TITLE:
Endoscopic Transsphenoidal Surgery for Pituitary Adenoma. Early Experience in Sohag University Hospitals
AUTHORS:
Karam Kenawy, Ahmed Ismail, Ibrahim Rezk, Abdin K. Kasim
KEYWORDS:
Endoscopic Surgery, Endonasal, Pituitary Adenoma, Transsphenoidal, Outcome, Complications
JOURNAL NAME:
Open Journal of Modern Neurosurgery,
Vol.11 No.3,
July
23,
2021
ABSTRACT: Objective: To report the results of our first series of
patients undergoing a purely endoscopic endonasal approach for pituitary surgery in Sohag University
Hospitals. Patients and Methods: We reviewed 20 consecutive patients
during the period from January 2017 to January 2020 with pituitary adenoma who
underwent purely endoscopic transsphenoidal resection of their lesions. The
patients’ clinical outcomes, degrees of tumor removal, and complications were
reported. Results: There were 18 primary and 2 recurrent adenomas (19
nonfunctioning and 1 functioning GH secreting adenoma). The average degree of
gross total removal for tumors was 70%, C.S.F leak occurred in 20%, diabetes
insipidus in 10% and sellar hemorrhage in 5%. There was no post-operative
mortality, vascular injury, sphenoiditis, septal perforation, epistaxis or
general complication. Conclusion: A purely endoscopic approach for
pituitary adenoma treatment is a safe and effective alternative to the
traditional microscopic procedure.