Türk Nöroşirürji Dergisi 2013 , Vol 23 , Num 3
Pure Endoscopic Endonasal Transsphenoidal Pituitary Surgery: Our Experience at Dicle University
Cüneyt GÖÇMEZ1, Kağan KAMAŞAK1, Feyzi ÇELİK2, Faruk KILINÇ3, Bülent DÜZ4
1Dicle Üniversitesi, Tıp Fakültesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, Diyarbakır, Türkiye
2Dicle Üniversitesi, Tıp Fakültesi, Anestezi ve Reanimasyon Anabilim Dalı, Diyarbakır, Türkiye
3Dicle Üniversitesi, Tıp Fakültesi, Endokrinoloji Bilim Dalı, Diyarbakır, Türkiye
4GATA Haydarpaşa, Beyin ve Sinir Cerrahisi Anabilim Dalı, Istanbul, Türkiye
AIM: The aim of this study was to present the results of our first thirty pure endoscopic endonasal transsphenoidal surgery (pEETS) cases were performed at our clinic. Our goal was also to share the problems and experiences we faced while beginning to apply this procedure to treat pathologies of the sellar region.

MATERIAL and METHODS: A total of 30 patients who had a sellar region tumor and underwent pEETS between September 2010 and April 2013 were retrospectively evaluated. The patients’ age, gender, preoperative MR images, post-operative complications as well as type of the tumor were evaluated.

RESULTS: Seventeen (56.7%) of thirty patients were male and thirteen (43.3%) were female. The mean age was 47.74 (range 23-74) years. Out of a total of 30 patients, 17 had secretory pituitary adenomas, and 10 had non-functioning adenomas. According to the pathology examination, one patient was diagnosed with aspergilloma, one with clivus chordoma, and one with craniopharyngioma.

CONCLUSION: The importance of endoscopic surgery in pathologies involving the base of the skull is increasing rapidly. According to our experience with the first thirty cases, pEETS is a safe and effective treatment modality, associated with minimal morbidity. Anahtar Kelimeler : Endonasal transsphenoidal surgery, Pituitary surgery, Transsphenoidal approach