Top

Acta Neurochirurgica

Published in:

01-08-2010

Endocrine outcomes in Endoscopic Pituitary Surgery: A Literature Review

Author: Neil L. Dorward

Published in: Acta Neurochirurgica | Issue 8/2010

Abstract

Background

Since the introduction of fully endoscopic surgery this new technique has been adopted with enthusiasm by many but not all pituitary surgeons. Whilst some advantages of minimal access have been recognised, the information on endocrine outcomes has been slow to accumulate.

Method

This literature review examined all the endoscopic papers for endocrine results and complication rates. Where adequate detail was provided these results were broken down by subtype and the pooled cure rates calculated.

Findings

The review revealed that the fully endoscopic method is the equal of the microscopic technique for endocrine remission in functioning pituitary tumours. Furthermore the endoscopic results in functioning macroadenomas are substantially better than the microscopic results with similar complication rates.

Conclusions

Endoscopic pituitary surgery offers significant advantages over the microscopic technique and should become the standard method of pituitary adenoma surgery.

Abe T, Lüdecke DK (2001) Effects of preoperative octreotide treatment on different subtypes of 90 GH-secreting pituitary adenomas and outcome in one surgical centre. Eur J Endocrinol 145(2):137–145PubMedCrossRef

Beauregard C, Truong U, Hardy J, Serri O (2003) Long-term outcome and mortality after transsphenoidal adenomectomy for acromegaly. Clin Endocrinol (Oxf) 58(1):86–91CrossRef

Cappabianca P, Alfieri A, de Divitiis E (1998) Endoscopic endonasal transsphenoidal approach to the sella: towards functional endoscopic pituitary surgery (FEPS). Minim Invasive Neurosurg 41(2):66–73PubMedCrossRef

Cappabianca P, Cavallo LM, Colao A, Del Basso De Caro M, Esposito F, Cirillo S, Lombardi G, de Divitiis E (2002) Endoscopic endonasal transsphenoidal approach: outcome analysis of 100 consecutive procedures. Minim Invasive Neurosurg 45(4):193–200PubMedCrossRef

Casler JD, Doolittle AM, Mair EA (2005) Endoscopic surgery of the anterior skull base. Laryngoscope 115(1):16–24PubMedCrossRef

Cavallo LM, Briganti F, Cappabianca P, Maiuri F, Valente V, Tortora F, Volpe A, Messina A, Elefante A, De Divitiis E (2004) Hemorrhagic vascular complications of endoscopic transsphenoidal surgery. Minim Invasive Neurosurg 47(3):145–150PubMedCrossRef

Charalampaki P, Ayyad A, Kockro RA, Perneczky A (2009) Surgical complications after endoscopic transsphenoidal pituitary surgery. J Clin Neurosci 16(6):786–789, Epub 2009 Mar 16PubMedCrossRef

Cho DY, Liau WR (2002) Comparison of endonasal endoscopic surgery and sublabial microsurgery for prolactinomas. Surg Neurol 58(6):371–375, discussion 375-6PubMedCrossRef

Choe JH, Lee KS, Jeun SS, Cho JH, Hong YK (2008) Endocrine outcome of endoscopic endonasal transsphenoidal surgery in functioning pituitary adenomas. J Korean Neurosurg Soc 44(3):151–155, Epub 2008 Sep 30PubMedCrossRef

10.

Ciric I, Ragin A, Baumgartner C, Pierce D (1996) Complications of transphenoidal surgery: Results of a national survey, review of the literature and personal experience. Neurosurgery 40(2):225–237CrossRef

11.

De P, Rees DA, Davies N, John R, Neal J, Mills RG, Vafidis J, Davies JS, Scanlon MF (2003) Transsphenoidal surgery for acromegaly in wales: results based on stringent criteria of remission. J Clin Endocrinol Metab 88(8):3567–3572PubMedCrossRef

12.

Dehdashti AR, Ganna A, Karabatsou K, Gentili F (2008) Pure endoscopic endonasal approach for pituitary adenomas: early surgical results in 200 patients and comparison with previous microsurgical series. Neurosurgery 62(5):1006–1015PubMedCrossRef

13.

D'Haens J, Van Rompaey K, Stadnik T, Haentjens P, Poppe K, Velkeniers B (2009) Fully endoscopic transsphenoidal surgery for functioning pituitary adenomas: a retrospective comparison with traditional transsphenoidal microsurgery in the same institution. Surg Neurol 72(4):336–340, Epub 2009 Jul 14PubMedCrossRef

14.

Frank G, Pasquini E, Farneti G, Mazzatenta D, Sciarretta V, Grasso V, Faustini Fustini M (2006) The endoscopic versus the traditional approach in pituitary surgery. Neuroendocrinology 83(3–4):240–248PubMedCrossRef

15.

Giustina A, Barkan A, Casanueva FF, Cavagnini F, Frohman L, Ho K, Veldhuis J, Wass J, Von Werder K, Melmed S (2000) Criteria for cure of acromegaly: a consensus statement. J Clin Endocrinol Metab 85(2):526–529PubMedCrossRef

16.

Gondim JA, Schops M, de Almeida JP, de Albuquerque LA, Gomes E, Ferraz T, Barroso FA (2010) Endoscopic endonasal transsphenoidal surgery: surgical results of 228 pituitary adenomas treated in a pituitary center. Pituitary 13(1):68–77, Epub 2009 Aug 21PubMedCrossRef

17.

Jankowski R, Auque J, Simon C, Marchal JC, Hepner H, Wayoff M (1992) Endoscopic pituitary tumor surgery. Laryngoscope 102:198–202PubMedCrossRef

18.

