THE RESULTS OF PITUITARY ADENOMAS MICROSURGERY BY TRANSSPHENOIDAL APPROACH
Abstract
Ofject: evaluate the firstresults of pituitary adenomas microsurgery by transsphenoidal approach
Methods: retrospectivestudy based on 09 patients with pituitary tumor operated by transsphenoidal microsurgery at Hospital 175 from 01/2014 to 12/2017. Evaluate the degree of tumor resection, the intra-op and post-op complications and early outcome.
Results: 9 patients with pituitary tumors satisfied studied criteria. There are 6 males (66,67%). 5 non-secreting adenomas (55,56%), 3 prolactinomas (33,33%) and 1 GH-secreting tumor (acromegaly). Aproach and tumor resection in 9/9=100%. Mean operating time is 100 minutes. Intra-op: no CSF fistular. Pathological findings: 8 adenoma, 1 carcinoma. Totally resection 1/9=11,11%, near totally 7/9=77,78% and partially resection 1/9=11,11% Early complication: diabetes insipidous 1/9=11,11%, amblyopia 1/9=11,11%.
Conclusion: transsphenoidal microsurgery is safe, effective treatment of pituitary tumor.
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