Endoscopic versus Microscopic Pituitary Adenoma Surgery: A Single-center Study

Ajler, Pablo; Beltrame, Sofía; Toscano, Maximiliano; Patricia, Fainstein Day; Campero, Alvaro; Yampolsky, Claudio; Carrizo, Antonio

doi:10.4103/0028-3886.266241

Cited by 22 publications

(23 citation statements)

References 20 publications

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“…2%. [22][23][24][25][26][28][29][30][31][32][33][35][36][37][38][39][40][41][42][43]50 The rate of recovery from hormonal deficits in our study is greater than that found by other researchers. Most of our patients (83.9%) showed stable or improved hormonal deficits.…”

Section: Perioperative Outcomescontrasting

confidence: 66%

“…Other studies have reported rates of vision improvement from as low as 23% to as high as 100%. [22][23][24][25][26][28][29][30][31][32][33][34][37][38][39][40][41][42][43]50 In our study, no patients had worsened vision after surgery. This is consistent with results found by other researchers who generally saw a very low rate of worsened visual deficits after surgery, on the order of 0%e3.…”

Section: Perioperative Outcomessupporting

confidence: 40%

“…Most of our patients (83.9%) showed stable or improved hormonal deficits. Pablo et al 43 and Castano-Leon 42 found that hormonal deficits were stable or improved in 76.9% and 75.3% of patients, respectively. However, our rate of new deficits postoperatively seems to be in line with that of other researchers, at 16.1%.…”

Section: Perioperative Outcomesmentioning

confidence: 95%

“…Visual and postoperative outcomes in our study were consistent with the results shown in other studies. 24,33,40,42,43,50 Of patients experiencing visual issues at the time of diagnosis, 86.1% of patients had vision improvement and only 13.9% had no change in vision. No patients had a worsening vision.…”

Section: Perioperative Outcomesmentioning

confidence: 99%

“…Rates of new deficits in other studies have ranged from 0% to 20%. [22][23][24][25][26][27][28][29][30][31][32][33]35,[37][38][39][40][41][42][43][50][51][52][53][54] Perioperative complications that we analyzed include the rates of hematoma requiring evacuation, diabetes insipidus, CSF leak, and meningitis. Our patients experienced a similar rate of postoperative hematoma when compared with previous studies described in the literature.…”

Section: Perioperative Outcomesmentioning

confidence: 99%

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Challenges, Learning Curve, and Safety of Endoscopic Endonasal Surgery of Sellar-Suprasellar Lesions in a Community Hospital

et al. 2020

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BACKGROUND AND OBJECTIVE: Endoscopic endonasal surgery (EES) for the management of sellar, suprasellar, and anterior skull base lesions is gaining popularity. Our aim was to analyze and present the clinical outcomes of EES for the management of these lesions in a community hospital setting.-METHODS: We retrospectively reviewed the charts of 56 patients with sellar, suprasellar, and anterior skull base lesions who underwent EES between 2010 and 2018.-RESULTS: There was male predominance (53.6%) with a mean age of 54.9 AE 13.7 years. Lesions were 45 pituitary adenomas, 5 meningiomas, 3 metastatic, 1 craniopharyngioma, 1 Rathke cyst, and 1 mucocele. Gross total excision was achieved in 57.1%, subtotal excision occurred in 37.5%, and decompression and biopsy were achieved in 5.4% patients. Postoperative vision normalized or improved in 27 patients (86.1%) and was stable in 4 patients (13.9%). Recovery of a preexisting hormonal deficit occurred in 13 (23.2%) patients, and a new hormonal deficit occurred in 9 patients (16.1%). The mean hospital stay was 6.1 AE 4.9 days. Postoperative complications included cerebrospinal fluid leak in 8 patients (14.3%). Four patients (7.1%) had meningitis. Diabetes insipidus was present in 19 patients (33.9%), and postoperative intracranial hematoma requiring evacuation was necessary in 2 patients (3.6%). The mean follow-up duration was 47.5 AE 25.8 months. Lesion progression or recurrence requiring redo surgery occurred in 5 patients (8.9%). Regarding the learning curve, the postoperative cerebrospinal fluid leak, meningitis, new hormonal deficits, and diabetes insipidus decreased in the second half of the patients.-CONCLUSIONS: EES provides an effective and safe surgical option with low morbidity and mortality for the treatment of sellar, suprasellar, and anterior skull base lesions in a community hospital setting.

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Section: Perioperative Outcomescontrasting

confidence: 66%

Section: Perioperative Outcomessupporting

confidence: 40%

Section: Perioperative Outcomesmentioning

confidence: 95%

Section: Perioperative Outcomesmentioning

confidence: 99%

Section: Perioperative Outcomesmentioning

confidence: 99%

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Challenges, Learning Curve, and Safety of Endoscopic Endonasal Surgery of Sellar-Suprasellar Lesions in a Community Hospital

et al. 2020

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3D endoscopy shows enhanced anatomical details and depth perception vs 2D: a multicentre study

Tomazic

Sommer²,

Treccosti³

et al. 2020

Eur Arch Otorhinolaryngol

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Purpose The current standard endoscopic technique is a high resolution visualisation up to Full HD and even 4 K. A recent development are 3D endoscopes providing a 3-dimensional picture, which supposedly gives additional information of depth, anatomical details and orientation in the surgical field. Since the 3D-endoscopic technique is new, little scientific evidence is known whether the new technique provides advantages for the surgeon compared to the 2D-endoscopic standard technique in FESS. This study compares the standard 2D-endoscopic surgical technique with the new commercially available 3D-endoscopic technique. Methods The prospective randomized interventional multicenter study included a total of 80 referred patients with chronic rhinosinusitis with and without polyps without prior surgery. A bilateral FESS procedure was performed, one side with the 2D-endoscopic technique, the other side with the 3D-endoscopic technique. The time of duration was measured. Additionally, a questionnaire containing 20 items was completed by 4 different surgeons judging subjective impression of visualisation and handling. Results 2D imaging was superior to 3D apart from “recognition of details”, “depth perception” and “3D effect”. For usability properties 2D was superior to 3D apart from “weight of endoscopes”. Mean duration for surgery was 26.1 min for 2D and 27.4 min. for 3D without statistical significance (P = 0.219). Conclusion Three-dimensional endoscopy features improved depth perception and recognition of anatomic details but worse overall picture quality. It is useful for teaching purposes, yet 2D techniques provide a better outcome in terms of feasibility for routine endoscopic approaches.

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Endoscopic vs. microscopic transsphenoidal surgery outcomes in 514 nonfunctioning pituitary adenoma cases

Song

Wang

et al. 2022

Neurosurg Rev

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Endoscopic versus Microscopic Pituitary Adenoma Surgery: A Single-center Study

Cited by 22 publications

References 20 publications

Challenges, Learning Curve, and Safety of Endoscopic Endonasal Surgery of Sellar-Suprasellar Lesions in a Community Hospital

Challenges, Learning Curve, and Safety of Endoscopic Endonasal Surgery of Sellar-Suprasellar Lesions in a Community Hospital

3D endoscopy shows enhanced anatomical details and depth perception vs 2D: a multicentre study

Endoscopic vs. microscopic transsphenoidal surgery outcomes in 514 nonfunctioning pituitary adenoma cases

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