Neuroscience Discovery

Neuroscience Discovery

ISSN 2052-6946
Original Research

Endonasal endoscopic approach in pituitary adenomas: surgical results

Omar López Arbolay*, Jorge L. Rojas Manresa and Yusleni Hernández Gálvez

*Correspondence: Omar López Arbolay arbolay@infomed.sld.cu

Author Affiliations
Neurosurgery Department of "Hermanos Ameijeiras" Hospital, 701 San Lazaro, St. Centro Habana. La Habana. Cuba.


Abstract

Objectives: Pituitary adenomas are the most common disorders of the sellar region seen in neurosurgical practice . Surgical excision through the transsphenoidal route is recognized as the best option to treat these lesions and the endonasal endoscopic approach (EEA) has been introduced in many centers. This article analyzes results using this technique.

Material and methods: EEA was used to operate on 278 patients at the Neurosurgery Department of "Hermanos Ameijeiras" Hospital in Havana from January 2005 to December of 2011.

Results: Two hundred thirty eight patients had pituitary macroadenomas and forty had microadenomas. Ninety two were functioning adenomas (52 GH, 34 ACTH and 6 PRL) and one hundred eighty six were non-functioning. Gross total resection was achieved in 92.4% and subtotal resections in 7.5%. Complications occurred in 25 patients; diabetes insipidus was permanent in 11 cases.

Conclusion: Because of the remarkable results for treating pituitary lesions, EEA has become a valuable technique in neurosurgical practice and in many centres has become the first option to consider in pituitary surgery.

Keywords: Endoscopic, approaches, pituitary, adenomas

ISSN 2052-6946
Volume 1
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