Rudnik A, Zawadzki T, Wojtacha M, Bazowski P, Gamrot J, Galuszka-Ignasiak B, Duda I
Department of Neurosurgery, Silesian University School of Medicine, Katowice, Poland.
Minim Invasive Neurosurg. 2005 Apr;48(2):101-7. doi: 10.1055/s-2004-830185.
From October 2001 to the end of November 2002 in Department of Neurosurgery, Silesian University School of Medicine in Katowice 70 explorations of the sella turcica were executed using the endoscopic method. In 63 cases the operation was done because of pituitary gland adenomas. In one case the diagnosis was craniopharyngioma, in 1 chordoma of the clivus, in one glioma of the optic nerve, in 1 the reason for an operation was an empty sella syndrome and in 3 cases the pathological diagnosis was an amorphous masses. Patients were operated using the 4-mm diameter endoscope with 0- and 30-degree angled lenses, using the method according to Jho and Carrau with our own modifications. In all cases of adenomas the total removal of the tumour was obtained in 71.4 %. Permanent diabetes insipidus occurred in 4.3 % of all operated patients. In our series of patients we did not observe any postoperative CSF leak or rhinological complications. One patient died, corresponding to 1.4 % of all cases. We the recommend transsphenoidal transnasal endoscopic approach for use in the cases of sellar region pathology because of the advantages of the method for surgeon and for comfort of the patient.
2001年10月至2002年11月底，卡托维兹西里西亚医科大学神经外科采用内镜方法对70例蝶鞍进行了探查。其中63例手术是因垂体腺瘤进行的。1例诊断为颅咽管瘤，1例为斜坡脊索瘤，1例为视神经胶质瘤，1例手术原因是空蝶鞍综合征，3例病理诊断为无定形肿块。患者手术采用直径4毫米的内镜，配备0度和30度角的镜头，采用Jho和Carrau的方法并加以我们自己的改进。在所有腺瘤病例中，71.4%实现了肿瘤全切。所有手术患者中4.3%发生了永久性尿崩症。在我们的患者系列中，未观察到任何术后脑脊液漏或鼻科并发症。1例患者死亡，占所有病例的1.4%。由于该方法对术者和患者舒适度都有优势，我们推荐经鼻蝶窦内镜入路用于蝶鞍区病变的病例。
