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Bratislava Medical Journal 2024 Bratislava Medical Journal Vol.125, No.1, p.38–41, 2024
Bratislava Medical Journal 2024 Bratislava Medical Journal Vol.125, No.1, p.38–41, 2024
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Bratislava Medical Journal Vol.125, No.1, p.38–41, 2024 |
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| Title: Advantages of endoscopic transsphenoidal pituitary gland tumor surgery | ||
| Author: Martin SUCHAN, Laddislav KALIARIK, Vladimir ZELIZNAK, Maria SKALOVA, Aurelia KOLLOVA, Jan BANOCY | ||
| Abstract: OBJECTIVE: The aim of the study was to hihglight the benefits and safety of the endoscopic transsphenoidal pituitary gland tumor surgery. BACKGROUND: The endoscopic transsphenoidal approach to the Turkish sella minimizes traumatization of nasal cavity structures, allows direct access to the tumor and intra, para and suprasellar views (13). METHODS: The surgical procedure was described. We monitored postoperative complication such as postoperative bleeding, cerebrospinal fluid leak, infection in 136 patients who underwent endoscopic transsphenoidal pituitary gland tumos resection. RESULTS: Bleeding from the bed after tumor removal occured in 3 patients (2.2 %). Bleeding from the nasal cavity requiring surgical intervention was in 1 patient (0.7 %). Postoperative cerebrospinal fluid leak was detected in 12 cases (8.8 %). Duroplasty with itratecal cerebrospinal fluid drainage led to the cessation of the cerebrospinal fluid leak in all cases. We recorded meningitis in 4 patients (2.9 %) Rhinosinusitis was not recorded. CONCLUSIONS: The endoscopic transsphenoidal surgery of pituitary gland tumors has become preferred becouse of its safety, low rate of complications and minimal trauma to the patient (Fig. 5, Ref. 13). |
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| Keywords: endoscopic transsphenoidal approach, pituitary gland | ||
| Published online: 09-Oct-2023 | ||
| Year: 2024, Volume: 125, Issue: 1 | Page From: 38, Page To: 41 | |
| doi:10.4149/BLL_2024_007 |
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