25]]},"reference":[{"key":"592_CR1","doi-asserted-by":"publisher","first-page":"1195","DOI":"10.1007\/s10143-021-01683-2","volume":"45","author":"W Zheng","year":"2022","unstructured":"Zheng W, Shi S, Gong J. The truths behind the statistics of surgical treatment for hypertensive brainstem hemorrhage in China: a review. Neurosurg Rev. 2022;45:1195\u2013204.","journal-title":"Neurosurg Rev"},{"key":"592_CR2","doi-asserted-by":"publisher","first-page":"531","DOI":"10.3171\/jns.2002.97.3.0531","volume":"97","author":"OG Nilsson","year":"2002","unstructured":"Nilsson OG, Lindgren A, Brandt L, Saveland H. Prediction of death in patients with primary intracerebral hemorrhage: a prospective study of a defined population. J Neurosurg. 2002;97:531\u20136.","journal-title":"J Neurosurg"},{"key":"592_CR3","first-page":"91","volume":"25","author":"RM AlMohammedi","year":"2020","unstructured":"AlMohammedi RM, et al. Brainstem hemorrhage is uncommon and is associated with high morbidity, mortality, and prolonged hospitalization. Neurosciences (Riyadh Saudi Arabia. 2020;25:91\u20136.","journal-title":"Neurosciences (Riyadh Saudi Arabia"},{"key":"592_CR4","doi-asserted-by":"crossref","unstructured":"Li X, Jia R, Guo Y. Spontaneous brainstem haemorrhage in a patient with uraemia undergoing initial hemodialysis: a case report. Exp Ther Med 2023;25.","DOI":"10.3892\/etm.2023.11789"},{"key":"592_CR5","doi-asserted-by":"publisher","first-page":"122","DOI":"10.1016\/j.jocn.2021.04.014","volume":"89","author":"Y Li","year":"2021","unstructured":"Li Y, et al. Analysis of the curative effect and influencing factors of stereotactic aspiration in the treatment of primary brainstem haemorrhage. J Clin Neurosci. 2021;89:122\u20137.","journal-title":"J Clin Neurosci"},{"key":"592_CR6","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1016\/j.jss.2019.07.026","volume":"245","author":"Q Wang","year":"2020","unstructured":"Wang Q, et al. Application of a 3D-Printed Navigation Mold in puncture drainage for Brainstem Hemorrhage. J Surg Res. 2020;245:99\u2013106.","journal-title":"J Surg Res"},{"key":"592_CR7","doi-asserted-by":"crossref","unstructured":"Chen D et al. Primary brainstem hemorrhage: a review of prognostic factors and Surgical Management. Front Neurol 2021;12.","DOI":"10.3389\/fneur.2021.727962"},{"key":"592_CR8","first-page":"1","volume":"2022","author":"X Meng","year":"2022","unstructured":"Meng X, Wang Q, Pei X, Xie F. Prognosis and influencing factors of early microsurgery for severe hypertensive brainstem hemorrhage. Dis Markers. 2022;2022:1\u20137.","journal-title":"Dis Markers"},{"key":"592_CR9","doi-asserted-by":"publisher","first-page":"108583","DOI":"10.1016\/j.clineuro.2024.108583","volume":"246","author":"HN Pustilnik","year":"2024","unstructured":"Pustilnik HN, et al. Stereotactic aspiration versus conservative management for primary brainstem hemorrhage: a systematic review and meta-analysis. Clin Neurol Neurosurg. 2024;246:108583.","journal-title":"Clin Neurol Neurosurg"},{"key":"592_CR10","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1016\/j.asjsur.2020.04.016","volume":"44","author":"L Chen","year":"2021","unstructured":"Chen L, et al. The microsurgical treatment for primary hypertensive brainstem hemorrhage: experience with 52 patients. Asian J Surg. 2021;44:123\u201330.","journal-title":"Asian J Surg"},{"key":"592_CR11","doi-asserted-by":"publisher","first-page":"104956","DOI":"10.1016\/j.jstrokecerebrovasdis.2020.104956","volume":"29","author":"X Guo","year":"2020","unstructured":"Guo X, et al. Brainstem iron overload and injury in a rat model of brainstem hemorrhage. J Stroke Cerebrovasc Dis. 2020;29:104956.","journal-title":"J Stroke Cerebrovasc Dis"},{"key":"592_CR12","doi-asserted-by":"crossref","unstructured":"Yu Z et al. Effect of hematoma volume on the 30-day mortality rate of patients with primary hypertensive brainstem hemorrhage: a retrospective cohort study. Front Surg 2023;10.","DOI":"10.3389\/fsurg.2023.1136296"},{"key":"592_CR13","doi-asserted-by":"publisher","first-page":"e35131","DOI":"10.1097\/MD.0000000000035131","volume":"102","author":"Y Geng","year":"2023","unstructured":"Geng Y, et al. How to predict the outcome of primary brainstem hemorrhage: six-year results of a single-center retrospective analysis. Med (Baltim). 