Endoscopic transnasal approach for removing pituitary tumors

Arquivos de Neuro-Psiquiatria

Mirian Cabral Moreira De Castro¹  Luciane Maria Pereira Michel¹  Mariana Moreira De Castro Denaro¹  Pollyana Anício Magalhaes Gontijo¹  Atos Alves De Sousa¹ 

关键词: pituitary neoplasms;    cerebrospinal fluid;    fistula;    sphenoid sinus;    neoplasias hipofisárias;    líquido cefalorraquidiano;    fistula;    seio esfenoidal;   

DOI  :  10.1590/0004-282X20140023

来源: SciELO

【 摘 要 】

To describe a series of 129 consecutive patients submitted to the resection of pituitary tumors using the endoscopic transsphenoidal approach in a public medical center.Method:Retrospective analysis based on the records of patients submitted to the resection of a pituitary tumor through the endoscopic transsphenoidal approach between 2004 and 2009.Results:One hundred and twenty-nine records were analyzed. The tumor was non-secreting in 96 (74.42%) and secreting in 33 patients (22.58%). Out of the secretory tumors, the most prevalent was the growth hormone producer (7.65%), followed by the prolactinoma, (6.98%). Eleven patients developed cerebral spinal fluid (CSF) fistulas, and four of them developed meningitis. One patient died due to intracerebral hemorrhage in the postoperative period.Conclusion:The endoscopic transsphenoidal approach to sellar tumors proved to be safe when the majority of the tumors were non-secreting. The most frequent complication was CSF. This technique can be done even in a public hospital with financial limits, since the health professionals are integrated.

【 授权许可】

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