Clinical Study of Neuronavigation-assisted Endoscopic Transnasal Sphenoid Approach for Resection of Pituitary Tumors

Wenyou XIE; Tongheng HUANG; Yanru YANG; Jinyang LIU

doi:10.12259/j.issn.2095-610X.S20231116

Volume 44 Issue 11

Nov. 2023

Turn off MathJax

Article Contents

Article Navigation > Journal of Kunming Medical University > 2023 > 44(11): 108-112

Wenyou XIE, Tongheng HUANG, Yanru YANG, Jinyang LIU. Clinical Study of Neuronavigation-assisted Endoscopic Transnasal Sphenoid Approach for Resection of Pituitary Tumors[J]. Journal of Kunming Medical University, 2023, 44(11): 108-112. doi: 10.12259/j.issn.2095-610X.S20231116

Citation:

Wenyou XIE, Tongheng HUANG, Yanru YANG, Jinyang LIU. Clinical Study of Neuronavigation-assisted Endoscopic Transnasal Sphenoid Approach for Resection of Pituitary Tumors[J]. Journal of Kunming Medical University, 2023, 44(11): 108-112. doi: 10.12259/j.issn.2095-610X.S20231116

Citation:

Wenyou XIE, Tongheng HUANG, Yanru YANG, Jinyang LIU. Clinical Study of Neuronavigation-assisted Endoscopic Transnasal Sphenoid Approach for Resection of Pituitary Tumors[J]. Journal of Kunming Medical University, 2023, 44(11): 108-112. doi: 10.12259/j.issn.2095-610X.S20231116

PDF( 1223 KB)

Clinical Study of Neuronavigation-assisted Endoscopic Transnasal Sphenoid Approach for Resection of Pituitary Tumors

doi: 10.12259/j.issn.2095-610X.S20231116

Dept. of Neurosurgery，Yangjiang Hospital Affiliated to Guangdong Medical University/Yangjiang City People's Hospital，Yangjiang Guangdong 529500，China

Received Date: 2023-07-19
Available Online: 2023-11-13
Publish Date: 2023-11-30

Abstract

Abstract

Objective To explore and analyze the clinical application efficacy and prospect of neuronavigation positioning assisted endoscopic transnasal sphenoid approach for resection of pituitary adenomas under general anesthesia. Methods A total of 68 patients who underwent pituitary adenoma surgery at the Neurosurgery Department of Yangjiang People's Hospital from September 2018 to April 2023 were collected and divided into two groups: an experimental group of 34 patients（neuronavigation-assisted endoscopic transsphenoidal approach for pituitary adenoma resection） and a control group of 34 patients（microscopic transsphenoidal approach for pituitary adenoma resection）. The surgery-related indicators, complication indicators, and preoperative and postoperative endocrine hormone indicators were analyzed and evaluated in both groups. Results The probability of total tumor resection in the experimental group was significantly higher than that in the control group in postoperative imaging comparison, with statistical significance（P<0.05）. The comparison of surgical time, bleeding volume, hospitalization time, surgical bleeding volume, and postoperative patient hormone indicators showed that the experimental group was significantly lower than the control group, and the difference was statistically significant（P<0.05）. Conclusions Neuronavigation positioning assisted endoscopic transnasal sphenoid approach for resection of pituitary adenoma has the advantages of small trauma, safety, high efficiency, short hospital stay, and high total resection rate. This represents a novel and effective strategy for wide clinical application.
- Neural navigation,
- Neuroendoscope,
- Microscope,
- Pituitary adenoma

FullText(HTML)

References(17)

