Analysis of full endoscopic transnasal-transphenoidal approach for pituitary adenomas : the summary of 72 patients
10.3760/cma.j.issn.1001-2036.2012.05.004
- VernacularTitle:全神经内镜下经鼻蝶入路手术治疗垂体腺瘤72例临床分析
- Author:
Ying GUO
;
Wensheng LI
;
Meiqing CAI
;
Hui WANG
;
Haiyong HE
;
Jin GONG
;
Baoyu ZHANG
;
Zhenchao HUANG
;
Lun LUO
- Publication Type:Journal Article
- Keywords:
Neuroendoscopy;
Pituitary adenomas;
Transnasal transphenoidal approach
- From:
Chinese Journal of Microsurgery
2012;35(5):364-366,443
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate and evaluate the clinical value of full endoscopic transnasal transphenoidal approach for the surgery of pituitary adenomas.Methods Seventy-two patients,who underwent full endoscopic transnasal transphenoidal approach for the surgery of pituitary adenomas,were selected from the Medical Center of Pituitary Adenomas of our hospital from January 2009 to March 2012.To retrospectively investigate pre- and post-operation symptoms,hormone levels,images information,operation information,complications,following-up information and so on.Results Among the 72 consecutive patients,there were 22 nonfunctioning adenomas,twenty-four prolactin secreting adenomas,seven somatotropin secreting adenomas,five adrenocorticotropic hormone secreting adenomas,one thyrotropin secreting adenomas,and 13 multi-secreting adenomas.The tumor removal was total in 56(77.8％),subtotal 13(18.0％),and partial 3(4.2％).Five cases had CSF leaks,and 6 diabetes insipidus.After 3-24 months of follow-up,the levels of increasing-hormone declined to normal levels in most patients.Conclusion Full endoscopic transnasal transphenoidal approach for the surgery of pituitary adenomas is a kind of technique which is safe,minimally invasive,having less complications and fast recovery.However,it is necessary for surgeons to accept systematic and specialized training,and own advanced equipments.
