Microsurgical versus endoscopic surgery for non-functioning pituitary adenomas: a retrospective study
| Autor: | Jaroslav Adamkov, Jiří Soukup, Radka Dvořáková, Pavel Poczos, Petr Čelakovský, Filip Gabalec, Petr Krůpa, Tomas Cesak |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adenoma
Adult Male medicine.medical_specialty Microsurgery Operative Time Endoscopic surgery 03 medical and health sciences 0302 clinical medicine Blood loss Medicine Humans Tumor growth Pituitary Neoplasms 030212 general & internal medicine Aged Retrospective Studies Adjuvant radiotherapy medicine.diagnostic_test business.industry Magnetic resonance imaging Retrospective cohort study Endoscopy General Medicine Middle Aged University hospital Magnetic Resonance Imaging Surgery Treatment Outcome Female Neurosurgery business Follow-Up Studies Research Article |
| Zdroj: | Croatian Medical Journal Volume 61 Issue 5 |
| ISSN: | 1332-8166 0353-9504 |
| Popis: | Aim To compare microsurgical technique (mTSS) and endoscopic technique (eTSS) in the treatment of non-functioning pituitary adenomas (NFPAs). Methods We retrospectively evaluated the charts of 50 patients who underwent either mTSS or eTSS for NFPA in the Department of Neurosurgery, University Hospital Hradec Kralove from 2013 to 2019. We enrolled all patients who were not treated by postoperative adjuvant radiotherapy and who underwent at least two regular postoperative magnetic resonance imaging (MRI) tests. We compared the groups in terms of the extent of resection, surgery duration, blood loss, complication rate, overall clinical effect on the endocrinological and ophthalmological deficit, and postoperative growth pattern of the residual tumor mass. Results The mTSS group had significantly shorter surgical time (75 min vs 127 min, P |
| Databáze: | OpenAIRE |
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