References

[1]	Asa S L,Ezzat S. The pathogenesis of pituitary tumours[J]. Nat Rev Cancer,2002,2(11):836-849. doi: 10.1038/nrc926
[2]	张亚卓,王忠诚,刘业剑,等. 内镜经鼻蝶入路手术治疗垂体瘤[J]. 中国微侵袭神经外科杂志,2007,12(2):51-54. doi: 10.3969/j.issn.1009-122X.2007.02.002
[3]	李储忠,朱海波,宗绪毅,等. 我国外镜神经外科发展史[J]. 中国现代神经疾病杂志,2019,19(4):232-234.
[4]	赵浥,王希,魏栋,等. 显微镜及神经内镜经鼻蝶窦手术治疗垂体瘤的对比研究[J]. 临床神经外科杂志,2022,19(5):583-542.
[5]	Ishikawa M,Ota Y,Naritaka H,et al. Endoscopic ultrasound imaging with high flow mode for endonasal transsphenoidal pituitary surgery[J]. J Clin Neurosci,2021,89(7):329-335.
[6]	Kalyvas A,Millesi M,Gentili F. Endoscopic extra-capsular resection of a giant pituitary adenoma:How I do it[J]. Acta Neurochir (Wien),2021,163(6):1711-1715. doi: 10.1007/s00701-021-04833-z
[7]	Van Gompel J,Atkinson JLD,Choby G,et al. Pituitary tumor surgery: Comparison of endoscopic and microscopic techniques at a single Center[J]. Mayo Clin Proc,2021,96(8):2043-2057. doi: 10.1016/j.mayocp.2021.03.028
[8]	Inoue A,Kohno S,Ohnishi T,et al. Tricks and traps of ICG endoscopy for effectively applying endoscopic transsphenoidal surgery to pituitary adenoma[J]. Neurosurg Rev,2021,44(4):2133-2143. doi: 10.1007/s10143-020-01382-4
[9]	Singh H,Essayed W I,Cohen-Gadol A,et al. Resection of pituitary tumor:Endoscopic versus microscopic[J]. Journal of Neuro-oncology,2016,130(2):309-317. doi: 10.1007/s11060-016-2124-y
[10]	Saeki N,Horigushi K,Murai H,et al. Endoscopic endonasal pituitary and skull base surgery[J]. Neurol Med Chir (Tokyo),2010,50(9):756-764. doi: 10.2176/nmc.50.756
[11]	Peto I,Abou H,White G,et al. Sources of residuals after endoscopic transsphenoidal surgery for large and giant pituitary adenomas[J]. Acta Neurochir (Wien),2020,162(10):2341-2351. doi: 10.1007/s00701-020-04497-1
[12]	Tao C,Cheng G,Chen Y,et al. Early outcomes of endoscopic endonasal approach pituitary adenomas resection with minimal nasal injury[J]. Medicine (Baltimore),2021,100(46):27843.
[13]	Rahimli T, Hidayetov T, Yusifli Z, et al. Endoscopic endonasal approach to giant pituitary adenomas: surgical outcomes and review of the literature[J]. World Neurosurg, 2021, 149（5）: 1043-1055. 补充期号 Rahimli T,Hidayetov T,Yusifli Z,et al. Endoscopic endonasal approach to giant pituitary adenomas:Surgical outcomes and review of the literature[J]. World Neurosurg,2021,149(5):1043-1055.
[14]	Pojskić M,Arnautouvic A,Kovasevic M,et al. Combined microsurgical,endoscopic and neuronavigation assisted transseptal-transsphenoidal resection of pituitary tumors[J]. Acta Med Acad,2020,49(11):14-22.
[15]	Dai W,Zhuang G,Ling H,et al. Systematic review and network meta-analysis assess the comparative efficacy and safety of transsphenoidal surgery for pituitary tumor[J]. Neurosurg Rev,2021,44(1):515-527. doi: 10.1007/s10143-020-01240-3
[16]	Abhinav K, Matthew T, Oliver T, et al. Managing complications of endoscopic transsphenoidal surgery in pituitary adenomas[J]. Expert Rev Endocrinol Metab, 2020, 15（5）: 311-319. 期号 Abhinav K,Matthew T,Oliver T,et al. Managing complications of endoscopic transsphenoidal surgery in pituitary adenomas[J]. Expert Rev Endocrinol Metab,2020,15(5):311-319.
[17]	Van Furth W,De Vries F,Lobatto D J,et al. Endoscopic surgery for pituitary tumors[J]. Endocrinol Metab Clin North Am,2020,49(3):487-503. doi: 10.1016/j.ecl.2020.05.011

Relative Articles(20)

