Neuroendoscopic resection of residual or recurrent sellar and clivus tumors
10.3760/cma.j.cn115354-20231129-00262
- VernacularTitle:神经内镜治疗复发或残余鞍区及斜坡区肿瘤研究
- Author:
Jiakun XU
1
;
Xixi LI
;
Jia YANG
;
Weijie SU
;
Kun ZHAO
;
Lixuan YANG
Author Information
1. 中山大学附属第一医院神经外科，广州 510080
- Keywords:
Neuroendoscopy;
Recurrence;
Residual;
Sellar tumor;
Clivus tumor
- From:
Chinese Journal of Neuromedicine
2024;23(2):169-173
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical value of neuroendoscopic resection in recurrent or residual sellar and clivus tumors and the prevention and treatment of operative complications.Methods:A retrospective study was performed. Clinical data of 49 patients with residual or recurrent sellar and clivus tumors after neuroendoscopic resection in Department of Neurosurgery, First Affiliated Hospital of Sun Yat-sen University from November 2021 to October 2023 were collected; 45 patients were with pituitary adenoma, 3 were with craniopharyngioma, and 1 patient was with clivus chordoma; their surgical efficacy and complications were summarized and analyzed.Results:Total resection was achieved in 29 patients (59.2%), subtotal resection in 12 (24.5%), and partial resection in 8 (16.3%). Two patients (4.1%) had intraoperative internal carotid artery rupture and were given emergency laminar stenting, discharging with good recovery, but one of them left with unilateral motor nerve palsy. During 1-24 months of follow-up, 97.2% patients (35/36) had headache relief and visual acuity improvement, and no patient had permanent diabetes insipidus or cerebrospinal fluid rhinorrhea. Residual tumors increased in 3 patients (6.1%); no tumor recurrence after total resection was noted.Conclusion:Endoscopic resection of recurrent or residual sellar and clivus tumors is safe and effective; attention should be paid to the internal carotid artery during the operation.
