Endoscopic Transsphenoidal Surgery Outcomes in 331 Nonfunctioning Pituitary Adenoma Cases After a Single Surgeon Learning Curve

2018 ◽  
Vol 109 ◽  
pp. e409-e416 ◽  
Author(s):  
Jung Hee Kim ◽  
Jung Hyun Lee ◽  
Ji Hyun Lee ◽  
A. Ram Hong ◽  
Yoon Ji Kim ◽  
...  
Keyword(s):  
Pituitary Adenoma ◽  
Learning Curve ◽  
Transsphenoidal Surgery ◽  
Endoscopic Transsphenoidal Surgery ◽  
Nonfunctioning Pituitary Adenoma ◽  
Surgery Outcomes

A Learning Curve of Endoscopic Transsphenoidal Surgery for Pituitary Adenoma

2013 ◽  
Vol 24 (6) ◽  
pp. 2064-2067 ◽  
Author(s):  
Fengling Chi ◽  
Yu Wang ◽  
Yingying Lin ◽  
Jianwei Ge ◽  
Yongming Qiu ◽  
...  
Keyword(s):  
Pituitary Adenoma ◽  
Learning Curve ◽  
Transsphenoidal Surgery ◽  
Endoscopic Transsphenoidal Surgery

scholarly journals Tuberculosis: A Common Infection with Rare Presentation, Isolated Sellar Tuberculoma with Panhypopituitarism

2019 ◽  
Vol 10 (02) ◽  
pp. 327-330 ◽  
Author(s):  
Vivek Mahesh Agrawal ◽  
Pramod Janardhan Giri
Keyword(s):  
Pituitary Adenoma ◽  
Transsphenoidal Surgery ◽  
Rare Case ◽  
Nerve Palsy ◽  
Histopathological Examination ◽  
Rare Condition ◽  
Final Diagnosis ◽  
Endoscopic Transsphenoidal Surgery ◽  
Rare Presentation ◽  
Common Infection

ABSTRACTIsolated sellar tuberculoma is a very rare condition and usually presents with headache and decreased vision. It can present with panhypopituitarism with 3rd nerve palsy. Tuberculoma mimics pituitary adenoma clinically as well as radiologically and requires endoscopic transsphenoidal surgery and histopathological examination for the final diagnosis. We present a rare case of a 40-year-old female presented with headache, decreased vision, and unilateral 3rd nerve palsy with panhypopituitarism.

Complications and Learning Curve following Transition to Endoscopic Transsphenoidal Surgery

2014 ◽  
Vol 75 (S 01) ◽  
Author(s):  
Tasneem Shikary ◽  
Colin Edwards ◽  
Jareen Meinzen-Derr ◽  
Philip Theodosopoulos ◽  
Lee Zimmer
Keyword(s):  
Learning Curve ◽  
Transsphenoidal Surgery ◽  
Endoscopic Transsphenoidal Surgery

Time Course of Symptomatic Recovery After Endoscopic Transsphenoidal Surgery for Pituitary Adenoma Apoplexy in the Modern Era

2016 ◽  
Vol 96 ◽  
pp. 434-439 ◽  
Author(s):  
Hasan A. Zaidi ◽  
David J. Cote ◽  
William T. Burke ◽  
Joseph P. Castlen ◽  
Wenya Linda Bi ◽  
...  
Keyword(s):  
Pituitary Adenoma ◽  
Transsphenoidal Surgery ◽  
Time Course ◽  
Endoscopic Transsphenoidal Surgery ◽  
Modern Era

scholarly journals Diabetes Insipidus following Endoscopic Transsphenoidal Surgery for Pituitary Adenoma

2017 ◽  
Vol 79 (02) ◽  
pp. 117-122 ◽  
Author(s):  
Abdulrazag Ajlan ◽  
Sarah Abdulqader ◽  
Achal Achrol ◽  
Yousef Aljamaan ◽  
Abdullah Feroze ◽  
...  
Keyword(s):  
Pituitary Adenoma ◽  
Diabetes Insipidus ◽  
Transsphenoidal Surgery ◽  
Total Resection ◽  
Endoscopic Transsphenoidal Surgery ◽  
Full Cohort ◽  
The Mean ◽  
The Impact

