Endoscopic Endonasal Surgical Resection of Pituitary Adenomas: Outcomes Analysis

Abstract

Background: The intracranial manipulation through the nose was already known to the ancient Egyptians. The transsphenoidal route is used for more than 95% of surgical indications in the sellar region due to its advantages. Aim: To evaluate the endoscopic trans-sphenoidal approach for resection of pituitary adenomas. Patients and methods: Retrospective and Prospective evaluation study of endoscopic transsphenoidal approach for the pituitary adenomas. This work was carried out on 30 patients during the period between May 2014 and October 2016. Results: Visual acuity and field improved in 75% of patients, endocrinal remission occurred in 62% of patients, gross removal was achieved in about 47% of patients. Conclusion: The advantages of the endoscopic transsphenoidal approach to pituitary adenomas include high incidence of total adenoma removal, high incidence of hormonal remission and low post-operative complications incidence.