Jho HD, Carrau RL (1996) Endoscopy assisted transsphenoidal surgery for pituitary adenoma. Acta Neurochir (Wien) 138(12):1416–1425CrossRef

19.

Jho HD (2001) Endoscopic transsphenoidal surgery. J Neurooncol 54(2):187–195PubMedCrossRef

20.

Kabil MS, Eby JB, Shahinian HK (2005) Fully endoscopic endonasal vs. transseptal transsphenoidal pituitary surgery. Minim Invasive Neurosurg 48(6):348–354PubMedCrossRef

21.

Kaltsas GA, Isidori AM, Florakis D, Trainer PJ, Camacho-Hubner C, Afshar F, Sabin I, Jenkins JP, Chew SL, Monson JP, Besser GM, Grossman AB (2001) Predictors of the outcome of surgical treatment in acromegaly and the value of the mean growth hormone day curve in assessing postoperative disease activity. J Clin Endocrinol Metab 86(4):1645–1652PubMedCrossRef

22.

Koc K, Anik I, Ozdamar D, Cabuk B, Keskin G, Ceylan S (2006) The learning curve in endoscopic pituitary surgery and our experience. Neurosurg Rev 29(4):298–305, Epub 2006 Aug 26PubMedCrossRef

23.

Laws ER, Vance ML, Thapar K (2000) Pituitary surgery for the management of acromegaly. Horm Res 53(Suppl 3):71–75PubMedCrossRef

24.

Netea-Maier RT, van Lindert EJ, den Heijer M, van der Eerden A, Pieters GF, Sweep CG, Grotenhuis JA, Hermus AR (2006) Transsphenoidal pituitary surgery via the endoscopic technique: results in 35 consecutive patients with Cushing's disease. Eur J Endocrinol 154(5):675–684PubMedCrossRef

25.

Nomikos P, Buchfelder M, Fahlbusch R (2005) The outcome of surgery in 668 patients with acromegaly using current criteria of biochemical 'cure'. Eur J Endocrinol 152(3):379–387PubMedCrossRef

26.

Rudnik A, Zawadzki T, Wojtacha M, Bazowski P, Gamrot J, Galuszka-Ignasiak B, Duda I (2005) Endoscopic transnasal transsphenoidal treatment of pathology of the sellar region. Minim Invasive Neurosurg 48(2):101–107PubMedCrossRef

27.

Rudnik A, Kos-Kudła B, Larysz D, Zawadzki T, Bazowski P (2007) Endoscopic transsphenoidal treatment of hormonally active pituitary adenomas. Neuro Endocrinol Lett 28(4):438–444PubMed

28.

Shah S, Har-El G (2001) Diabetes insipidus after pituitary surgery: incidence after traditional versus endoscopic transsphenoidal approaches. Am J Rhinol 15(6):377–379PubMed

29.

Shen CC, Wang YC, Hua WS, Chang CS, Sun MH (2000) Endoscopic endonasal transsphenoidal surgery for pituitary tumors. Chin Med J (Eng) 63(4):301–310

30.

Shimon I, Cohen ZR, Ram Z, Hadani M (2001) Transsphenoidal surgery for acromegaly: endocrinological follow-up of 98 patients. Neurosurgery 48(6):1239–1243PubMed

31.

Tabaee A, Anand VK, Barrón Y, Hiltzik DH, Brown SM, Kacker A, Mazumdar M, Schwartz TH (2009) Endoscopic pituitary surgery: a systematic review and meta-analysis. J Neurosurg 111(3):545–554PubMedCrossRef

32.

Trepp R, Stettler C, Zwahlen M, Seiler R, Diem P, Christ ER (2005) Treatment outcomes and mortality of 94 patients with acromegaly. Acta Neurochir (Wien) 147(3):243–251CrossRef

33.

Uren B, Vrodos N, Wormald PJ (2007) Fully endoscopic transsphenoidal resection of pituitary tumors: technique and results. Am J Rhinol 21(4):510–514PubMedCrossRef

34.

White DR, Sonnenburg RE, Ewend MG, Senior BA (2004) Safety of minimally invasive pituitary surgery (MIPS) compared with a traditional approach. Laryngoscope 114(11):1945–1948PubMedCrossRef

35.

Wurster CF, Smith DE (1994) The endoscopic approach to the pituitary gland. Arch Otolaryngol Head Neck Surg 120(6):674PubMed

36.

Zhang Y, Wang Z, Liu Y, Zong X, Song M, Pei A, Zhao P, Zhang P, Piao M (2008) Endoscopic transsphenoidal treatment of pituitary adenomas. Neurol Res 30:581–586PubMedCrossRef

Title: Endocrine outcomes in Endoscopic Pituitary Surgery: A Literature Review
Author: Neil L. Dorward
Publication date: 01-08-2010
Publisher: Springer Vienna
Published in: Acta Neurochirurgica / Issue 8/2010
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-010-0649-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Endocrine outcomes in Endoscopic Pituitary Surgery: A Literature Review

Abstract

Background

Method

Findings

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Method

Findings

Conclusions

Please log in to get access to this content

Other articles of this Issue 8/2010

Functional impairments caused by chiasma syndromes prior to and following transsphenoidal pituitary adenoma surgery

Traumatic spinal perimedullary arteriovenous fistula: a case report

Cystoperitoneal shunts for cystic vestibular schwannomas

Leptomeningeal dissemination of a pediatric neoplasm with 1p19q deletion showing mixed immunohistochemical features of an oligodendroglioma and neurocytoma

Stereotactic radiofrequency amygdalohippocampectomy in the treatment of mesial temporal lobe epilepsy

A giant fusiform aneurysm of the external carotid artery branch in an infant