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The surgical techniques, effectiveness and indications of microsurgical neuroendoscopic assisted evacuation of spontaneous intracranial hematomas (SICH) is still uncertain. This minimal invasive technique remains investigational and controversal with regard to patient selection, timing of operation and method of the management. The purpose of this study was to investigate the early postoperative results in patients with SICH underwent endoscopic evacuation and to give evaluation and eventual prognosis of the clinical outcomes after this procedure. Material and Methods: A retrospective analysis of 56 patients SICH treated in the Neurosurgical clinic with endoscopic assisted evacuation was performed. Hematoma volume and its localization (subcortical -11 patients, in basal ganglia -12 -7 of them with propagation to ventricular system, 6 infratentorial and 27 subdural), comorbidity, clinical features and timing of surgical procedures was made. The GCS rate by admission and GOS by discharging of patients was analyzed, also the postoperative complications and causes of death. Results: 52 patients (92, 9%) were operated within the first 24 hours of the onset. Patients operated between the 12 and 24 hours had better outcome in comparison to these operated after the 24 hours period. The authors analyzed their experience with endoscopic technique, effectiveness of the method, results and complications. Mortality rate in our series was 23, 2% (13 patients). The causes of surgical complications and causes of death were analyzed. Conclusion:The endoscopic assisted evacuation of SICH is a short, safe and very effective method when the surgical procerure is provided within the first 12-24 hours. Our results showed that early and complete evacuation of hematoma volume may promote to recovery of the general condition of the patient and improved outcomes.

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