Clinical Analysis of Endoscopic Transnasal Transsphenoidal Hypophysectomy of Pituitary Tumor.
- Author:
Soo Whan KIM
1
;
Dong Sun PARK
;
Dae Gun JUNG
;
Jun Myung KANG
;
Jin Hee CHO
;
He Ro YOON
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea. entcho@cmc.cuk.ac.kr
- Publication Type:Original Article
- Keywords:
Pituitary tumor;
Endoscopy;
Hypophysectomy
- MeSH:
Endoscopy;
Humans;
Hypophysectomy*;
Medical Records;
Pituitary Neoplasms*;
Retrospective Studies
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2005;48(1):30-33
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: Various surgical approach has been used for the removal of pituitary tumor. Recently, endoscopic transnasal transsphenoidal approach has been technically upgraded and the morbidity associated with surgical treatment of the pituitary tumor has been decreased. The objectives of our study was to describe surgical techniques and materials used in sellar repair after endoscopic transnasal transsphenoidal approach. SUBJECTS AND METHOD: We retrospectively reviewed the medical records of 18 patients who had received endoscopic transnasal transsphenoidal pituitary surgery between November 2002 and January 2004. We evaluated effectiveness of this technique by analyzing surgical techniques, symptom improvement and complications after surgery. RESULTS: In most of the case, tumor was found to be macroadenoma and 8 of the cases had suprasellar extension. Tumor was totally removed in 13 cases and partially removed in 5 cases. In all cases we used endoscopic unilateral transnasal transsphenoidal approach with anterior sphenoidotomy. CONCLUSION: We may consider that this approach is more safe and effective and a better treatment method for pituitary tumor surgery than the transcranial approach.