2023;102:e35131.","journal-title":"Med (Baltim)"},{"key":"592_CR14","doi-asserted-by":"crossref","unstructured":"Zhou J et al. Prognostic models for survival and consciousness in patients with primary brainstem hemorrhage. Front Neurol 2023;14.","DOI":"10.3389\/fneur.2023.1126585"},{"key":"592_CR15","doi-asserted-by":"crossref","unstructured":"Du L, Wang J, Li C, Gao B. Effects of stereotactic aspiration on brainstem hemorrhage in a case series. Front Surg 2022;9.","DOI":"10.3389\/fsurg.2022.945905"},{"key":"592_CR16","doi-asserted-by":"publisher","first-page":"107956","DOI":"10.1016\/j.jstrokecerebrovasdis.2024.107956","volume":"33","author":"L Yan","year":"2024","unstructured":"Yan L, et al. Comparative analysis of stereotactic soft-channel and hard-channel aspiration in the treatment of primary brainstem hemorrhage. J Stroke Cerebrovasc Dis. 2024;33:107956.","journal-title":"J Stroke Cerebrovasc Dis"},{"key":"592_CR17","first-page":"1","volume":"2022","author":"P Chen","year":"2022","unstructured":"Chen P, et al. Management of primary brainstem hemorrhage: a review of Outcome Prediction, Surgical Treatment, and animal model. Dis Markers. 2022;2022:1\u20138.","journal-title":"Dis Markers"},{"key":"592_CR18","doi-asserted-by":"publisher","first-page":"79","DOI":"10.1159\/000530348","volume":"53","author":"C Cai","year":"2024","unstructured":"Cai C, et al. Development and validation of a prediction model for 30-Day mortality and functional outcome in patients with primary brainstem hemorrhage. Cerebrovasc Dis. 2024;53:79\u201387.","journal-title":"Cerebrovasc Dis"},{"key":"592_CR19","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1097\/NRL.0000000000000445","volume":"28","author":"S Zhang","year":"2023","unstructured":"Zhang S, Chen T, Han B, Zhu W. A retrospective study of puncture and drainage for primary brainstem hemorrhage with the assistance of a Surgical Robot. Neurologist. 2023;28:73\u20139.","journal-title":"Neurologist"},{"key":"592_CR20","doi-asserted-by":"crossref","unstructured":"Wang Q et al. Laser Navigation Combined with XperCT Technology assisted puncture of Brainstem Hemorrhage. Front Neurol 2022;13.","DOI":"10.3389\/fneur.2022.905477"},{"issue":"11","key":"592_CR21","doi-asserted-by":"publisher","first-page":"1155","DOI":"10.1001\/jamaneurol.2023.3240","volume":"80","author":"S Misra","year":"2023","unstructured":"Misra S, Kasner SE, Dawson J, et al. Outcomes in patients with poststroke seizures: a systematic review and Meta-analysis. JAMA Neurol. 2023;80(11):1155\u201365.","journal-title":"JAMA Neurol"},{"key":"592_CR22","unstructured":"Akr A, Bora E. The effect of epileptic seizure occurring after intracranial hemorrhages on early mortality. J Contemp Med, 2022."},{"key":"592_CR23","doi-asserted-by":"publisher","first-page":"968960","DOI":"10.3389\/fped.2022.968960","volume":"10","author":"S Xie","year":"2022","unstructured":"Xie S, et al. Outcomes and comparations of pediatric surgery about choledochal cyst with robot-assisted procedures, laparoscopic procedures, and open procedures: a meta-analysis. Front Pediatr. 2022;10:968960.","journal-title":"Front Pediatr"}],"container-title":["World Journal of Emergency Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13017-025-00592-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13017-025-00592-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13017-025-00592-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,25]],"date-time":"2025-02-25T05:30:38Z","timestamp":1740461438000},"score":1,"resource":{"primary":{"URL":"https:\/\/wjes.biomedcentral.com\/articles\/10.1186\/s13017-025-00592-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,25]]},"references-count":23,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["592"],"URL":"https:\/\/doi.org\/10.1186\/s13017-025-00592-9","relation":{},"ISSN":["1749-7922"],"issn-type":[{"value":"1749-7922","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,25]]},"assertion":[{"value":"16 December 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 February 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 February 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable for a retrospective study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"15"}}