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Endoscopic pituitary surgery

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https://www.readbyqxmd.com/read/29325941/towards-shorter-hospitalization-after-endoscopic-transsphenoidal-pituitary-surgery-day-by-day-analysis-of-early-postoperative-complications-and-interventions
#1
Viktoria E Shimanskaya, Margreet A E M Wagenmakers, Ronald H M A Bartels, Hieronymus D Boogaarts, J André Grotenhuis, Ad R M M Hermus, Annenienke C van de Ven, Erik J van Lindert
BACKGROUND: It is unclear which patients have the greatest risk to develop complications in the first days after endoscopic transsphenoidal pituitary surgery (ETS) and how long patients should stay hospitalized after surgery. The objective of this study is to identify which patients are at risk for early postoperative medical and surgical re-interventions in order to optimize the length of hospitalization. METHODS: The medical records of 146 patients who underwent ETS for a pituitary adenoma between January 2013 and July 2016 were reviewed retrospectively...
January 8, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29322972/a-randomized-controlled-trial-to-determine-the-role-of-intraoperative-lumbar-cerebrospinal-fluid-drainage-in-patients-undergoing-endoscopic-transsphenoidal-surgery-for-pituitary-adenomas
#2
Gandham E Jonathan, Sauradeep Sarkar, Georgene Singh, Sunithi Mani, Regi Thomas, Ari George Chacko
BACKGROUND: Intraoperative cerebrospinal fluid (CSF) leaks are a frequent cause of morbidity in patients undergoing transsphenoidal surgery. This prospective study was performed to examine the impact of intraoperative lumbar subarachnoid drainage (LSAD) on the incidence of this complication and on the extent of resection in patients undergoing endoscopic transsphenoidal surgery for pituitary adenomas. MATERIALS AND METHODS: This prospective study was conducted in a single large academic medical center...
January 2018: Neurology India
https://www.readbyqxmd.com/read/29322957/is-intraoperative-lumbar-subarachnoid-drainage-necessary-for-endoscopic-endonasal-pituitary-surgery
#3
Kiyoshi Saito
No abstract text is available yet for this article.
January 2018: Neurology India
https://www.readbyqxmd.com/read/29314715/outcomes-of-endoscopic-and-microscopic-transsphenoidal-surgery-on-non-functioning-pituitary-adenomas-a-systematic-review-and-meta-analysis
#4
Shi-Yuan Yu, Qiu Du, Si-Yuan Yao, Ke-Nan Zhang, Jian Wang, Zhe Zhu, Xiao-Bing Jiang
Both microscopic and endoscopic transsphenoidal surgery are effective approaches for nonfunctioning pituitary adenomas. The issue on the comparison of their efficacy and safety remains inconsistent. A thorough search of the literatures (PubMed, EMBASE, MEDLINE) were performed up to March 2017. Studies reporting outcomes of microscopic or endoscopic transsphenoidal surgery on nonfunctioning pituitary adenomas were included. A meta-analysis was performed focusing on the early stage and long term outcomes. The final search yielded 19 eligible studies enrolling 3847 patients, 389 of them underwent microscopic approach and 3458 of them with endoscopic approach...
January 4, 2018: Journal of Cellular and Molecular Medicine
https://www.readbyqxmd.com/read/29307020/gross-total-resection-of-pituitary-adenomas-after-endoscopic-vs-microscopic-transsphenoidal-surgery-a-meta-analysis
#5
REVIEW
Reem D Almutairi, Ivo S Muskens, David J Cote, Mark D Dijkman, Vasileios K Kavouridis, Erin Crocker, Kholoud Ghazawi, Marike L D Broekman, Timothy R Smith, Rania A Mekary, Hasan A Zaidi
BACKGROUND: Microscopic transsphenoidal surgery (mTSS) is a well-established method to address adenomas of the pituitary gland. Endoscopic transsphenoidal surgery (eTSS) has become a viable alternative, however. Advocates suggest that the greater illumination, panoramic visualization, and angled endoscopic views afforded by eTSS may allow for higher rates of gross total tumor resection (GTR). The aim of this meta-analysis was to determine the rate of GTR using mTSS and eTSS. METHODS: A meta-analysis of the literature was conducted using PubMed, EMBASE, and Cochrane databases through July 2017 in accordance with PRISMA guidelines...
