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Erschienen in: Acta Neurochirurgica 8/2010

01.08.2010

Endocrine outcomes in Endoscopic Pituitary Surgery: A Literature Review

verfasst von: Neil L. Dorward

Erschienen in: Acta Neurochirurgica | Ausgabe 8/2010

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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.
Literatur
1.
Zurück zum Zitat Abe T, Lüdecke DK (2001) Effects of preoperative octreotide treatment on different subtypes of 90 GH-secreting pituitary adenomas and outcome in one surgical centre. Eur J Endocrinol 145(2):137–145PubMedCrossRef Abe T, Lüdecke DK (2001) Effects of preoperative octreotide treatment on different subtypes of 90 GH-secreting pituitary adenomas and outcome in one surgical centre. Eur J Endocrinol 145(2):137–145PubMedCrossRef
2.
Zurück zum Zitat Beauregard C, Truong U, Hardy J, Serri O (2003) Long-term outcome and mortality after transsphenoidal adenomectomy for acromegaly. Clin Endocrinol (Oxf) 58(1):86–91CrossRef Beauregard C, Truong U, Hardy J, Serri O (2003) Long-term outcome and mortality after transsphenoidal adenomectomy for acromegaly. Clin Endocrinol (Oxf) 58(1):86–91CrossRef
3.
Zurück zum Zitat Cappabianca P, Alfieri A, de Divitiis E (1998) Endoscopic endonasal transsphenoidal approach to the sella: towards functional endoscopic pituitary surgery (FEPS). Minim Invasive Neurosurg 41(2):66–73PubMedCrossRef Cappabianca P, Alfieri A, de Divitiis E (1998) Endoscopic endonasal transsphenoidal approach to the sella: towards functional endoscopic pituitary surgery (FEPS). Minim Invasive Neurosurg 41(2):66–73PubMedCrossRef
4.
Zurück zum Zitat Cappabianca P, Cavallo LM, Colao A, Del Basso De Caro M, Esposito F, Cirillo S, Lombardi G, de Divitiis E (2002) Endoscopic endonasal transsphenoidal approach: outcome analysis of 100 consecutive procedures. Minim Invasive Neurosurg 45(4):193–200PubMedCrossRef Cappabianca P, Cavallo LM, Colao A, Del Basso De Caro M, Esposito F, Cirillo S, Lombardi G, de Divitiis E (2002) Endoscopic endonasal transsphenoidal approach: outcome analysis of 100 consecutive procedures. Minim Invasive Neurosurg 45(4):193–200PubMedCrossRef
5.
Zurück zum Zitat Casler JD, Doolittle AM, Mair EA (2005) Endoscopic surgery of the anterior skull base. Laryngoscope 115(1):16–24PubMedCrossRef Casler JD, Doolittle AM, Mair EA (2005) Endoscopic surgery of the anterior skull base. Laryngoscope 115(1):16–24PubMedCrossRef
6.
Zurück zum Zitat Cavallo LM, Briganti F, Cappabianca P, Maiuri F, Valente V, Tortora F, Volpe A, Messina A, Elefante A, De Divitiis E (2004) Hemorrhagic vascular complications of endoscopic transsphenoidal surgery. Minim Invasive Neurosurg 47(3):145–150PubMedCrossRef Cavallo LM, Briganti F, Cappabianca P, Maiuri F, Valente V, Tortora F, Volpe A, Messina A, Elefante A, De Divitiis E (2004) Hemorrhagic vascular complications of endoscopic transsphenoidal surgery. Minim Invasive Neurosurg 47(3):145–150PubMedCrossRef
7.
Zurück zum Zitat Charalampaki P, Ayyad A, Kockro RA, Perneczky A (2009) Surgical complications after endoscopic transsphenoidal pituitary surgery. J Clin Neurosci 16(6):786–789, Epub 2009 Mar 16PubMedCrossRef Charalampaki P, Ayyad A, Kockro RA, Perneczky A (2009) Surgical complications after endoscopic transsphenoidal pituitary surgery. J Clin Neurosci 16(6):786–789, Epub 2009 Mar 16PubMedCrossRef
8.
