内镜经蝶窦垂体手术的围手术期管理
Perioperative management of endoscopic transsphenoidal pituitary surgery.
作者信息
Hanson Martin, Li Hao, Geer Eliza, Karimi Sasan, Tabar Viviane, Cohen Marc A
机构信息
Multidisciplinary Pituitary and Skull Base Tumour Program, Memorial Sloan Kettering Cancer Center, 1275 York Ave, New York, NY, USA.
出版信息
World J Otorhinolaryngol Head Neck Surg. 2020 Mar 20;6(2):84-93. doi: 10.1016/j.wjorl.2020.01.005. eCollection 2020 Jun.
Abstract
The contemporary embrace of endoscopic technology in the approach to the anterior skull base has altered the perioperative landscape for patients requiring pituitary surgery. Utility of a multi-disciplinary unit in management decisions facilitates the delivery of optimal care. Evolution of technology and surgical expertise in pituitary surgery mandates ongoing review of all components of the care central to these patients. The many areas of potential variability in the pre, intra and post-operative timeline of pituitary surgery are readily identifiable. Core undertakings and contemporary controversies in the peri-operative management of patients undergoing endoscopic transsphenoidal pituitary surgery are assessed against the available literature with a view to providing guidance for the best evidence-based practice.
摘要
当代在处理前颅底问题时对内窥镜技术的采用，改变了垂体手术患者的围手术期情况。多学科团队在管理决策中的作用有助于提供最佳护理。垂体手术技术和手术专业知识的发展要求对这些患者护理的所有核心组成部分进行持续审查。垂体手术术前、术中和术后时间线中许多潜在的可变领域很容易识别。根据现有文献评估接受内镜经蝶窦垂体手术患者围手术期管理的核心工作和当代争议，以期为最佳循证实践提供指导。
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