Relative Articles

[1]	Kun WANG, Jun PU, Tao YANG, Lu WANG, Dongbo LI. Comparison of Effect of Microscopic Surgery via Different Approaches in Treatment of Young Patients with Severe Hypertensivebasal Ganglia Hemorrhage. Journal of Kunming Medical University, 2024, 45(7): 56-61. doi: 10.12259/j.issn.2095-610X.S20240708
[2]	Wei DAI, Chuan HU. Application of Endoscope and Microscope in Tympanoplasty for Middle-aged and Young Patients with CSOM. Journal of Kunming Medical University, 2024, 45(4): 113-119. doi: 10.12259/j.issn.2095-610X.S20240416
[3]	Zhuohui LIU, Shiyin QIN, Hexiang ZHAO, Fengfeng JIA, Biao RUAN, Ruiqing LONG. Inhibitory Effect of Crocin on Pituitary Adenomas via IRF7/NF-κB Signaling Pathway. Journal of Kunming Medical University, 2024, 46(): 1-9.
[4]	Bijiang ZHANG, Jinghui LI. Comparative Analysis of the Efficacy of Neuroendoscopic and Microscopic Transnasal Resection of Pituitary Tumours in the Pterygoid Region. Journal of Kunming Medical University, 2024, 45(7): 87-91. doi: 10.12259/j.issn.2095-610X.S20240713
[5]	Mingyu CAI, Qian CAO, Junjun LONG, Guojun GAO, Lan LI. Observation on the Efficacy of Optimal Pulse Technology in the Treatment of Meibomian Gland Dysfunction Related Dry Eyes Based on in Vivo Confocal Microscopy Classification. Journal of Kunming Medical University, 2023, 44(5): 81-89. doi: 10.12259/j.issn.2095-610X.S20230501
[6]	Haoyu WANG, Qian HE, Bo ZHAO, Shizhen HE, Chen LIU, Peng WANG. Diffusion Tensor Imaging in the White Matter Changes of Patients with Pituitary Macroadenoma. Journal of Kunming Medical University, 2023, 44(12): 72-78. doi: 10.12259/j.issn.2095-610X.S20231212
[7]	Yi GONG, Wenkui YANG, Lin LIU, Dongyu ZHAI. Efficacy of Neuroendoscopic Surgery in the Treatment of Intraventricular Hemorrhage. Journal of Kunming Medical University, 2023, 44(8): 91-94. doi: 10.12259/j.issn.2095-610X.S20230814
[8]	Wang Xing Yao , Qian Jin Qiao . . Journal of Kunming Medical University, 2020, 41(08): 46-51.
[9]	Guo Bin , Li Yao , Li Jing Hui , Geng Xin , Zou Yang Hong , Wang Zhi Gang , Xu Yao Duan , Yu Hua Lin . . Journal of Kunming Medical University, 2019, 40(11): 83-86.
[10]	Huang Heng , Yu Wen Xing , Shui Lei , He Gang , Yang Sen . Effect of Binocular Surgery Microscope and Otoendoscope on Perioperative indexes, Hearing recovery and Complications in the Patients with Artificial Stapes Surgery. Journal of Kunming Medical University, 2018, 39(07): 106-110.
[11]	Li Jing Hui , Guo Bin , Geng Xin , Li Shi Peng , Zhou Hou Jun , Sun Tao , Liu Wen Chun , Gui Yang , Bai Peng , Yu Hua Lin . Minimally Invasive Operational Treatment of 19 Cases of Neurocysticercosis. Journal of Kunming Medical University, 2017, 38(08): 48-52.
[12]	Li Shi Peng . . Journal of Kunming Medical University,
[13]	Luo Xuan Rong . . Journal of Kunming Medical University,
[14]	Li Mei Li . . Journal of Kunming Medical University,
[15]	Bai Peng . . Journal of Kunming Medical University,
[16]	. Comparative Study of Urine Sediment Analysis with Microscopy before and after Kidney Biopsy among 282 Patients. Journal of Kunming Medical University,
[17]	Bai Peng . Clinical Reseach of Neuroendoscope Guided by Stereotaxis in Treatment of Brain Parenchymal Lesions. Journal of Kunming Medical University,
[18]	Yan Qi . . Journal of Kunming Medical University,
[19]	Song Li . . Journal of Kunming Medical University,
[20]	Zhang Chan . . Journal of Kunming Medical University,