Zurück zum Zitat Cho DY, Liau WR (2002) Comparison of endonasal endoscopic surgery and sublabial microsurgery for prolactinomas. Surg Neurol 58(6):371–375, discussion 375-6PubMedCrossRef Cho DY, Liau WR (2002) Comparison of endonasal endoscopic surgery and sublabial microsurgery for prolactinomas. Surg Neurol 58(6):371–375, discussion 375-6PubMedCrossRef
9.
Zurück zum Zitat Choe JH, Lee KS, Jeun SS, Cho JH, Hong YK (2008) Endocrine outcome of endoscopic endonasal transsphenoidal surgery in functioning pituitary adenomas. J Korean Neurosurg Soc 44(3):151–155, Epub 2008 Sep 30PubMedCrossRef Choe JH, Lee KS, Jeun SS, Cho JH, Hong YK (2008) Endocrine outcome of endoscopic endonasal transsphenoidal surgery in functioning pituitary adenomas. J Korean Neurosurg Soc 44(3):151–155, Epub 2008 Sep 30PubMedCrossRef
10.
Zurück zum Zitat Ciric I, Ragin A, Baumgartner C, Pierce D (1996) Complications of transphenoidal surgery: Results of a national survey, review of the literature and personal experience. Neurosurgery 40(2):225–237CrossRef Ciric I, Ragin A, Baumgartner C, Pierce D (1996) Complications of transphenoidal surgery: Results of a national survey, review of the literature and personal experience. Neurosurgery 40(2):225–237CrossRef
11.
Zurück zum Zitat De P, Rees DA, Davies N, John R, Neal J, Mills RG, Vafidis J, Davies JS, Scanlon MF (2003) Transsphenoidal surgery for acromegaly in wales: results based on stringent criteria of remission. J Clin Endocrinol Metab 88(8):3567–3572PubMedCrossRef De P, Rees DA, Davies N, John R, Neal J, Mills RG, Vafidis J, Davies JS, Scanlon MF (2003) Transsphenoidal surgery for acromegaly in wales: results based on stringent criteria of remission. J Clin Endocrinol Metab 88(8):3567–3572PubMedCrossRef
12.
Zurück zum Zitat Dehdashti AR, Ganna A, Karabatsou K, Gentili F (2008) Pure endoscopic endonasal approach for pituitary adenomas: early surgical results in 200 patients and comparison with previous microsurgical series. Neurosurgery 62(5):1006–1015PubMedCrossRef Dehdashti AR, Ganna A, Karabatsou K, Gentili F (2008) Pure endoscopic endonasal approach for pituitary adenomas: early surgical results in 200 patients and comparison with previous microsurgical series. Neurosurgery 62(5):1006–1015PubMedCrossRef
13.
Zurück zum Zitat D'Haens J, Van Rompaey K, Stadnik T, Haentjens P, Poppe K, Velkeniers B (2009) Fully endoscopic transsphenoidal surgery for functioning pituitary adenomas: a retrospective comparison with traditional transsphenoidal microsurgery in the same institution. Surg Neurol 72(4):336–340, Epub 2009 Jul 14PubMedCrossRef D'Haens J, Van Rompaey K, Stadnik T, Haentjens P, Poppe K, Velkeniers B (2009) Fully endoscopic transsphenoidal surgery for functioning pituitary adenomas: a retrospective comparison with traditional transsphenoidal microsurgery in the same institution. Surg Neurol 72(4):336–340, Epub 2009 Jul 14PubMedCrossRef
14.
