Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Charalampaki, P; Ayyad, A; Kockro, RA; Perneczky, A.
Surgical complications after endoscopic transsphenoidal pituitary surgery.
J Clin Neurosci. 2009; 16(6):786-789
Doi: 10.1016/j.jocn.2008.09.002
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
- Charalampaki Patra
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- Abstract:
- Between January 2004 and June 2007 we conducted a retrospective analysis to assess post-operative complications related to endoscopic pituitary surgery in a series of 150 patients. Patients were treated with an endoscopic endonasal transsphenoidal approach to the sellar region for removal of pathological sellar and suprasellar lesions. We analysed the complications in groups according to the anatomical structures of the approach and the functional systems of the pituitary gland (anterior and posterior endocrine systems), and compared them to a large historical series using the traditional microsurgical transsphenoidal approach. Overall, we observed a decreased incidence of complications with respect to the surgical trauma, the functionality of the pituitary gland and post-operative patient comfort. We believe that the reduction of the complication rate observed in this study was mainly due to the wide structural overview offered by the endoscope as well as the anatomically direct, and therefore minimally invasive, character of the procedure. Successful endoscopic pituitary surgery requires extensive training in the use of an endoscope and careful planning of the surgery. Furthermore, close cooperation between a multidisciplinary team consisting of endocrinologists, neurosurgeons, ear, nose and throat surgeons, radiologists, and radiation oncologists is of utmost importance.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Aged -
- Aged, 80 and over -
- Carotid Artery, Internal, Dissection - complications
- Cerebrospinal Fluid Rhinorrhea - etiology
- Endoscopy - adverse effects
- Female -
- Humans -
- Hypopituitarism - etiology
- Incidence -
- Male -
- Middle Aged -
- Nasal Cavity - blood supply
- Neurosurgical Procedures - adverse effects
- Pituitary Diseases - pathology
- Pituitary Gland - injuries
- Postoperative Complications - classification
- Postoperative Hemorrhage - etiology
- Retrospective Studies -
- Sella Turcica - anatomy and histology
- Sphenoid Bone - anatomy and histology
- Sphenoid Sinus - anatomy and histology
- Subarachnoid Hemorrhage - etiology
- Find related publications in this database (Keywords)
- Endoscopy
- Pituitary surgery
- Surgical complications