Cai Q, et al. - Because spontaneous supratentorial intracerebral hemorrhage (SSICH) is one of the most deadly diseases, and neuroendoscopic surgery (NE) is a minimally invasive and promising treatment that could improve patient functional recovery, researchers examined patient experience with this treatment in terms of safety, effectiveness, and surgical technique. From June 2016 to July 2018, 42 patients with SSICHs treated by transcranial neuroendoscopic approach were retrospectively reviewed. Investigators found that all procedures were completed successfully and in the perioperative period no patient died. The average evacuation rate for hematoma was 90.1% and the highest evacuation rate for a hematoma in subcortical hemorrhage was 92.7%. There were no serious complications and the average improvement in the GCS score was 4.0 at discharge. The study findings suggested that neuroendoscopy evacuation hemorrhage may be an effective and safe SSICH approach. Some details need to be highlighted for better efficiency of this treatment, such as setting up a good working channel, accurately using suction and bipolar forceps.