Abordaje endonasal endoscópico extendido a la base del cráneo

López-Arbolay, O.; Gonzàlez-Gonzàlez, J.L.; Rojas-Manresa, Jorge Luis

doi:10.1016/j.neucir.2012.05.003

Cited by 4 publications

(1 citation statement)

References 36 publications

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“…In contrast, the prevalence of permanent DI (4.43%) in our cohort was similar to that described in the literature (1-4%) for endoscopic transsphenoidal surgery ( 2 ). Similar rates have also been described for the extended approach ( 12 , 13 ). The figures for microscopic surgery are as high as 8.8% ( 2 ).…”

Section: Discussionsupporting

confidence: 62%

Postoperative water and electrolyte disturbances after extended endoscopic endonasal transsphenoidal surgery

et al. 2022

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IntroductionWater and electrolyte disturbances are common after pituitary surgery and can generally be classified into transient hypotonic polyuria and transient or permanent diabetes insipidus (DI). The prevalence varies in the literature between 31-51% for transient hypotonic polyuria, 5.1-25.2% for transient DI, and 1-8.8% for permanent DI.ObjectiveThe aim of this study was to identify the prevalence of water and electrolyte disturbances with polyuria and the preoperative and postoperative predictive factors in patients undergoing surgery with an extended endoscopic endonasal approach.Material and methodsThis retrospective observational descriptive study included 203 patients with a diagnosis of pituitary adenoma who underwent their first transsphenoidal surgery via the extended endoscopic endonasal approach between April 2013 and February 2020. The diagnosis of water and electrolyte disturbances was based on the criterion for polyuria (>4 ml/kg/h). Postoperative polyuria was defined as those cases diagnosed during the immediate postsurgical period that resolved prior to discharge. Transient DI included all cases with a duration of less than 6 months but still present at hospital discharge, and permanent DI included cases lasting more than 6 months.ResultsThe overall prevalence of water and electrolyte disorders was 30.5% (62), and the prevalence of postoperative polyuria was 23.6% (48). The median number of desmopressin doses administered to patients with postoperative polyuria was one dose (interquartile range [IQR] 1-2), and thus the median duration of treatment was 0 days. The median initiation of desmopressin was the second day after surgery (IQR 1-2). The overall prevalence of DI was 6.89%. Among the patients with transient DI, the duration was less than 3 months in three patients (1.47%), and between 3 and 6 months in two (0.98%). Nine patients had permanent DI (4.43%). (4.43%).ConclusionsThe prevalence of electrolyte disturbances in our study was high, although similar to that found in the literature. Most of the cases were transient hypotonic polyuria that resolved within one day. The prevalence of transient DI in our cohort was lower than that described in the literature, while permanent DI was similar.

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Section: Discussionsupporting

confidence: 62%

Postoperative water and electrolyte disturbances after extended endoscopic endonasal transsphenoidal surgery

et al. 2022

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Endoscopia endonasal de base de cráneo

et al. 2013

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Endoscopic resection of ossifying fibroma involving paranasal sinuses and the skull base in a series of 15 cases

Huang

Zhou

2017

Acta Oto-Laryngologica

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The mean age of the 15 patients was 33.2 years (range = 16-58 years). All tumors were completely resected via endoscopic surgery. Intra-operative cerebrospinal fluid (CSF) leaks (four cases) were repaired endoscopically. The mean follow-up duration was 43.1 months. One patient lost vision after surgery, recurrence was observed in two patients, one underwent a third excision 8 years after the second surgery, and the other exhibited residual osteoarthritis 3 years after the first surgery and remained under regular observation. One patient was lost to follow-up.

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Abordaje endonasal endoscópico extendido a la base del cráneo

Cited by 4 publications

References 36 publications

Postoperative water and electrolyte disturbances after extended endoscopic endonasal transsphenoidal surgery

Postoperative water and electrolyte disturbances after extended endoscopic endonasal transsphenoidal surgery

Endoscopia endonasal de base de cráneo

Endoscopic resection of ossifying fibroma involving paranasal sinuses and the skull base in a series of 15 cases

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