2011•Zhonghua shenjing waike zazhiRequires access
Analysis of complications of transsphenoidal surgery for pituitary adenomas
Aixian Liu, Wenyi Zhang, Hui Guo, Gui-jun Lin
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Abstract
Objective To analyze the complications of transsphenoidal operation for pituitary adenomas.Method Postoperative complications of 323 patients underwent transphenoidal surgery for pituitary adenoma between January 2001 and December 2009 in our department were retrospectively reviewed.Results Insipidus was the most common complication after the operation with the incidence of 52％.The other complications were visual deterioration( 2％), cerebrospinal fluid rhinorrhea( 6％),intracranial infection ( 3％), pituitary insufficiency( 2.4％), pituitary articulo ( 0.6％).Conclusions Better understanding of the indications for transsphenoidal surgery and familiarity with the regional anatomy should further lower the rates of death and complications.Skill surgical technique and clinical experience are also very important to improve the therapeutic efficacy.
Key words:
Pituitary neoplasms; Transsphenoidal surgery; Postoperative complications