Transsphenoidal resection of pituitary adenomas:experience of 1047 cases
- VernacularTitle:经蝶进路垂体腺瘤切除术的体会及认识(附1047例报告)
- Author:
Jianchun LIAO
- Publication Type:Journal Article
- Keywords:
pituitary neoplasms;
adenoma;
transsphenoidal approaches
- From:
Academic Journal of Second Military Medical University
2000;0(08):-
- CountryChina
- Language:Chinese
-
Abstract:
Transsphenoidal microsurgery has become a major approach for removal of pituitary adenomas.Due to the anatomic differences of skull base between Chinese and foreigners and the different experience of surgeons, the pre-and post-operation managements of the operation are different.From 1982 to 2002,a total of 1 047 patients received transsphenoidal removal of pituitary adenomas in our hospital and gained satisfactory outcomes.This article summarizes our experience on 1 047 patients and discusses some relevant problems,including the diagnostic standards of adenoma size,surgery indications,the apoplexy operation,the re-operation for recurrent cases,management of complications,post-operation radiotherapy,and the anatomy of sphenoidal sinus and sellar area,hoping to improve the successful rate of the operation.
