Neuroendoscopic operation in treatment of giant invasive pituitary tumor: seven cases of experience

VernacularTitle:神经内镜手术切除侵袭型巨大垂体腺瘤七例体会
Author: Bing YAO ; Haozhe PIAO ; Ye ZHANG ; Peixin SUN ; Rui SUI ; Yi CHEN ; Xu GUO
Publication Type:Journal Article
Keywords: Neuroendoscopes; Giant; Pituitary neoplasms; Transsphenoidal surgery
From: Chinese Journal of Postgraduates of Medicine 2013;36(29):38-40
CountryChina
Language:Chinese
Abstract: Objective To study the giant invasive pituitary tumor neuroendoscopic operation indications,operation excision,risk aversion,and the operation skills.Methods The clinical data of 7 patients with giant invasive pituitary tumor among of endoscopic transsphenoidal surgery 61 cases of neurological patients with pituitary tumors were analyzed retrospectively.Results There were 1 case of total resection,6 cases of subtotal resection invading cavernous sinus cases,diaphragma sellar was seen in 5 cases of resection of the tumor,and 2 cases showed no diaphragma sellar.The average operation time was 100 minutes.No intraoperative transfusion.Postoperative hemorrhage in 2 cases,and 1 death case in this group after 36 hours,and 1 case undergoing endoscopic hematoma resection and cured.Conclusions With the development of endoscopic techniques,indications for operation with the new changes,for the giant invasive pituitary tumor operation therapy,endoscopic technique provides a disposable operation resection,the method is safe and avoid catastrophic consequences.