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Endoscopic endonasal transsphenoidal pituitary surgery: experience of 80 cases

2014; Turkish Neurosurgical Society; Linguagem: Inglês

10.5137/1019-5149.jtn.10495-14.2

2651-5032

Murat Korkmaz, Ali Erdem Yıldırım, Arif Ösün, Fatih Alagöz, Denizhan Divanlıoğlu, Ergün Dağlıoğlu, Deniz Belen,

Cerebrospinal fluid and hydrocephalus

AIm: Surgical approaches to the pituitary have undergone numerous refinements over the last 100 years.The fully endoscopic transsphenoidal approach has gained widespread use all around the world.We report the results of a consecutive series of patients who underwent pituitary surgery using a pure endoscopic endonasal approach and the results of the evaluation of the efficacy and safety of this procedure.mAterIAl and methOds: We retrospectively reviewed the hospital database of 80 consecutive pituitary adenomas that were resected with the purely endoscopic endonasal transsphenoidal technique. results:The preoperative clinical condition of the patients, hormone profile, visual field, computed tomography and magnetic resonance imaging findings, and the Hardy-Vezina and Knosp scores were evaluated and revealed the importance of the parameters for surgery.Surgical technique, postoperative clinical condition of the patients, hormone profile, complications and follow-up period were reviewed.COnClusIOn: Endonasal endoscopic pituitary surgery is a safe and effective surgical technique.