[Analysis of sever and rare complications of transsphenoidal surgery for lesions of sella turcica].

OBJECTIVE: To analysis the reason and prevention of sever and rare complications of transsphenoidal surgery for lesions of sella turcica. METHODS: The clinical data of 16 cases who occurred sever and rare complications during transsphenoidal surgery for 200 cases of lesions of sella turcica was analyzed. The reason and prophylaxis of complications was inquired. RESULTS: The sever and rare complications occurred in 16 cases. 4 cases died and 8 cases bleed severly and the version of 2 cases was deteriorated and 2 cases had mental disorder and 2 cases had epilepticism and 1 cases had sever postoperative headache and the brain was damaged in 2 cases among 16 cases. CONCLUSION: Although the transsphenoidal surgery comparing with transcranial surgery has mini-invasive, many complications can occur and can be decreased by selecting surgical accommodation strictly and similarity with anatomy of sella turcica and mastering transsphenoidal surgical technique skilled.