January 6, 2018: Acta Neurochirurgica
https://www.readbyqxmd.com/read/29288106/pituitary-apoplexy-should-endoscopic-surgery-be-the-gold-standard
#6
Joaquim Teixeira, José Lavrador, Diogo Simão, José Miguéns
BACKGROUND: Pituitary apoplexy is an uncommon, potentially fatal condition due to spontaneous ischemia or hemorrhage in a pituitary adenoma. The treatment of this disorder has long been a matter of debate. METHODS: Retrospective cohort study including all patients admitted with pituitary apoplexy in our Department between 2005 and 2015. Clinical symptoms and signs on admission, treatment (conservative vs surgical), neurological deficit on discharge and at 6 months follow-up, endocrinological evaluation at 6 months follow-up were analyzed...
December 26, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29280492/unexpected-prominent-tension-pneumosella-five-years-after-endoscopic-endonasal-transsphenoidal-surgery
#7
Tatsuma Matsuda, Kentaro Horiguchi, Yoshinori Higuchi, Toyoyuki Hanazawa, Yoshitaka Okamoto, Yasuo Iwadate
Tension pneumosella (TP) is a rare entity reported as the invagination of the sphenoid sinus mucosa into the skull base after endonasal transsphenoidal surgery. Few studies have reported on TP, and in these studies, invagination is confined to either the intrasellar or suprasellar area. We encountered a case of unexpected prominent TP toward the intracranial space 5 years after endoscopic endonasal transsphenoidal surgery (EETS) for a nonfunctioning pituitary adenoma. In addition, we present a hypothesis of the underlying mechanism by a pressure gradient change between the extracranial and intracranial space in TP formation...
December 27, 2017: Laryngoscope
https://www.readbyqxmd.com/read/29280026/management-of-non-functioning-pituitary-adenomas-surgery
#8
REVIEW
David L Penn, William T Burke, Edward R Laws
Non-functional pituitary adenomas (NFPAs) are benign tumors of the pituitary gland that do not over-secrete hormonal products, therefore, they are generally detected through symptoms of mass effect, including headache, vision loss, or hypopituitarism. There are multiple pathological subtypes of NFPAs, such as null cell adenomas, silent gonadotrophs, silent somatotrophs, silent corticotrophs, and silent subtype 3, all of which can be classified based on immunohistochemical studies and electron microscopy. Despite these numerous pathological subtypes, surgical resection remains the first-line treatment for NFPAs...
December 26, 2017: Pituitary
https://www.readbyqxmd.com/read/29279249/reconstruction-of-a-skull-base-defect-after-endoscopic-endonasal-resection-of-a-pituitary-adenoma-sphenoid-mucosal-flaps
#9
Erden Goljo, Eliezer Kinberg, Katelyn Stepan, Jill K Gregory, Alfred M Iloreta, Satish Govindaraj, Hongyan Zou
This report describes a bilateral sphenoid sinus mucosal flap for the repair of a sellar floor defect and CSF leak following endoscopic endonasal skull base surgery. The key advantage of this technique is enabling the sphenoid mucosal flaps to remain vascularized, which reduces postoperative complications including CSF leakage, recurrent sinusitis, meningitis, encephalitis and pneumocephalus. The use of this technique is a viable and possibly favorable alternative to free grafts in the reconstruction of small to medium sized sellar defects with low flow or absent CSF leaks base surgery...
