The invention provides a craniotomy device and method for brain surgery, comprising: a positioning sleeve, the positioning sleeve is provided with an adjusting hoop that is threadedly matched with the adjusting hoop, and a There is a scale, and a sliding sleeve with a clearance fit is provided outside the adjusting hoop, and a righting limit sleeve that is rotationally connected is provided at the lower part of the sliding sleeve, and a drill pipe is arranged inside the righting limit sleeve, and a universal leveling joint is provided at the lower end of the drill pipe in turn And the casing drill, the casing drill is provided with a suction seat. In the present invention, the contact surface between the strip-shaped annular teeth and the skull is small, and the fit with the skull surface is good, so that all the annular teeth are in uniform contact with the skull surface, and the vibration force is extremely small during drilling, which can smoothly The skull hole is drilled through, and the phenomenon of drill sticking will not occur, and the drilling process is relatively simple and smooth; at the same time, the righting limit sleeve drill will not invade the meninges, the difficulty of drilling on the skull is extremely low, and the drilling process is simpler easy to operate.