Search

This article discusses the outcomes of endoscopic endonasal transcavernous surgery for pituitary adenomas. The study analyzed data from patients who underwent this surgery between 2018 and 2023. The results showed that transcavernous surgery was more common in repeat surgery patients and those with functioning adenomas. The study also examined the invasion patterns of the cavernous sinus compartments and found that the medial wall was the most frequently involved. The authors concluded that the outcomes of transcavernous surgery can vary depending on the specific compartments involved. [Extracted from the article]

This article discusses the surgical management and outcomes of pituitary adenomas with subarachnoid invasion. The study analyzed data from 321 patients who underwent an endoscopic endonasal approach for pituitary adenoma resection, and identified 13 patients with subarachnoid invasion. The surgical approach for these tumors involved careful dissection from surrounding neurovascular structures to achieve safe resection. Patients with subarachnoid invasion were more likely to have subtotal tumor resection and require additional treatment, such as medical therapy, radiation, or repeat resection. They also experienced higher rates of intra-operative CSF leak, postoperative diabetes insipidus, post-operative hematomas, and the need for adjuvant interventions. Overall, pituitary adenomas with subarachnoid invasion present unique challenges and require specialized surgical techniques. [Extracted from the article]