Transsphenoidal Approach for Pituitary Tumor

Authors

  • Chare Phonprasert Department of Surgery, (Neurosurgical section) and Department of Medicine (endocrine section), Faculty of Medicine and Chulalongkorn Hospital, Chulalongkorn University, Bangkok, Thailand
  • Supat O-charoen Department of Surgery, (Neurosurgical section) and Department of Medicine (endocrine section), Faculty of Medicine and Chulalongkorn Hospital, Chulalongkorn University, Bangkok, Thailand
  • Vitaya Sridama Department of Surgery, (Neurosurgical section) and Department of Medicine (endocrine section), Faculty of Medicine and Chulalongkorn Hospital, Chulalongkorn University, Bangkok, Thailand

Keywords:

Transsphenoidal approach, Pituitary tumor

Abstract

Transsphenoidal approach with the aid of microsurgical technique was used for removal of the pituitary tumor on 5 patients. Of the five; two were acromegalics, three had non-secreting chromophobe adenoma. The operative technique has been thoroughly described. There was no postoperative morbidity and mortality in our series. The normal pituitary tissue could be preserved in each patient and none required long term steroid replacement therapy.

References

1. Rhoton AL, Hardy DG, Chambers SM: Microsurgical Anatomy and Dissection of the Sphenoid Bone, Cavernous Sinus and Sellar Region. Surg Neurol 12:63, 1979.

2. Guiot G: Transsphenoidal Approach in Surgical Treatment of Pituitary Adenomas: General Principles and Indications in Nonfunctioning Adenomas, in Kohler PO, Ross GT (eds): Diagnosis and Treatment of Pituitary Tumors. Amsterdam: Excerpta Medica International Congress Series 1973 No. 303:159.

3. Hardy J: Transsphenoidal Hypophysectomy. J. Neurosurg. 34:582. 1971.

4. Kramer S: The Value of Radiation Therapy for Pituitary and Parapituitary Tumors. Canad Med Ass J, 99:1120, 1968.

5. Adams JE, Seymour RJ, Earl JM, et al.: Transsphenoidal Cryohypophysectomy in Acromegaly. Clinical and Endocrinological Evaluation. J Neurosurg 28:100, 1968.

6. Ray BS, Patterson RH, Jr: Surgical Treatment of Pituitary Adenomas. J Neurosurg 19:1, 1962.

7. Stern WE, Batzdorf U: Intracranial Removal of Pituitary Adenomas, An Evaluation of Varying Degrees of Excision from Partial to Total. J Neurosurg 33:564, 1970.

8. Wilson CB, Demsey LC: Transsphenoidal Removal of 250 Pituitary Adenomas. J Neurosurg 48:13, 1978.

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Published

1980-06-30

How to Cite

1.
Phonprasert C, O-charoen S, Sridama V. Transsphenoidal Approach for Pituitary Tumor. Thai J Surg [Internet]. 1980 Jun. 30 [cited 2024 Dec. 24];1(2):33-42. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/249120

Issue

Vol. 1 No. 2 (1980): April - June

Section

Case Reports

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.