December 20, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29248833/endoscopic-management-of-atypical-sellar-cavernous-hemangioma-a-case-report-and-review-of-the-literature
#10
A M Al-Sharydah, S S Al-Suhibani, S A Al-Jubran, A H Al-Abdulwahhab, M Al-Bar, H M Al-Jehani, W M Al-Issawi
INTRODUCTION: supratentorial cavernous hemangiomas, particularly those found in the sellar region, are extremely rare. We present a case of sellar cavernous hemangioma with radiological characteristics that have never been reported. Due to the difficulty diagnosing these lesions, misdiagnosis might occur. Thus, briefing surgeons about the clinico-radiological features of such rare lesions is crucial for better understanding the enigmatic features of such rare lesions and to develop early management approaches that could result in better surgical excision with a lower tendency for complications...
December 8, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29238923/endoscopic-therapy-and-curative-effect-in-pituitary-adenoma-patients-complicated-by-acromegalic-cardiomyopathy
#11
Heping Zhou, Zhengjiang Zha, Xiangdong Li, Xinsheng Chen, Jing Wang, Zhongzhou Su
The study aimed to retrospectively analyze the clinical characteristics of patients with pituitary adenomas complicated by acromegalic cardiomyopathy and to evaluate the effect of endoscopic surgery. Eighty-six pituitary adenoma patients complicated by acromegalic cardiomyopathy who were treated with endoscopic surgery in the First Affiliated Hospital of Soochow University from January 2010 to December 2016 were enrolled. We noted patient clinical characteristics and explored the relationships with surgical treatment...
December 13, 2017: Neurosurgical Review
https://www.readbyqxmd.com/read/29232810/in-reply-to-the-letter-to-the-editor-regarding-endoscopic-endonasal-surgery-for-pituitary-apoplexy-evidence-on-a-75-case-series-from-a-tertiary-care-center
#12
Zoli Matteo, Milanese Laura, Faustini-Fustini Marco, Guaraldi Federica, Asioli Sofia, Zenesini Corrado, Righi Alberto, Frank Giorgio, Foschini Maria Pia, Sturiale Carmelo, Pasquini Ernesto, Mazzatenta Diego
No abstract text is available yet for this article.
January 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29232809/letter-to-the-editor-regarding-endoscopic-endonasal-surgery-for-pituitary-apoplexy-evidence-on-a-75-case-series-from-a-tertiary-care-center
#13
Mehmet Turgut
No abstract text is available yet for this article.
January 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29199481/the-conversational-position-in-endoscopic-pituitary-surgery
#14
Jinendra Ekanayake, Irene Baudracco, Anjum Quereshi, Tom Vercauteren, Neil L Dorward
We describe a novel patient position for endoscopic transphenoidal surgery - the 'conversational position'. This position is a safe and effective alternative to the standard supine position, incorporating a semi-sitting position with the additional innovation of achieving a 'conversational position' by flexing the neck and turning the patient's head turned to face the surgeon. The 'conversational' position offers improvements in the surgical approach to sellar region, addressing specific intraoperative challenges such as maintaining a bloodless operative field, and enabling more intuitive and ergonomic surgical workflow...
December 4, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29194269/bibliometric-analysis-of-journals-in-the-field-of-endoscopic-endonasal-surgery-for-pituitary-adenomas
#15
Lei Li, Xiaoye Ma, Sajan Pandey, Aoyuan Fan, Xianyu Deng, Daming Cui
Endoscopic endonasal surgery for pituitary adenomas is being performed more frequently worldwide in the recent years. This first bibliometric analysis was conducted aiming to have a microscopic view of research activities about endoscopic endonasal surgery for pituitary adenomas. The original articles about endoscopic endonasal surgery for pituitary adenomas were extracted from the Web of Science (WoS) and analyzed concerning their distributions. We also explored the potential correlations between publications of different countries and their gross domestic product (GDP) via Pearson correlation test...
