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Exploration of pituitary stalk-preserved resection of pituitary adenoma via modified frontalbase approach

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Author:
DU Chun-fu(Department of Neurosurgery,AVIC 363 Hospital,Chengdu 610041,China)
GAO Jin-jian(Department of Neurosurgery,AVIC 363 Hospital,Chengdu 610041,China)
FENG Wen(Department of Neurosurgery,AVIC 363 Hospital,Chengdu 610041,China)
GAO Li-min(Department of Neurosurgery,AVIC 363 Hospital,Chengdu 610041,China)
WU Jian-bing(Department of Neurosurgery,AVIC 363 Hospital,Chengdu 610041,China)
ZHENG Hong-wei(Department of Neurosurgery,AVIC 363 Hospital,Chengdu 610041,China)
LUO Li(Department of Neurosurgery,AVIC 363 Hospital,Chengdu 610041,China)
ZHAO He-xiang(Department of Neurosurgery,AVIC 363 Hospital,Chengdu 610041,China)
CAO Yi(Department of Neurosurgery,AVIC 363 Hospital,Chengdu 610041,China)
Journal Title:
China Medicine
Issue:
Volume 07, Issue 11, 2012
DOI:
10.3760/cma.j.issn.1673-4777.2012.11.017
Key Word:
Pituitary neoplasms;Modified frontalbase approach;Protection of pituitary stalk

Abstract: Objective To explore the microsurgical resection of pituitary adenoma and the technique to preserve the pituitary stalk via modified frontalbase approach.Methods Fifty cases were treated via modified frontalbase approach.Results Total removal of the tumor was got in 45 cases (90%) and subtotal resection was performed in 5 cases (10%).The pituitary stalks were reserved in 48 cases (96%).We couldn't find the pituitary stalks in 2 cases.The pituitary stalks can be protected well via modified frontalbase approach and can reduce the postoperative incidence of adverse reactions.Conclusion The protection of pituitary stalk is effective via modified frontal base approach with a limited effect on eyesight.

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