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Resection of large invasive pituitary adenomas with individualized approach under neuronavigator guidance:a report of 17 cases
Ist Teil von
Jie fang jun yi xue za zhi, 2011-01, Vol.36 (5), p.523
Ort / Verlag
Beijing: People's Military Medical Press
Erscheinungsjahr
2011
Quelle
EZB Electronic Journals Library
Beschreibungen/Notizen
Objective To explore the operative method and therapeutic efficacy of surgical resection of large invasive pituitary adenomas with individualized approach under neuronavigator guidance.Methods Seventeen patients(10 males and 7 females,aged from 22 to 78 years with a mean of 39.2±9.2 years) suffering from large invasive pituitary adenoma of higher than Hardy IV grade hospitalized from 2004 to 2009 were involved in the present study.All procedures were performed with the assistance of neuronavigator via individualized pterion approach,subfrontal extradural approach,trans-sphenoidal approach,or combined approach.The dispersedly invasive pituitary adenomas were resected under the guidance of neuronavigator by fully utilizing the natural anatomical cleavages.All the patients received follow-up CT scanning 3 days after operation,MRI scanning 1 to 3 months after operation,and clinical follow-up ranged from 6 to 72 months.The resection extent and outcome were assessed by imaging examination and clinical results.Resul