November 20, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29191537/risk-factors-and-microbiology-of-meningitis-and-or-bacteremia-after-transsphenoidal-surgery-for-pituitary-adenoma
#16
Yu Jin, Xiaohai Liu, Lu Gao, Xiaopeng Guo, Qiang Wang, Xinjie Bao, Kan Deng, Yong Yao, Ming Feng, Wei Lian, Renzhi Wang, Qiwen Yang, Yao Wang, Bing Xing
OBJECTIVE: To investigate the incidence, bacteriological features, and risk factors of post- transsphenoidal surgery (TSS) meningitis and/or bacteremia. METHODS: This retrospective study included 3242 patients who underwent TSS for pituitary adenoma at the Dept. of Neurosurgery of Peking Union Medical College Hospital between January 2012 and December 2016. Clinical data for patients with and without post-TSS meningitis and/or bacteremia were compared and analyzed...
November 27, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29189199/intrasellar-cavernous-hemangioma-presenting-as-pituitary-adenoma-a-report-of-two-cases-and-review-of-the-literature
#17
Sumit Das, Lee-Cyn Ang, David Ramsay
Cavernous hemangioma in the sellar region is quite rare with only a handful of cases being reported in the English literature. Its clinical manifestations and imaging characteristics can mimic those of a pituitary adenoma. We report two cases of recurrent sellar lesions, both of which were clinically suspected of being pituitary adenomas but histologically confirmed as cavernous hemangiomas. The first case is of a 67-year-old female whose initial resection was diagnosed as "venous angioma". Neuroimaging performed 27 years later demonstrated significant growth of the lesion involving the right cavernous sinus and encasing the right internal carotid artery...
November 30, 2017: Clinical Neuropathology
https://www.readbyqxmd.com/read/29174229/repair-of-cerebrospinal-fluid-leakage-using-a-transfrontal-radial-adipofascial-flap-an-individual-approach-supported-by-3d-printing-for-surgical-planning
#18
Stefan Grau, Stephanie Kellermann, Michael Faust, Moritz Perrech, Dirk Beutner, Alexander Drzezga, Joachim Zöller
BACKGROUND: Leakage of cerebrospinal fluid (CSF) due to large prolactinomas represents a complex issue. Due to limited anatomical space, often multiple leakage sites and scarce locally available tissue for repair, surgical possibilities are limited. We report an initial case of using a radial fasciocutaneous flap applied sub-frontally to cover a large skull base defect, supported by preoperative 3D-printing for surgical planning. CASE DESCRIPTION: A 29 year old female developed severe nuchal pain which was caused by destruction of large parts of her skull base by a prolactinoma...
November 23, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29171802/is-the-chiasm-pituitary-corridor-size-important-for-achieving-gross-total-resection-during-endonasal-endoscopic-resection-of-craniopharyngiomas
#19
Sacit Bulent Omay, João Paulo Almeida, Yu-Ning Chen, Sathwik R Shetty, Buqing Liang, Shilei Ni, Vijay K Anand, Theodore H Schwartz
OBJECTIVE Craniopharyngiomas arise from the pituitary stalk, and in adults they are generally located posterior to the chiasm extending up into the third ventricle. The extended endonasal approach (EEA) can provide an ideal corridor between the bottom of the optic chiasm and the top of the pituitary gland (chiasm-pituitary corridor [CPC]) for their removal. A narrow CPC in patients with a prefixed chiasm and a large tumor extending up and behind the chiasm has been considered a contraindication to EEA, with a high risk of visual deterioration and subtotal resection...
November 24, 2017: Journal of Neurosurgery
https://www.readbyqxmd.com/read/29171583/comparison-between-endoscopic-and-microscopic-approaches-for-surgery-of-pituitary-tumours
#20
Inamullah Khan, Muhammad Shahzad Shamim
Surgical techniques for resection of pituitary tumours have come a long way since it was first introduced in late 18th century. Nowadays, most pituitary surgeries are performed through trans-nasal trans-sphenoidal approach either using a microscope, or an endoscope. Herein the authors review the literature and compare these two instruments with regards to their outcomes when used for resection of pituitary tumours. .
November 2017: JPMA. the Journal of the Pakistan Medical Association
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