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Asociación Colombiana de Otorrinolaringología y Cirugía de Cabeza y cuello, Maxilofacial y Estética Facial (ACORL)

2020, Number 4

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Acta de Otorrinolaringología CCC 2020; 48 (4)

Preoperative checklist for endoscopic pituitary surgery

García-Chabur MA, Peñaranda D, Pinzón M, Ordoñez-Rubiano EG, Herrera AJ, Feo O, Mora C, Silva R, Chacón L, Mejía JA, Gil N, Ospina J

Language: Spanish
References: 30
Page: 322-330
PDF size: 191.21 Kb.


ABSTRACT

Introduction: checklists that seek to avoid errors are very useful tools for any surgical practice. Pituitary adenomas are the leading indication to perform a transnasal endoscopic surgery in the sellar region and up to 20 % complications have been reported related to this procedure. Objetive: develop a preoperative checklist, based on an expert consensus, to serve as a guide for the skull base teams to consistently evaluate preoperatively all patients with pathologies in the sellar region. Methods: a literature review was conducted to develop a preliminary checklist and a series of statements summarizing the most important items on the list. A committee of experts in endoscopic skull base surgery was summoned, made up of neurosurgeons and otolaryngologists from hospitals in Bogotá. Using the modified Delphi methodology, a consensus was reached for the completion of the final checklist. Results: fifteen statements were developed. A discrepancy was seen in six statements. Modifications were made for five statements, thus reaching a consensus among the participating experts. The final approved checklist is made up of 4 items. Conclusion: surgery for treating different pathologies in the sellar region is complex and requires a welltrained and disciplined surgical team to achieve the best possible outcomes. We consider that our preoperative checklist is a valuable resource for skull base surgical teams performing transnasal endoscopic surgery of the sellar region. This tool will allow skull base surgical teams in Colombia to have a more comprehensive view of the patient and eventually help to avoid errors and possible complications.


REFERENCES

  1. Clay-Williams R, Colligan L. Back to basics: checklists inaviation and healthcare. BMJ Qual Saf. 2015;24(7):428-31.

  2. WHO Surgical Safety Checklist. WHO. 2017. https://www.who.int/teams/integrated-health-services/patient-safety/research/safe-surgery

  3. de Jager E, McKenna C, Bartlett L, et al. PostoperativeAdverse Events Inconsistently Improved by the World HealthOrganization Surgical Safety Checklist: A Systematic LiteratureReview of 25 Studies. World J Surg. 2016;40(8):1842-58.

  4. Levy MM, Pronovost PJ, Dellinger RP, et al. Sepsis changebundles: converting guidelines into meaningful change inbehavior and clinical outcome. Crit Care Med. 2004;32(11Suppl):S595-7.

  5. Laws ER, Wong JM, Smith TR, et al. A checklist for endonasaltranssphenoidal anterior skull base surgery. J Neurosurg.2016;124(6):1634–9.

  6. Christian E, Harris B, Wrobel B, et al. Endoscopic endonasaltranssphenoidal surgery: Implementation of an operative andperioperative checklist. Neurosurg Focus. 2014;37(4):1–7.

  7. O’Brien WT, Hamelin S, Weitzel EK. The Preoperative SinusCT: Avoiding a “CLOSE” Call with Surgical Complications.Radiology. 2016;281(1):10–21.

  8. Dolecek TA, Propp JM, Stroup NE, et al. CBTRUS statisticalreport: primary brain and central nervous system tumorsdiagnosed in the United States in 2005-2009. Neuro Oncol.2012;14 Suppl 5(Suppl 5):v1-49.

  9. Sivakumar W, Chamoun R, Nguyen V, et al. Incidental pituitaryadenomas. Neurosurg Focus. 2011;31(6):E18.

  10. Barker FG, Klibanski A, Swearingen B. TranssphenoidalSurgery for Pituitary Tumors in the United States, 1996-2000:Mortality, Morbidity, and the Effects of Hospital and SurgeonVolume. J Clin Endocrinol Metab. 2003;88(10):4709–19.