Zurück zum Zitat Frank G, Pasquini E, Farneti G, Mazzatenta D, Sciarretta V, Grasso V, Faustini Fustini M (2006) The endoscopic versus the traditional approach in pituitary surgery. Neuroendocrinology 83(3–4):240–248PubMedCrossRef Frank G, Pasquini E, Farneti G, Mazzatenta D, Sciarretta V, Grasso V, Faustini Fustini M (2006) The endoscopic versus the traditional approach in pituitary surgery. Neuroendocrinology 83(3–4):240–248PubMedCrossRef
15.
Zurück zum Zitat Giustina A, Barkan A, Casanueva FF, Cavagnini F, Frohman L, Ho K, Veldhuis J, Wass J, Von Werder K, Melmed S (2000) Criteria for cure of acromegaly: a consensus statement. J Clin Endocrinol Metab 85(2):526–529PubMedCrossRef Giustina A, Barkan A, Casanueva FF, Cavagnini F, Frohman L, Ho K, Veldhuis J, Wass J, Von Werder K, Melmed S (2000) Criteria for cure of acromegaly: a consensus statement. J Clin Endocrinol Metab 85(2):526–529PubMedCrossRef
16.
Zurück zum Zitat Gondim JA, Schops M, de Almeida JP, de Albuquerque LA, Gomes E, Ferraz T, Barroso FA (2010) Endoscopic endonasal transsphenoidal surgery: surgical results of 228 pituitary adenomas treated in a pituitary center. Pituitary 13(1):68–77, Epub 2009 Aug 21PubMedCrossRef Gondim JA, Schops M, de Almeida JP, de Albuquerque LA, Gomes E, Ferraz T, Barroso FA (2010) Endoscopic endonasal transsphenoidal surgery: surgical results of 228 pituitary adenomas treated in a pituitary center. Pituitary 13(1):68–77, Epub 2009 Aug 21PubMedCrossRef
17.
Zurück zum Zitat Jankowski R, Auque J, Simon C, Marchal JC, Hepner H, Wayoff M (1992) Endoscopic pituitary tumor surgery. Laryngoscope 102:198–202PubMedCrossRef Jankowski R, Auque J, Simon C, Marchal JC, Hepner H, Wayoff M (1992) Endoscopic pituitary tumor surgery. Laryngoscope 102:198–202PubMedCrossRef
18.
Zurück zum Zitat Jho HD, Carrau RL (1996) Endoscopy assisted transsphenoidal surgery for pituitary adenoma. Acta Neurochir (Wien) 138(12):1416–1425CrossRef Jho HD, Carrau RL (1996) Endoscopy assisted transsphenoidal surgery for pituitary adenoma. Acta Neurochir (Wien) 138(12):1416–1425CrossRef
20.
Zurück zum Zitat Kabil MS, Eby JB, Shahinian HK (2005) Fully endoscopic endonasal vs. transseptal transsphenoidal pituitary surgery. Minim Invasive Neurosurg 48(6):348–354PubMedCrossRef Kabil MS, Eby JB, Shahinian HK (2005) Fully endoscopic endonasal vs. transseptal transsphenoidal pituitary surgery. Minim Invasive Neurosurg 48(6):348–354PubMedCrossRef
21.
Zurück zum Zitat Kaltsas GA, Isidori AM, Florakis D, Trainer PJ, Camacho-Hubner C, Afshar F, Sabin I, Jenkins JP, Chew SL, Monson JP, Besser GM, Grossman AB (2001) Predictors of the outcome of surgical treatment in acromegaly and the value of the mean growth hormone day curve in assessing postoperative disease activity. J Clin Endocrinol Metab 86(4):1645–1652PubMedCrossRef Kaltsas GA, Isidori AM, Florakis D, Trainer PJ, Camacho-Hubner C, Afshar F, Sabin I, Jenkins JP, Chew SL, Monson JP, Besser GM, Grossman AB (2001) Predictors of the outcome of surgical treatment in acromegaly and the value of the mean growth hormone day curve in assessing postoperative disease activity. J Clin Endocrinol Metab 86(4):1645–1652PubMedCrossRef
22.
