Clinical study of transsphenoidal approach neuroendoscope-assisted sella turcica tumor resection
10.3760/cma.j.issn.1673-4904.2017.11.017
- VernacularTitle:神经内镜辅助下经蝶窦入路行蝶鞍区肿瘤切除术的临床研究
- Author:
Yongjiang ZHANG
1
;
Wei ZHOU
;
Jun YANG
;
Guanglie CHEN
;
Fang SHEN
Author Information
1. 315000,宁波市第二医院神经外科
- Keywords:
Sella turcica;
Neuroendoscope;
Retrospective studies;
Microscope
- From:
Chinese Journal of Postgraduates of Medicine
2017;40(11):1025-1028
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the surgical techniques of transsphenoidal approach neuroendoscope-assisted sella turcica tumor resection. Methods The clinical data of 71 patients who had underwent transsphenoidal approach neuroendoscope-assisted sella turcica tumor resection were retrospectively analyzed. Results Among the 71 patients, pituitary tumors was in 67 cases (including recurrent pituitary tumors 4 cases), and Rathke cysts in 4 cases. A total of 54 cases had gross total resection, 10 cases had near total resection, and 7 cases had subtotal resection. Some patients had postoperative complications, including transient diabetes insipidus in 16 cases, refractory hyponatremia in 2 cases,cerebrospinal rhinorrhea in 1 case,hypothyroidism in 1 case,rhinorrhagia and synechia nasal in 1 case, hyposmia in 4 cases, and perioperative cerebral infarction in 1 case. There was no surgery related death. After 3 months' follow- up, 12 cases were found to have nasal mucosa atrophy. Conclusions The transsphenoidal approach neuroendoscope-assisted sella turcica tumor resection is safe and effective, with less serious complications, but the complications of nasal cavity should not be ignored.
