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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Study to Evaluate the Efficacy of Endoscopic Versus Microscopic Excision of Pituitary Adenoma, in a Tertiary Care Hospital South India

B.D. Bharath Singh Naik, Ravi Theja Akumalla and G.N. Bhaskar Babu
Page: 283-287 | Received 31 Jan 2024, Published online: 11 Mar 2024

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https://doi.org/10.36478/0.59218/makrjms.2024.3.283.287

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Abstract

The aim of the present study is to compare the efficacy of endoscopic versus microscopic excision of pituitary adenoma. The present study included 100 cases of pituitary adenoma. 60 cases underwent endonasal endoscopic Tran’s sphenoidal surgery whereas remaining 40 cases were operated using the microscopic Trans sphenoidal surgery. In endoscopic group, the mean symptom duration was 28.22±19.31 months (15 days to 8 years), whereas in microscopic group, it was 22.6±18.02 months (1 month to 5 years). Endoscopically, 40 (66.66%) and microscopically 22 (55%) patients had complete tumour resection. In the endoscopic group, the average operation time was 1.88±0.32 hours (range 80‐135 min). The microscopic group had a mean operational time of 2.28±0.12 hours (range: 120‐145 min Mean blood loss in endoscopic group was 125.45±38.62 ml (range: 60‐190 ml), whereas in microscopic group, it was 178.22±40.024 ml (range: 100‐220 ml). Postoperative complications were seen in endoscopic and microscopic groups. Microscopic group had somewhat greater rates of diabetes insipidus, CSF leak, reoperation and sinusitis than endoscopic group. Both groups had postoperative hematoma and CSF leak reoperations. All post‐surgery patients improved their headaches and eyesight. In both groups, endocrinal function did not decline. In endoscopic group, mean hospital stay was 9.12 = 8±2.621 (5‐12 days), whereas in microscopic group, it was 10.05±2.154 (6‐14 days). Endoscopic surgery in pituitary adenoma has introduced new possibilities by both direct endonasal access and offering a comprehensive view of the sphenoid cavity and sella turcica. Endonasal endoscopic transsphenoidal surgery for pituitary adenomas is a safe and successful method.

How to cite this article:

B.D. Bharath Singh Naik, Ravi Theja Akumalla and G.N. Bhaskar Babu. Study to Evaluate the Efficacy of Endoscopic Versus Microscopic Excision of Pituitary Adenoma, in a Tertiary Care Hospital South India.
DOI: https://doi.org/10.36478/0.59218/makrjms.2024.3.283.287
URL: https://www.makhillpublications.co/view-article/1815-9346/0.59218/makrjms.2024.3.283.287