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Endocrine outcomes in Endoscopic Pituitary Surgery: A Literature Review

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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.

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Authors and Affiliations

  1. Consultant Neurosurgeon & Honorary Senior Lecturer, Royal Free Hospital, Pond Street, London, NW3 2QG, UK

    Neil L. Dorward

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  1. Neil L. Dorward
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Correspondence to Neil L. Dorward.

Additional information

Presentation at a conference

Taken from the KeyNote lecture presented at the Clinico-Pathological Pituitary Conference, Royal College of Physicians, London 10th February 2010

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Dorward, N.L. Endocrine outcomes in Endoscopic Pituitary Surgery: A Literature Review. Acta Neurochir 152, 1275–1279 (2010). https://doi.org/10.1007/s00701-010-0649-y

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  • DOI: https://doi.org/10.1007/s00701-010-0649-y

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