Sublabial versus columellar incision in trans-septal transsphenoidal approach for microscopic pituitary surgery. Retrospective study.
DOI:
https://doi.org/10.34631/sporl.192Keywords:
Transsphenoidal surgery, pituitary surgery, complications in pituitary surgery, pituitary adenomaAbstract
Objectives: To compare the sublabial incision with the columellar incision in trans-septal transsphenoidal approach of microscopic pituitary surgery, concerning per-operative complications and observed sequelae.
Study Design: Retrospective study.
Material and methods: Revision of the clinical records of 50 patients submitted to transsphenoidal microscopic surgery to resection of pituitary adenoma, in Braga Hospital, between July 2007 and November 2010. Demographic data, pre-operative co-morbidities, histological and radiological classifications, operative time, lenght of hospital stay and per(pre)- and postoperative complications were collected and evaluated. Patient follow-up was one to six months. SPSS® Statistics 17.0 program was used for statistical analysis.
Results: 50 patients, 32 (64%) female and 18 (36%) male, ranging from 16 and 87 years old, mean 50 years old. 40 (80%) presented macroadenoma and 10 (20%) microadenoma. 15/47 (31.9%) patients were submitted to transseptal transsphenoidal surgery with columellar incision and 32/47 (68.1%) with sublabial incision. Oronasal complications were observed in 5/14 (35.7%) patients of the columellar group and 14/29 (48.3%) patients of the sublabial group (p>0.05). Overweight patients had more complications (p<0.01). There were no statistical differences in rates of patients with complications and age, sex, surgical incision, adenoma classification or other pre-operative co-morbidities. Operative time and postoperative hospital stay had no statistical differences in both sublabial and columellar groups.
Conclusions: In this study, sublabial and columellar incisions showed no difference in the per(pre)- and postoperative complications rates.
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