PubTransformer

A site to transform Pubmed publications into these bibliographic reference formats: ADS, BibTeX, EndNote, ISI used by the Web of Knowledge, RIS, MEDLINE, Microsoft's Word 2007 XML.

Low complication rate of sellar reconstruction by artificial dura mater during endoscopic endonasal transsphenoidal surgery.

Abstract To evaluate effect of sellar reconstruction during pituitary adenoma resection surgery by the endoscopic endonasal transsphenoidal approach using artificial cerebral dura mater patch.This was a retrospective study of 1281 patients who underwent endoscopic transsphenoidal resection for the treatment of pituitary adenomas between December 2006 and May 2014 at the Neurosurgery Department of the People's Liberation Army General Hospital. The patients were classified into 4 grades according to intraoperative cerebrospinal fluid (CSF) leakage site. All patients were followed up for 3 months by telephone and outpatient visits.One thousand seventy three (83.7%) patients underwent sellar reconstruction using artificial dura matter patched outside the sellar region (method A), 106 (8.3%) using artificial dura matter patched inside the sellar region (method B), and 102 (8.0%) using artificial dura matter and a mucosal flap (method C). Method A was used for grade 0-1 leakage, method B for grade 1 to 2 leakage, and method C for grade 2 to 3 leakage. During the 3-month follow-up, postoperative CSF leakage was observed in 7 patients (0.6%): 2 among patients who underwent method B (1.9%) and 5 among those who underwent method C (4.9%). Meningitis was diagnosed in 13 patients (1.0%): 2 among patients who underwent method A (0.2%), 4 among those who underwent method B (3.8%), and 7 among those who underwent method C (6.7%).Compared with other reconstruction methods, sellar reconstruction surgery that only use artificial dura mater as repair material had a low rate of complications.
PMID
Related Publications

Sellar Floor Reconstruction with the Medpor Implant Versus Autologous Bone After Transnasal Transsphenoidal Surgery: Outcome in 200 Consecutive Patients.

Endoscopic endonasal transsphenoidal approach to large and giant pituitary adenomas: institutional experience and predictors of extent of resection.

Optimizing Sellar Reconstruction After Pituitary Surgery with Free Mucosal Graft: Results from the First 50 Consecutive Patients.

Sellar floor reconstruction with nasal turbinate tissue after endoscopic endonasal transsphenoidal surgery for pituitary adenomas.

Sellar reconstruction without intrasellar packing after endoscopic surgery of pituitary macroadenomas is better than its reputation.

Authors

Mayor MeshTerms

Natural Orifice Endoscopic Surgery

Keywords
Journal Title medicine
Publication Year Start




PMID- 29384918
OWN - NLM
STAT- MEDLINE
DCOM- 20180209
LR  - 20180209
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 52
DP  - 2017 Dec
TI  - Low complication rate of sellar reconstruction by artificial dura mater during
      endoscopic endonasal transsphenoidal surgery.
PG  - e9422
LID - 10.1097/MD.0000000000009422 [doi]
AB  - To evaluate effect of sellar reconstruction during pituitary adenoma resection
      surgery by the endoscopic endonasal transsphenoidal approach using artificial
      cerebral dura mater patch.This was a retrospective study of 1281 patients who
      underwent endoscopic transsphenoidal resection for the treatment of pituitary
      adenomas between December 2006 and May 2014 at the Neurosurgery Department of the
      People's Liberation Army General Hospital. The patients were classified into 4
      grades according to intraoperative cerebrospinal fluid (CSF) leakage site. All
      patients were followed up for 3 months by telephone and outpatient visits.One
      thousand seventy three (83.7%) patients underwent sellar reconstruction using
      artificial dura matter patched outside the sellar region (method A), 106 (8.3%)
      using artificial dura matter patched inside the sellar region (method B), and 102
      (8.0%) using artificial dura matter and a mucosal flap (method C). Method A was
      used for grade 0-1 leakage, method B for grade 1 to 2 leakage, and method C for
      grade 2 to 3 leakage. During the 3-month follow-up, postoperative CSF leakage was
      observed in 7 patients (0.6%): 2 among patients who underwent method B (1.9%) and
      5 among those who underwent method C (4.9%). Meningitis was diagnosed in 13
      patients (1.0%): 2 among patients who underwent method A (0.2%), 4 among those
      who underwent method B (3.8%), and 7 among those who underwent method C
      (6.7%).Compared with other reconstruction methods, sellar reconstruction surgery 
      that only use artificial dura mater as repair material had a low rate of
      complications.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Ye, Yuanliang
AU  - Ye Y
AD  - Department of Neurosurgery, The 3rd Affiliated Hospital of Guangxi Traditional
      Chinese Medical University, Liuzhou, Guangxi Autonomous Region.
FAU - Wang, Fuyu
AU  - Wang F
AD  - Department of Neurosurgery, PLA 301 Hospital, Beijing, China.
FAU - Zhou, Tao
AU  - Zhou T
AD  - Department of Neurosurgery, PLA 301 Hospital, Beijing, China.
FAU - Luo, Yi
AU  - Luo Y
AD  - Department of Neurosurgery, The 3rd Affiliated Hospital of Guangxi Traditional
      Chinese Medical University, Liuzhou, Guangxi Autonomous Region.
LA  - eng
PT  - Journal Article
PT  - Observational Study
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Adenoma/diagnostic imaging/*surgery
MH  - Adult
MH  - Cerebrospinal Fluid Leak/*surgery
MH  - Dura Mater/surgery
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Natural Orifice Endoscopic Surgery
MH  - Pituitary Neoplasms/diagnostic imaging/*surgery
MH  - Reconstructive Surgical Procedures/adverse effects/*methods
MH  - Retrospective Studies
MH  - Sella Turcica/*surgery
MH  - Sphenoid Sinus
EDAT- 2018/02/01 06:00
MHDA- 2018/02/10 06:00
CRDT- 2018/02/01 06:00
PHST- 2018/02/01 06:00 [entrez]
PHST- 2018/02/01 06:00 [pubmed]
PHST- 2018/02/10 06:00 [medline]
AID - 10.1097/MD.0000000000009422 [doi]
AID - 00005792-201712290-00026 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Dec;96(52):e9422. doi: 10.1097/MD.0000000000009422.