3-D endoscopy in surgery of pituitary adenomas, prospective evaluation of patient gain using basic outcome parameters
Uvelius, Erik LU and Siesjö, Peter LU
(2020)
In Journal of Clinical Neuroscience
76.
p.166-170
- Abstract
The present prospective cohort study evaluates the effect of three-dimensional (3-D) endoscopy on outcome in transphenoidal endoscopic surgery of pituitary adenomas compared to conventional two-dimensional (2-D) endoscopy. Prospective data was collected from patients undergoing endoscopic surgery for pituitary adenomas before and after the introduction of 3-D endoscopy. Patients, grouped by having 2-D or 3-D endoscopic surgery, were compared in regard to procedure time, intraoperative blood loss, complications, hospital stay, grade of resection and quality of life (QoL). Twenty-six patients having surgery with 2-D endoscopy were compared with 29 patients having surgery with 3-D endoscope. Only primary procedures were included. There... (More)
The present prospective cohort study evaluates the effect of three-dimensional (3-D) endoscopy on outcome in transphenoidal endoscopic surgery of pituitary adenomas compared to conventional two-dimensional (2-D) endoscopy. Prospective data was collected from patients undergoing endoscopic surgery for pituitary adenomas before and after the introduction of 3-D endoscopy. Patients, grouped by having 2-D or 3-D endoscopic surgery, were compared in regard to procedure time, intraoperative blood loss, complications, hospital stay, grade of resection and quality of life (QoL). Twenty-six patients having surgery with 2-D endoscopy were compared with 29 patients having surgery with 3-D endoscope. Only primary procedures were included. There were no significant differences in baseline characteristics between the two groups. No statistically significant differences in outcome were noted with 3-D endoscopy. Procedure time, complication rate, hospital stay, rate of gross total resection and post-operative QoL were unaffected by surgical technique though there were non-significant increases in new pituitary insufficiency with 3-D endoscopy and diabetes insipidus with 2-D endoscopy. This prospective cohort study fails to show obvious outcome advantages with 3-D endoscopy in pituitary surgery using basic parameters including post-operative QoL. To our knowledge this is the first prospective study published on the matter, thus corroborating results from previous retrospective studies with similar results on 3-D neuroendoscopy and 3-D endoscopy in general. The main advantage of increased depth perception is more likely found in more complex extended transphenoidal skull base procedure.
(Less)
- author
- Uvelius, Erik
LU
and Siesjö, Peter
LU
- organization
- publishing date
- 2020-06-01
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- 2D endoscopy, 3D endoscopy, Pituitary adenoma, Pituitary neoplasms/surgery, Transphenoidal surgery
- in
- Journal of Clinical Neuroscience
- volume
- 76
- pages
- 5 pages
- publisher
- Elsevier
- external identifiers
-
- scopus:85082853116
- pmid:32253144
- ISSN
- 0967-5868
- DOI
- 10.1016/j.jocn.2020.03.026
- language
- English
- LU publication?
- yes
- id
- 6a7c6dd7-878d-490e-8745-ed05a584e740
- date added to LUP
- 2020-04-24 14:45:35
- date last changed
- 2024-05-29 12:01:33
@article{6a7c6dd7-878d-490e-8745-ed05a584e740,
abstract = {{<p>The present prospective cohort study evaluates the effect of three-dimensional (3-D) endoscopy on outcome in transphenoidal endoscopic surgery of pituitary adenomas compared to conventional two-dimensional (2-D) endoscopy. Prospective data was collected from patients undergoing endoscopic surgery for pituitary adenomas before and after the introduction of 3-D endoscopy. Patients, grouped by having 2-D or 3-D endoscopic surgery, were compared in regard to procedure time, intraoperative blood loss, complications, hospital stay, grade of resection and quality of life (QoL). Twenty-six patients having surgery with 2-D endoscopy were compared with 29 patients having surgery with 3-D endoscope. Only primary procedures were included. There were no significant differences in baseline characteristics between the two groups. No statistically significant differences in outcome were noted with 3-D endoscopy. Procedure time, complication rate, hospital stay, rate of gross total resection and post-operative QoL were unaffected by surgical technique though there were non-significant increases in new pituitary insufficiency with 3-D endoscopy and diabetes insipidus with 2-D endoscopy. This prospective cohort study fails to show obvious outcome advantages with 3-D endoscopy in pituitary surgery using basic parameters including post-operative QoL. To our knowledge this is the first prospective study published on the matter, thus corroborating results from previous retrospective studies with similar results on 3-D neuroendoscopy and 3-D endoscopy in general. The main advantage of increased depth perception is more likely found in more complex extended transphenoidal skull base procedure.</p>}},
author = {{Uvelius, Erik and Siesjö, Peter}},
issn = {{0967-5868}},
keywords = {{2D endoscopy; 3D endoscopy; Pituitary adenoma; Pituitary neoplasms/surgery; Transphenoidal surgery}},
language = {{eng}},
month = {{06}},
pages = {{166--170}},
publisher = {{Elsevier}},
series = {{Journal of Clinical Neuroscience}},
title = {{3-D endoscopy in surgery of pituitary adenomas, prospective evaluation of patient gain using basic outcome parameters}},
url = {{http://dx.doi.org/10.1016/j.jocn.2020.03.026}},
doi = {{10.1016/j.jocn.2020.03.026}},
volume = {{76}},
year = {{2020}},
}