Objectives Pituitary adenoma (PA), among the most commonly encountered sellar pathologies, accounts for 10% of primary intracranial tumors. The reported incidence of postoperative diabetes insipidus (DI) is highly variable. In this study, we report our experience with DI following endoscopic transsphenoidal surgery (TSS) for PAs, elucidating the risk factors of postoperative DI, the likelihood of long-term DI, and the impact of DI on the length of stay (LOS). Methods The study included 178 patients who underwent endoscopic resection of PAs. Early DI was defined as that occurring within the first postoperative week. The mean follow-up was 36 months. Long-term DI was considered as DI apparent in the last follow-up visit. Results Of the 178 patients included in the study, 77% of the tumors were macroadenomas. Forty-seven patients (26%) developed early DI. Long-term DI was observed in 18 (10.1%) of the full cohort. Age younger than 50 years was significantly associated with a higher incidence of long-term DI (p = 0.02). Macroadenoma and gross total resection were significantly associated with higher incidence of early DI (p = 0.05 and p = 0.04, respectively). The mean LOS was 4 days for patients with early postoperative DI and 3 days for those without it. Conclusion The reported incidence of postoperative DI is significantly variable. We identified age younger than 50 years a risk factor for developing long-term postoperative DI. Gross total surgical resection and tumor size (> 1 cm) were associated with development of early DI. Early DI increased the LOS on average by 1 day.

scholarly journals The Factors Related to the Tumor Resection Rate in Endoscopic Transsphenoidal Surgery for Pituitary Adenoma

2019 ◽  
Vol 78 (6) ◽  
pp. 353-358
Author(s):  
Koki Kamiya ◽  
Shun Yamamuro ◽  
Yoshinari Ozawa ◽  
Koji Shibuya ◽  
Hideki Oshima ◽  
...  
Keyword(s):  
Pituitary Adenoma ◽  
Transsphenoidal Surgery ◽  
Tumor Resection ◽  
Resection Rate ◽  
Endoscopic Transsphenoidal Surgery

scholarly journals Influence of Variables on Hormone Profile in Endoscopic Transsphenoidal Surgery for Pituitary Adenomas

2019 ◽  
Vol 29 (3) ◽  
pp. 508-516
Author(s):  
Fernando Simões Nazareno ◽  
Rodrigo Alves de Carvalho Cavalcante ◽  
Tiago Vinicius Silva Fernandes ◽  
Osvaldo Vilela Garcia Filho
Keyword(s):  
Growth Hormone ◽  
Pituitary Adenoma ◽  
Medical Records ◽  
Pituitary Adenomas ◽  
Transsphenoidal Surgery ◽  
Total Population ◽  
Transsphenoidal Approach ◽  
Endoscopic Transsphenoidal Surgery ◽  
Grade Method ◽  
Hormone Profile

Objective: to evaluate the hormone profiles of patients with pituitary adenomas operated on in Hospital das Clínicas, UniversidadeFederal de Goiás (HC-UFG), correlating them with the variables age, sex, and Knosp grade. Method: This is a retrospective quantitativestudy of medical records, including a total population of 20 patients diagnosed with pituitary adenomas operated on using the pureendoscopic endonasal transsphenoidal approach. The hormone profiles of the three types of pituitary adenoma prevalent in this institutionwere analyzed: nonfunctioning macroadenoma, growth hormone-secreting pituitary adenoma (acromegaly), and adrenocorticotropichormone-secreting pituitary adenoma (Cushing’s disease). Pre and postoperative hormone values were statistically paired with thevariables selected. Results: The global levels of the specific hormones of each disease decreased after surgery. However, no statisticalsignificance was found between the variables selected in this study and the pre and postoperative hormone values. Conclusion:The main surgical goal, the specific hormones decrease, was achieved in all the surgeries performed. Analyzing the relationshipbetween the variables and the hormone profiles, we conclude that age, sex, and Knosp grade did not influence the results obtained.

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