  11. Doglietto F, Prevedello DM, Jane JA Jr, et al. Brief history ofendoscopic transsphenoidal surgery--from Philipp Bozzini tothe First World Congress of Endoscopic Skull Base Surgery.Neurosurg Focus. 2005;19(6):E3.

  12. Liu JK, Das K, Weiss MH, et al. The history and evolution oftranssphenoidal surgery. J Neurosurg. 2001;95(6):1083-96.

  13. Simal-Julián JA, Miranda-Lloret P, Pancucci G, et al.Microscopic versus endoscopic pituitary surgery. Neurocirugia(Astur). 2014;25(4):170-8.

  14. Eseonu CI, ReFaey K, García O, et al. Comparative CostAnalysis of Endoscopic versus Microscopic EndonasalTranssphenoidal Surgery for Pituitary Adenomas. J NeurolSurgery, Part B Skull Base. 2018;79(2):131–8.

  15. Eseonu CI, ReFaey K, Rincón-Torroella J, et al. Endoscopic VersusMicroscopic Transsphenoidal Approach for Pituitary Adenomas:Comparison of Outcomes During the Transition of Methods of aSingle Surgeon. World Neurosurg. 2017;97:317–25.

  16. Weller J, Boyd M, Cumin D. Teams, tribes and patient safety:overcoming barriers to effective teamwork in healthcare.Postgrad Med J. 2014;90(1061):149-54.

  17. Eubank BH, Mohtadi NG, Lafave MR, et al. Using the modifiedDelphi method to establish clinical consensus for the diagnosisand treatment of patients with rotator cuff pathology. BMCMed Res Methodol. 2016;16:56.

  18. Melmed S. Pituitary-tumor endocrinopathies. N Engl J Med.2020;382(10):937–50.

  19. Pereira O, Bevan JS. Preoperative assessment for pituitarysurgery. Pituitary. 2008;11(4):347–51.

  20. Carrau RL, Kassam AB, Snyderman CH. Pituitary surgery.Otolaryngol Clin North Am. 2001;34(6):1143–55.

  21. Padhye V, Valentine R, Wormald PJ. Management of carotidartery injury in endonasal surgery. Int Arch Otorhinolaryngol.2014;18(Suppl 2):S173-8.

  22. Melmed S, Casanueva FF, Hoffman AR, et al. Diagnosis andtreatment of hyperprolactinemia: an Endocrine Society clinicalpractice guideline. J Clin Endocrinol Metab. 2011;96(2):273-88.

  23. Nieman LK. Diagnosis of Cushing’s Syndrome in the ModernEra. Endocrinol Metab Clin North Am. 2018;47(2):259-273.

  24. Marcus HJ, Vercauteren T, Ourselin S, et al. IntraoperativeUltrasound in Patients Undergoing Transsphenoidal Surgeryfor Pituitary Adenoma: Systematic Review [corrected]. WorldNeurosurg. 2017;106:680-685.

  25. Pugel AE, Simianu VV, Flum DR, et al. Use of the surgicalsafety checklist to improve communication and reducecomplications. J Infect Public Health. 2015;8(3):219-25.

  26. Kable AK, Gibberd RW, Spigelman AD. Adverse eventsin surgical patients in Australia. Int J Qual Health Care.2002;14(4):269-76.

  27. Treadwell JR, Lucas S, Tsou AY. Surgical checklists: asystematic review of impacts and implementation. BMJ QualSaf. 2014;23(4):299-318.

  28. Helmiö P, Blomgren K, Takala A, et al. Towards better patientsafety: WHO Surgical Safety Checklist in otorhinolaryngology.Clin Otolaryngol. 2011;36(3):242–7.

  29. Dabholkar Y, Velankar H, Suryanarayan S, et al. Evaluation andCustomization of WHO Safety Checklist for Patient Safety inOtorhinolaryngology. Indian J Otolaryngol Head Neck Surg.2018;70(1):149–55.

  30. Lepänluoma M, Takala R, Kotkansalo A, et al. Surgicalsafety checklist is associated with improved operating roomsafety culture, reduced wound complications, and unplannedreadmissions in a pilot study in neurosurgery. Scand J Surg.2014;103(1):66–72.




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