Journal Information
Vol. 18. Issue 6.
Pages 485-490 (January 2007)
Share
Share
Download PDF
More article options
Vol. 18. Issue 6.
Pages 485-490 (January 2007)
Complicaciones del abordaje endonasal directo transesfenoidal en el manejo de adenomas de hipófisis
Complications of the direct endonasal transsphenoidal approach in the management of pituitary adenomas
Visits
1808
J.H. Sandoval-Sánchez
, F. Flores-Cárdenas, J.M. Páez-Ontiveros
Departamentos de Neurocirugía. Unidad Médica de Alta Especialidad. Hospital de Especialidades. Centro Médico Nacional de Occidente. Instituto Mexicano del Seguro Social. Guadalajara. Jalisco. México
Mª.C. Vargas-Frutos*
*. Departamentos de Medicina Interna. Unidad Médica de Alta Especialidad. Hospital de Especialidades. Centro Médico Nacional de Occidente. Instituto Mexicano del Seguro Social. Guadalajara. Jalisco. México
This item has received
Article information
Resumen
Objetivo

Describir la frecuencia de complicaciones y molestias del abordaje endonasal directo transesfenoidal, utilizado en la resección de adenomas de hipófisis.

Pacientes y métodos

En forma retrospectiva, se revisaron los expedientes de pacientes con adenoma de hipófisis, en quienes se realizó el abordaje endonasal directo transesfenoidal, dentro de un periodo comprendido entre Agosto del 2003 y Diciembre del 2004. Se recolectó información sobre las complicaciones trans y postoperatorias, además de molestias postoperatorias registradas en el expediente.

Resultados

Se incluyeron 41 pacientes, 23 (56.1%) hombres y 18 (43.9%) mujeres, con una edad promedio de 47.7±16.8 años. Dentro de las complicaciones transoperatorias, tres pacientes (7.3%) tuvieron hemorragia intraselar, dos (4.9%) hipertensión arterial descontrolada y uno (2.4%) fístula de líquido cefalorraquídeo. Entre las complicaciones postoperatorias, la más frecuente fue la diabetes insípida con diez casos (24.4%), dos (4.9%) presentaron insuficiencia hipofisaria anterior y uno (2.4%) sinusitis. La molestia más común fue la congestión nasal en trece pacientes (31.7%).

Conclusiones

El abordaje endonasal directo transesfenoidal tiende a presentar menos complicaciones y molestias especialmente nasales, por lo que en un futuro podría ser considerado como el abordaje preferido para la resección de adenomas de hipófisis.

Palabras clave:
Adenoma de hipófisis
Tratamiento quirúrgico
Abordaje endonasal directo transesfenoidal
Complicaciones
Summary
Objective

To describe the frequency of complications and complaints caused by direct endonasal transsphenoidal approach used in the resection of pituitary adenomas.

Patients and methods

In a retrospective way, we review patients’ records with pituitary adenomas, operated by means of direct endonasal transsphenoidal approach, between August 2003 and December 2004. We recollected information about operative and postoperative complications, besides complaints registered in patients’ records.

Results

41 patients were included, 23 (56.1%) males and 18 (43.9%) females, with a mean age of 47.7±16.8 years. Operative complications were intrasellar hemorrhage in three patients (7.3%), hypertension in two (4.9%) and cerebrospinal fluid fistula in one (2.4%).

On the other hand, postoperative complications were diabetes insipidus (24.4%) in ten cases, anterior pituitary insufficiency (4.9%) in two and sinusitis (2.4%) in one. Nasal congestion was the most common complaint (31.7%) in thirteen patients.

Conclusions

Supported in our results, the direct endonasal transsphenoidal approach tends to present mainly fewer nasal complications and complaints, and in the future it could be considered like the preferred approach for resection of pituitary adenomas.

Keywords:
Pituitary adenoma
Surgical treatment
Direct endonasal transsphenoidal approach
Complications

Article

These are the options to access the full texts of the publication Neurocirugía (English edition)
Member
Member of the Sociedad Española de Neurocirugía

If it is the first time you have accessed you can obtain your credentials by contacting Elsevier Spain in suscripciones@elsevier.com or by calling our Customer Service at902 88 87 40 if you are calling from Spain or at +34 932 418 800 (from 9 to 18h., GMT + 1) if you are calling outside of Spain.

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option ¿I have forgotten my password¿.

Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Neurocirugía (English edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
Email
Idiomas
Neurocirugía (English edition)
Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?