Endoscopic Transsphenoidal Pituitary Surgery: Evidence of an Operative Learning Curve
@article{Leach2010EndoscopicTP, title={Endoscopic Transsphenoidal Pituitary Surgery: Evidence of an Operative Learning Curve}, author={Paul A Leach and Ahmed H Abou-Zeid and Tara Kearney and Julian R. E. Davis and Peter J. Trainer and Kanna Gnanalingham}, journal={Neurosurgery}, year={2010}, volume={67}, pages={1205-1212} }
BACKGROUND:The use of the fiberoptic endoscope is a recent innovation in pituitary surgery. OBJECTIVE:To investigate the evidence of an operative learning curve after the introduction of endoscopic transsphenoidal surgery in our unit. METHODS:The first 125 patients who underwent endoscopic transnasal transsphenoidal surgery for pituitary fossa lesions between 2005 and 2007 performed by 1 surgeon were studied. Changes in a number of parameters were assessed between 2 equal 15-month time periods…Â
112 Citations
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As the effectiveness of endoscopic surgery increases, the duration of surgery and postoperative hospital stay decrease, and in this study, the learning curve in endoscopic pituitary surgery was identified.
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Nasal morbidity following endoscopic transsphenoidal pituitary surgery is common, but transient, more so in the functioning subgroup, and improvements in nasal symptoms improve below baseline by 6 to 12 months, without the need for specific long-term postoperative interventions.
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Fibrous PAs showed higher rates of postoperative hypopituitarism, permanent diabetes insipidus (DI) and postoperative treatments (hormonal treatment and radiotherapy) and the prognosis of the patient undergoing EET was higher than normal.
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