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Preoperative Computed Tomography (CT) Evaluation of Anatomical Abnormalities in Endonasal Transsphenoidal Approach in Pituitary Adenoma

BACKGROUND: This study aimed to retrospectively analyze patient clinical data to investigate the effects of computed tomography (CT) reconstruction and the measurement of abnormal structures in the endonasal sphenoidal sinus approach on the operative effects in patients undergoing pituitary adenoma...

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Autores principales: Guo, Zhengyi, Liu, Chunli, Hou, Haifeng, Li, Ruiying, Su, Jichun, Zhang, Fuyong, Xing, Guoqiang, Qian, Linlin, Qiu, Jianfeng, Xie, Yuanzhong, Zhu, Ningxi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5844192/
https://www.ncbi.nlm.nih.gov/pubmed/29497027
http://dx.doi.org/10.12659/MSM.904402
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author Guo, Zhengyi
Liu, Chunli
Hou, Haifeng
Li, Ruiying
Su, Jichun
Zhang, Fuyong
Xing, Guoqiang
Qian, Linlin
Qiu, Jianfeng
Xie, Yuanzhong
Zhu, Ningxi
author_facet Guo, Zhengyi
Liu, Chunli
Hou, Haifeng
Li, Ruiying
Su, Jichun
Zhang, Fuyong
Xing, Guoqiang
Qian, Linlin
Qiu, Jianfeng
Xie, Yuanzhong
Zhu, Ningxi
author_sort Guo, Zhengyi
collection PubMed
description BACKGROUND: This study aimed to retrospectively analyze patient clinical data to investigate the effects of computed tomography (CT) reconstruction and the measurement of abnormal structures in the endonasal sphenoidal sinus approach on the operative effects in patients undergoing pituitary adenoma resection. MATERIAL/METHODS: The records of 53 patients who underwent pituitary adenoma resection via the endonasal transsphenoidal approach in the Neurosurgery Department of Tai’an City Central Hospital from December 2010 to June 2016 were analyzed retrospectively. All cases showed anatomical abnormalities in the endonasal transsphenoidal approach that were detected by conventional CT scans. The clinical data of the patients were reviewed. After review, 26 patients who underwent preoperative CT reconstruction and measurement of abnormal structures before surgery were included in the observation group (CT reconstruction group), and 27 patients who did not undergo CT reconstruction and measurement of abnormal structures were included in the control group. Data on intraoperative blood loss, surgical time, hospital stay, and postoperative complications were collected to assess the quality of the surgery. RESULTS: Compared with the control group, the observation group showed less blood loss (p<0.001), a shorter operation time (p<0.001), fewer postoperative complications (p<0.001), and a shorter hospital stay (p<0.001). CONCLUSIONS: Preoperative CT reconstruction and measurement of abnormal structures in patients undergoing pituitary adenoma resection by the endonasal transsphenoidal approach can improve operative quality and reduce complications.
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spelling pubmed-58441922018-03-12 Preoperative Computed Tomography (CT) Evaluation of Anatomical Abnormalities in Endonasal Transsphenoidal Approach in Pituitary Adenoma Guo, Zhengyi Liu, Chunli Hou, Haifeng Li, Ruiying Su, Jichun Zhang, Fuyong Xing, Guoqiang Qian, Linlin Qiu, Jianfeng Xie, Yuanzhong Zhu, Ningxi Med Sci Monit Clinical Research BACKGROUND: This study aimed to retrospectively analyze patient clinical data to investigate the effects of computed tomography (CT) reconstruction and the measurement of abnormal structures in the endonasal sphenoidal sinus approach on the operative effects in patients undergoing pituitary adenoma resection. MATERIAL/METHODS: The records of 53 patients who underwent pituitary adenoma resection via the endonasal transsphenoidal approach in the Neurosurgery Department of Tai’an City Central Hospital from December 2010 to June 2016 were analyzed retrospectively. All cases showed anatomical abnormalities in the endonasal transsphenoidal approach that were detected by conventional CT scans. The clinical data of the patients were reviewed. After review, 26 patients who underwent preoperative CT reconstruction and measurement of abnormal structures before surgery were included in the observation group (CT reconstruction group), and 27 patients who did not undergo CT reconstruction and measurement of abnormal structures were included in the control group. Data on intraoperative blood loss, surgical time, hospital stay, and postoperative complications were collected to assess the quality of the surgery. RESULTS: Compared with the control group, the observation group showed less blood loss (p<0.001), a shorter operation time (p<0.001), fewer postoperative complications (p<0.001), and a shorter hospital stay (p<0.001). CONCLUSIONS: Preoperative CT reconstruction and measurement of abnormal structures in patients undergoing pituitary adenoma resection by the endonasal transsphenoidal approach can improve operative quality and reduce complications. International Scientific Literature, Inc. 2018-03-02 /pmc/articles/PMC5844192/ /pubmed/29497027 http://dx.doi.org/10.12659/MSM.904402 Text en © Med Sci Monit, 2018 This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) )
spellingShingle Clinical Research
Guo, Zhengyi
Liu, Chunli
Hou, Haifeng
Li, Ruiying
Su, Jichun
Zhang, Fuyong
Xing, Guoqiang
Qian, Linlin
Qiu, Jianfeng
Xie, Yuanzhong
Zhu, Ningxi
Preoperative Computed Tomography (CT) Evaluation of Anatomical Abnormalities in Endonasal Transsphenoidal Approach in Pituitary Adenoma
title Preoperative Computed Tomography (CT) Evaluation of Anatomical Abnormalities in Endonasal Transsphenoidal Approach in Pituitary Adenoma
title_full Preoperative Computed Tomography (CT) Evaluation of Anatomical Abnormalities in Endonasal Transsphenoidal Approach in Pituitary Adenoma
title_fullStr Preoperative Computed Tomography (CT) Evaluation of Anatomical Abnormalities in Endonasal Transsphenoidal Approach in Pituitary Adenoma
title_full_unstemmed Preoperative Computed Tomography (CT) Evaluation of Anatomical Abnormalities in Endonasal Transsphenoidal Approach in Pituitary Adenoma
title_short Preoperative Computed Tomography (CT) Evaluation of Anatomical Abnormalities in Endonasal Transsphenoidal Approach in Pituitary Adenoma
title_sort preoperative computed tomography (ct) evaluation of anatomical abnormalities in endonasal transsphenoidal approach in pituitary adenoma
topic Clinical Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5844192/
https://www.ncbi.nlm.nih.gov/pubmed/29497027
http://dx.doi.org/10.12659/MSM.904402
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