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Anales de Otorrinolaringología Mexicana

2013, Number 1

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Otorrinolaringología 2013; 58 (1)

Evaluation of approaches for pituitary adenoma resection at Hospital Juárez de México

Herrera MEY, Padilla AL, Ayala AA, Hernández MJL

Language: Spanish
References: 11
Page: 6-11
PDF size: 831.04 Kb.


ABSTRACT

Background Surgical approaches most known for resection of pituitary adenoma are transcranial and transsphenoidal. In 1987 transnasal, transsphenoidal approach was introduced.
Objective To compare the three most used techniques for resection of pituitary adenoma: endoscopic, transsphenoidal and cranial.
Material and methods All files of patients who a pituitary adenoma was removed were reviewed. Three groups were formed according to the approach: endoscopic, transsphenoidal and transcranial. Days of hospitalization, complications and surgery lasting were compared.
Results Mean of surgical time with endoscopic approach was of 181 minutes; with transsphenoidal was of 191 minutes, and with cranial approach was of 272 minutes. Complications with endoscopic approach occurred in 1 of 11 patients; with transsphenoidal they occurred in 4 of 16.
Conclusions Pituitary adenoma is a neoplasm with high recurrence. There are several approaches that can be used, but extension and invasion of tumor should be assessed for choosing the most appropriate.


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