Endoscopic Versus Microscopic Approach in Pituitary Surgery. Issue 2 (March 2016)

• Record Type: Journal Article
• Authors: Gao, Yang; Zheng, Hui; Xu, Siyi; Zheng, Yan; Wang, Yong; Jiang, Jiyao; Zhong, Chunlong
• Is Part Of: Journal of craniofacial surgery. Volume 27:Issue 2(2016)
• Publication Date: 2016-03
• Subjects: Endoscopic -- microscopic -- pituitary adenoma -- transsphenoidal; Facial bones -- Surgery -- Periodicals; Skull -- Surgery -- Periodicals; Face -- Surgery -- Periodicals; Surgery, Plastic -- Periodicals; 617.52
• DOI: 10.1097/SCS.0000000000002401
• Languages: English
• ISSNs: 1049-2275

Abstract

Abstract : Abstract: The objective of this study is to compare the efficacy and complications of endoscopic and microscopic transsphenoidal surgery in the treatment of pituitary adenomas. A total of 105 follow-up cases including 60 in endoscopic surgery and 45 in microscopic surgery were treated in our hospital between January 2012 and November 2014. The endoscopic approach had a higher rate of gross tumor removal (81.7% versus 62.2%, P < 0.05) as well as a lower rate of postoperative complications (18.3% versus 35.6%, P < 0.05) than that in the microscopic group. There was no significant difference in the rates of visual improvement and cerebrospinal fluid leak between endoscopic group and microscopic group ( P > 0.05). The length of the operation was longer (175 ± 25 minutes versus 110 ± 17 minutes, P < 0.05) but the postoperative hospital stay was significantly shorter (5.1 ± 0.7 versus 7.8 ± 0.8 days, P < 0.05) for the endoscopic surgery group compared with microscopic surgery group. Endoscopic approach provides a wide surgical field and broad lateral vision making easier distinction of tumor tissue. The results of this study support the safety and short-term efficacy of endoscopic pituitary surgery.