Zurück zum Zitat Koc K, Anik I, Ozdamar D, Cabuk B, Keskin G, Ceylan S (2006) The learning curve in endoscopic pituitary surgery and our experience. Neurosurg Rev 29(4):298–305, Epub 2006 Aug 26PubMedCrossRef Koc K, Anik I, Ozdamar D, Cabuk B, Keskin G, Ceylan S (2006) The learning curve in endoscopic pituitary surgery and our experience. Neurosurg Rev 29(4):298–305, Epub 2006 Aug 26PubMedCrossRef
23.
Zurück zum Zitat Laws ER, Vance ML, Thapar K (2000) Pituitary surgery for the management of acromegaly. Horm Res 53(Suppl 3):71–75PubMedCrossRef Laws ER, Vance ML, Thapar K (2000) Pituitary surgery for the management of acromegaly. Horm Res 53(Suppl 3):71–75PubMedCrossRef
24.
Zurück zum Zitat Netea-Maier RT, van Lindert EJ, den Heijer M, van der Eerden A, Pieters GF, Sweep CG, Grotenhuis JA, Hermus AR (2006) Transsphenoidal pituitary surgery via the endoscopic technique: results in 35 consecutive patients with Cushing's disease. Eur J Endocrinol 154(5):675–684PubMedCrossRef Netea-Maier RT, van Lindert EJ, den Heijer M, van der Eerden A, Pieters GF, Sweep CG, Grotenhuis JA, Hermus AR (2006) Transsphenoidal pituitary surgery via the endoscopic technique: results in 35 consecutive patients with Cushing's disease. Eur J Endocrinol 154(5):675–684PubMedCrossRef
25.
Zurück zum Zitat Nomikos P, Buchfelder M, Fahlbusch R (2005) The outcome of surgery in 668 patients with acromegaly using current criteria of biochemical 'cure'. Eur J Endocrinol 152(3):379–387PubMedCrossRef Nomikos P, Buchfelder M, Fahlbusch R (2005) The outcome of surgery in 668 patients with acromegaly using current criteria of biochemical 'cure'. Eur J Endocrinol 152(3):379–387PubMedCrossRef
26.
Zurück zum Zitat Rudnik A, Zawadzki T, Wojtacha M, Bazowski P, Gamrot J, Galuszka-Ignasiak B, Duda I (2005) Endoscopic transnasal transsphenoidal treatment of pathology of the sellar region. Minim Invasive Neurosurg 48(2):101–107PubMedCrossRef Rudnik A, Zawadzki T, Wojtacha M, Bazowski P, Gamrot J, Galuszka-Ignasiak B, Duda I (2005) Endoscopic transnasal transsphenoidal treatment of pathology of the sellar region. Minim Invasive Neurosurg 48(2):101–107PubMedCrossRef
27.
Zurück zum Zitat Rudnik A, Kos-Kudła B, Larysz D, Zawadzki T, Bazowski P (2007) Endoscopic transsphenoidal treatment of hormonally active pituitary adenomas. Neuro Endocrinol Lett 28(4):438–444PubMed Rudnik A, Kos-Kudła B, Larysz D, Zawadzki T, Bazowski P (2007) Endoscopic transsphenoidal treatment of hormonally active pituitary adenomas. Neuro Endocrinol Lett 28(4):438–444PubMed
28.
Zurück zum Zitat Shah S, Har-El G (2001) Diabetes insipidus after pituitary surgery: incidence after traditional versus endoscopic transsphenoidal approaches. Am J Rhinol 15(6):377–379PubMed Shah S, Har-El G (2001) Diabetes insipidus after pituitary surgery: incidence after traditional versus endoscopic transsphenoidal approaches. Am J Rhinol 15(6):377–379PubMed
29.
Zurück zum Zitat Shen CC, Wang YC, Hua WS, Chang CS, Sun MH (2000) Endoscopic endonasal transsphenoidal surgery for pituitary tumors. Chin Med J (Eng) 63(4):301–310 Shen CC, Wang YC, Hua WS, Chang CS, Sun MH (2000) Endoscopic endonasal transsphenoidal surgery for pituitary tumors. Chin Med J (Eng) 63(4):301–310
30.
