Surgical complications associated with the endoscopic endonasal transsphenoidal approach for pituitary adenomas

Journal of Neurosurgery - Tập 97 Số 2 - Trang 293-298 - 2002
Paolo Cappabianca1, Luigi Maria Cavallo, Annamaria Colao, Enrico de Divitiis
1Department of Neurological Sciences, Federico II University, Naples, Italy

Tóm tắt

Object. To assess postoperative complications related to the surgical procedure, a retrospective analysis was conducted in a series of 146 consecutively treated patients who underwent an endoscopic endonasal transsphenoidal approach to the sellar region for resection of pituitary adenomas between January 1997 and July 2001. Methods. Complications were divided into groups (nasofacial, sphenoid sinus, sella turcica, supra or parasellar, and endocrine complications) according to the anatomical structures and the systems involved. Overall, a decreased incidence of complications has been observed, compared with large historical series of the traditional microsurgical transsphenoidal approach, likely because of the overview inside the anatomy facilitated by the endoscope, and the decreased surgical trauma. Conclusions. Transsphenoidal surgery, either microscopic or endoscopic, is a safe procedure in experienced hands, but serious complications still occur and must be reduced as much as possible. Additional improvement can be expected with greater experience and new technical developments. A coordinated team effort with other dedicated colleagues from different specialties is advised.

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Journal of Neurosurgery

Tập 97 Số 2

293-298

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