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Goyal P, Gupta A, Srivastava S, et al. Avoiding Complications in Endoscopic Trans-Sphenoidal Surgery for Pituitary Adenoma: A Beginner's Perspective. Asian J Neurosurg. 2020;15(4):899-907doi: 10.4103/ajns.AJNS_121_20.
Goyal, P., Gupta, A., Srivastava, S., & Modi, S. (2020). Avoiding Complications in Endoscopic Trans-Sphenoidal Surgery for Pituitary Adenoma: A Beginner's Perspective. Asian journal of neurosurgery, 15(4), 899-907. https://doi.org/10.4103/ajns.AJNS_121_20
Goyal, Pawan, et al. "Avoiding Complications in Endoscopic Trans-Sphenoidal Surgery for Pituitary Adenoma: A Beginner's Perspective." Asian journal of neurosurgery vol. 15,4 (2020): 899-907. doi: https://doi.org/10.4103/ajns.AJNS_121_20
Goyal P, Gupta A, Srivastava S, Modi S. Avoiding Complications in Endoscopic Trans-Sphenoidal Surgery for Pituitary Adenoma: A Beginner's Perspective. Asian J Neurosurg. 2020 Dec 21;15(4):899-907. doi: 10.4103/ajns.AJNS_121_20. eCollection 2020. PMID: 33708660; PMCID: PMC7869305.
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Asian J Neurosurg. 2020 Dec 21;15(4):899-907. doi: 10.4103/ajns.AJNS_121_20. eCollection 2020.

Avoiding Complications in Endoscopic Trans-Sphenoidal Surgery for Pituitary Adenoma: A Beginner's Perspective.

Asian journal of neurosurgery

Pawan Goyal, Aditya Gupta, Sanjeev Srivastava, Shilpi Modi

Affiliations

  1. Department of Neurosurgery, Artemis Hospital, Gurgaon, Haryana, India.
  2. Department of Pathology, Artemis Hospital, Gurgaon, Haryana, India.

PMID: 33708660 PMCID: PMC7869305 DOI: 10.4103/ajns.AJNS_121_20

Abstract

INTRODUCTION: We aimed to analyze the difficulties and complications experienced while as a beginner in endoscopic transnasal transsphenoidal approach for pituitary adenomas.

MATERIALS AND METHODS: We retrospectively analyzed 83 cases done from June 2016 to August 2019. Navigation-guided endoscopic transnasal transsphenoidal approach was used in all the cases.

RESULTS: Gross total tumor removal was achieved in 55 (66.26%) patients. We found that gross total resection rate was inversely proportional to Knosp grading, and the extent of resection was found to have a statistically significant correlation with grade of tumor (

CONCLUSION: Endoscopic approach is an effective modality for pituitary surgery; with patience, learning lessons from your own mistakes and by adopting right technique, learning curve can be flattened significantly.

Copyright: © 2020 Asian Journal of Neurosurgery.

Keywords: Adenoma; complications; endoscopic; pituitary

Conflict of interest statement

There are no conflicts of interest.

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