211383 Complications’s prophylaxis in neuroendoscopic endonasal transsphenoidal surgery for pituitary adenomas

/Zheng Yong(鄭 勇，Dept Neurosurg，Peop Hosp，XinjiangUygurAurongomousRegion，Urumqi 830001)…∥Chin J Neurosurg.-2011，27(3).-229 ～231

ObjectiveTo discuss the complicatiaons’s prophylaxis of removing pituitary adenomas by neuroendoscopy in tranasphenoidal surgery.MethodsClinical data of 253 cases treated by endoscopic endanasal transsphenoidal surgery were analysed.ResultsThe total tumor removal was done in 216(85.38%)cases，subtotal in 26(10.28%)，and partial in 11(4.34%).Temporary diabetes insipidus in 45 cases，pituitary function subnomorlity in 9 cases，cerebrospinal fluid leaks in 2 cases，nostril stenoses in 2 cases，anodmia in 2 cases，there were no internal carotid artery and optic nerve lesion，no subarachnoid hemorrhage and intracranial infection，no nasoseptal tresis.ConclusionFeatured by minimal invasion and less postoperative complications，neurendoscopic endonasal transsphenoidal surgery is a safe and effective method for the treatment of pituitary adenoma.11 refs.