Endoscopic endonasal pituitary surgery: experience of the Local Health Unit of Algarve
DOI:
https://doi.org/10.34631/sporl.3072Keywords:
Pituitary adenomas, Endoscopic endonasal transsphenoidal surgeryAbstract
Objectives: To conduct a case analysis of patients with pituitary adenomas who underwent endoscopic endonasal transsphenoidal surgery.
Study design: Retrospective descriptive study.
Material and Methods: Patients with pituitary adenomas (n=30) who underwent endoscopic endonasal transsphenoidal surgery at ULS do Algarve, Faro Unit, between 2016 and 2022, were evaluated for gender, age, symptoms, size, extent and histology of the lesion, recurrence/persistence rate, and complications.
Results: The main clinical presentation of the patients was decreased visual acuity. Gonadotrophic pituitary adenoma was the most common pathology. Transient diabetes insipidus was the most frequent postoperative complication. We achieved a resolution rate in terms of tumor resection and chiasmatic compression mass effect in 83% of cases, with most persistences classified as residual lesions.
Conclusions: The removal of pituitary adenomas using the endoscopic endonasal transsphenoidal approach proved to be effective and safe, with low morbidity and high tumor remission rates.
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