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Postoperative structural complications after microscopic transsphenoidal surgery of GH secreting pituitary adenomas / Complicações estruturais pós-operatórias após microcirurgia transesfenoidal de adenomas pituitários produtores de GH
Cunha, Marcelo Lemos Vieira da; Pletz, Ana Luiza Brunelli; Borba, Luis Alencar Biurrum; Boguszewski, Cesar Luiz.
Affiliation
  • Cunha, Marcelo Lemos Vieira da; Hospital Regional do Oeste. Chapecó. BR
  • Pletz, Ana Luiza Brunelli; Federal University of Paraná. Curitiba. BR
  • Borba, Luis Alencar Biurrum; Evangelic University Hospital from Curitiba. Neurosurgery Departament. Curitiba. BR
  • Boguszewski, Cesar Luiz; Hospital de Clínicas. Endocrinology and Metabolism. Curitiba. BR
Arq. bras. neurocir ; 32(4)dez. 2013. ilus, tab
Article in Portuguese | LILACS | ID: lil-721635
Responsible library: BR1.1
ABSTRACT

Objective:

Analyzing the rate of structural complications after transsphenoidal surgery for removal of growth hormone (GH) secreting pituitary adenomas.

Methods:

Retrospective study of 58 patients who underwent microscopic transsphenoidal neurosurgery for GH secreting pituitary adenomas exeresis in Curitiba, Parana state, Brazil, between 1998 and 2011 by the same neurosurgeon. The Criteria for diagnosis of complications were clinical.

Results:

Five (8,6%) of the 58 patients who underwent transsphenoidal surgery developed postoperative anatomical complications, which was due to sixth cranial nerve palsy (3,4%), surgical wound infection (1,7%) and CSF fistula (3,4%).

Conclusion:

The rate of postoperative complications observed in the present study is likely the literature review. There is a drop in the rate of complications with increasing experience of the neurosurgeon.
RESUMO

Objetivo:

Analisar a taxa de complicações anatômicas após cirurgia transesfenoidal para remoção de adenoma hipofisário produtor de hormônio do crescimento (GH).

Métodos:

Estudo retrospectivo de 58 pacientes operados por microcirurgia transesfenoidal para exérese de adenomas pituitários produtores de GH em Curitiba, Paraná, Brasil, entre 1998 e 2011, realizados pelo mesmo neurocirurgião. Diagnóstico das complicações foi clínico.

Resultados:

Dos 58 pacientes submetidos à cirurgia transesfenoidal, 5 (8,6%) desenvolveram complicações anatômicas, 3,4% foram em decorrência de paresia temporária do sexto nervo craniano, 1,7%, de infecção da ferida operatória, e 3,4%, de fístula liquórica.

Conclusão:

A taxa de complicações pós-operatórias observada no presente estudo está semelhante à da revisão literária. Há uma queda no índice de complicações conforme aumenta a experiência do neurocirurgião.
Subject(s)

Full text: Available Collection: International databases Database: LILACS Main subject: Postoperative Complications / Acromegaly / Growth Hormone-Secreting Pituitary Adenoma Type of study: Observational study / Risk factors Limits: Adolescent / Adult / Child / Female / Humans / Male Language: Portuguese Journal: Arq. bras. neurocir Journal subject: Cirurgia / Neurosurgery Year: 2013 Document type: Article Affiliation country: Brazil Institution/Affiliation country: Evangelic University Hospital from Curitiba/BR / Federal University of Paraná/BR / Hospital Regional do Oeste/BR / Hospital de Clínicas/BR
Full text: Available Collection: International databases Database: LILACS Main subject: Postoperative Complications / Acromegaly / Growth Hormone-Secreting Pituitary Adenoma Type of study: Observational study / Risk factors Limits: Adolescent / Adult / Child / Female / Humans / Male Language: Portuguese Journal: Arq. bras. neurocir Journal subject: Cirurgia / Neurosurgery Year: 2013 Document type: Article Affiliation country: Brazil Institution/Affiliation country: Evangelic University Hospital from Curitiba/BR / Federal University of Paraná/BR / Hospital Regional do Oeste/BR / Hospital de Clínicas/BR
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