ENDOSCOPIC ENDONASAL TRANSSPHENOIDAL SURGICAL APPROACH TO PITUITARY ADENOMA
1Adana Şehir Eğitim ve Araştırma Hastanesi, KBB Kliniği, Adana, Türkiye2Aksaray Üniversitesi Eğitim ve Araştırma Hastanesi, KBB Kliniği, Aksaray, Türkiye
3Adana Şehir Eğitim ve Araştırma Hastanesi, Nöroşirürji Kliniği, Adana, Türkiye Introduction: The aim of this study was to report the results of endoscopic endonasal transsphenoidal surgery of pituitary adenoma accompanied by literatures.
Material and Methods: Thirty patients who underwent endoscopic endonasal transsphenoidal surgery due to pituitary adenoma at Adana City Training and Research Hospital between the years 2017-2018 were evaluated retrospectively. The age, gender, presenting symptoms, preoperative laboratory and imaging findings, pathology reports, length of hospital stay, postoperative complications, postoperative laboratory and imaging findings were evaluated.
Results: Thirty patients were included in the study; 19 (63,3%) of patients were female and 11 (36,7%) were male. The mean age of the patients was 43.86±15.24 years. Twentyfour (80%) of the adenomas were macroadenomas and 6 (20%) were microadenomas. Total resection was found in 26 (86,7%) patients and subtotal resection was found in 4 (13,3%) of all patients. Postoperative hormonal remission was achieved in 15 (78,9%) of the functional adenomas. Recurrent tumour growth was observed in 2 (6,7%) of patients.
Conclusion: Endoscopic endonasal transsphenoidal surgery is considered to be the most effective technique, the least damaging to the surrounding tissues and providing the best vision during the surgical treatment of pituitary adenomas.
Keywords : Endoscope, Endoscopic endonasal, Pituitary adenoma, Transsphenoidal approach