Zurück zum Zitat Shimon I, Cohen ZR, Ram Z, Hadani M (2001) Transsphenoidal surgery for acromegaly: endocrinological follow-up of 98 patients. Neurosurgery 48(6):1239–1243PubMed Shimon I, Cohen ZR, Ram Z, Hadani M (2001) Transsphenoidal surgery for acromegaly: endocrinological follow-up of 98 patients. Neurosurgery 48(6):1239–1243PubMed
31.
Zurück zum Zitat Tabaee A, Anand VK, Barrón Y, Hiltzik DH, Brown SM, Kacker A, Mazumdar M, Schwartz TH (2009) Endoscopic pituitary surgery: a systematic review and meta-analysis. J Neurosurg 111(3):545–554PubMedCrossRef Tabaee A, Anand VK, Barrón Y, Hiltzik DH, Brown SM, Kacker A, Mazumdar M, Schwartz TH (2009) Endoscopic pituitary surgery: a systematic review and meta-analysis. J Neurosurg 111(3):545–554PubMedCrossRef
32.
Zurück zum Zitat Trepp R, Stettler C, Zwahlen M, Seiler R, Diem P, Christ ER (2005) Treatment outcomes and mortality of 94 patients with acromegaly. Acta Neurochir (Wien) 147(3):243–251CrossRef Trepp R, Stettler C, Zwahlen M, Seiler R, Diem P, Christ ER (2005) Treatment outcomes and mortality of 94 patients with acromegaly. Acta Neurochir (Wien) 147(3):243–251CrossRef
33.
Zurück zum Zitat Uren B, Vrodos N, Wormald PJ (2007) Fully endoscopic transsphenoidal resection of pituitary tumors: technique and results. Am J Rhinol 21(4):510–514PubMedCrossRef Uren B, Vrodos N, Wormald PJ (2007) Fully endoscopic transsphenoidal resection of pituitary tumors: technique and results. Am J Rhinol 21(4):510–514PubMedCrossRef
34.
Zurück zum Zitat White DR, Sonnenburg RE, Ewend MG, Senior BA (2004) Safety of minimally invasive pituitary surgery (MIPS) compared with a traditional approach. Laryngoscope 114(11):1945–1948PubMedCrossRef White DR, Sonnenburg RE, Ewend MG, Senior BA (2004) Safety of minimally invasive pituitary surgery (MIPS) compared with a traditional approach. Laryngoscope 114(11):1945–1948PubMedCrossRef
35.
Zurück zum Zitat Wurster CF, Smith DE (1994) The endoscopic approach to the pituitary gland. Arch Otolaryngol Head Neck Surg 120(6):674PubMed Wurster CF, Smith DE (1994) The endoscopic approach to the pituitary gland. Arch Otolaryngol Head Neck Surg 120(6):674PubMed
36.
Zurück zum Zitat Zhang Y, Wang Z, Liu Y, Zong X, Song M, Pei A, Zhao P, Zhang P, Piao M (2008) Endoscopic transsphenoidal treatment of pituitary adenomas. Neurol Res 30:581–586PubMedCrossRef Zhang Y, Wang Z, Liu Y, Zong X, Song M, Pei A, Zhao P, Zhang P, Piao M (2008) Endoscopic transsphenoidal treatment of pituitary adenomas. Neurol Res 30:581–586PubMedCrossRef
Metadaten
Titel
Endocrine outcomes in Endoscopic Pituitary Surgery: A Literature Review
verfasst von
Neil L. Dorward
Publikationsdatum
01.08.2010
Verlag
Springer Vienna
Erschienen in
Acta Neurochirurgica / Ausgabe 8/2010
Print ISSN: 0001-6268
Elektronische ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-010-0649-y

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