Reach further, in an Open Access Journal Endocrinology, Diabetes & Metabolism Case Reports

ISSN 1470-3947 (print)
ISSN 1479-6848 (online)

Searchable abstracts of presentations at key conferences in endocrinology

Published by BioScientifica
Endocrine Abstracts (2011) 25 P242 

Pitfalls in transphenoidal surgery: a 10 years experience

Kanchan Mukherjee, Virender Khosla, Suresh Mathuriya, Anil Bhansali, Pinaki Dutta, Nilanjan Khandelwal, Paramjeet Singh, Rakesh Vasishta, Bhisham Radotra, Ashis Pathak, Sunil Gupta, Manoj Tewari & Rajesh Chhabra

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Three hundred and thirty six cases of pituitary adenomas were operated by the transpenoidal route in the last 10 years by a single surgeon. Majority of these were giant non functioning adenomas. Prolactinomas were excluded unless a part of dual adenoma.

In nearly 80% of tumours, total or near total removal was achieved. Long term outcome with follow up of more than 5 years revealed recurrence requiring resurgery in only 4 out of 102 patients. Endocrine recovery was seen in many with permanent added hormonal deficit in around 5% of cases. Added visual deficit was seen in 1 patient.

Mortality was 14 patients and the avoidable reasons will be discussed.The advantages and disadvantages of an aggressive approach in a developing country were the cost of hormonal supplementation is prohibitive will be highlighted.

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