More recently, with improvements in neuroendoscopic (NE) techniques, basal ganglia hemorrhage has begun to be approached using the technique of NE [10]. Some stud- ies indicated that the endoscope-assisted keyhole approach might be an e ciency, safety, and minimal invasiveness surgi- cal intervention [11, 12]. is study presented a new adjustable cannula application in NE operation via keyhole approach. At the Clinical Medical College of Yangzhou University, we have been applying the minimally invasive technique of NE approach to evacuate basal ganglia haemorrhage since 2011. Here, we compared the clinical and radiological outcomes of two intervention groups (NE group versus traditional craniotomy group). e goals of this study are to evaluate the e ectiveness and safety of the NE approach to basal ganglia haemorrhage comparing with the craniotomy and to analyse the in uences behind the surgical outcomes.