Medicomilitary Academy
The analysis of results of surgical treatment of pituitary adenomas in
the Clinic of Neurosurgery of the Medicomilitary Academy is given.
There were 247 patients with pituitary adenomas operated during the
last decade; a transsphenoidal approach was used in 167 of them. A
method of transsphenoidal endoscopic surgery of pituitary adenomas
proposed in Russia for the first time not long ago is aimed at
optimization of an operative approach. This method allows to improve
results of complex treatment, to verify efficacy of an operation and to
minimize trauma caused by it.
Transsphenoidal removal of pituitary adenomas with application of
intraoperative endoscopic monitoring was made in 56 patients. The
Concept rigid endoscope (Sweden) with a diameter of 4mm and an angular
view of 30 degrees, the BF-P-30 Olympus flexible guided endoscope
(Japan) with a diameter of 6 mm, Karl Storz (Germany) and Zenit
(Russia) endovideocameras, the CLE-10 Olympus halogen lamp (Japan) and
the Sony videomonitor were used.
A transsphenoidal endoscopic intervention was a modification of
standard transseptal approach to the Turkish saddle according to Girsh.
Its results were monitored and recorded. CT and/or MRI examinations of
the chiasmal-sellar area of the brain and study of blood hormones were
carried out before and after the operation.
The results of operative treatment of pituitary adenomas make it
possible to recommend introduction of the method under discussion into
clinical practice of specialized departments and neurosurgical clinics.
Abstracts of scientific reports of St.Petersburg Association of Neurosurgeons during 1999
http://www.neuro.neva.ru/English/Issues/Articles_1_2000/ASS_SPB.htm
