The learning curve of endoscopic endonasal transsphenoidal surgery for pituitary adenomas with different surgical complexity

To investigate the learning curve under different surgical complexity in endoscopic transsphenoidal approach for pituitary adenoma. 273 patients undergoing endoscopic transsphenoidal surgery for pituitary adenoma were collected retrospectively and divided into three groups chronologically (early, mi...

Full description

Saved in:
Bibliographic Details
Published in:Frontiers in surgery 2023-03, Vol.10, p.1117766-1117766
Main Authors: Huang, Jinxiang, Hong, Xinjie, Cai, Zheng, Lv, Qian, Jiang, Ying, Dai, Wei, Hu, Guohan, Yan, Yong, Chen, Juxiang, Ding, Xuehua
Format: Article
Language:English
Subjects:
endoscopic transsphenoidal surgery
learning curve
outcomes
pituitary adenoma
Surgery
surgical complexity
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:To investigate the learning curve under different surgical complexity in endoscopic transsphenoidal approach for pituitary adenoma. 273 patients undergoing endoscopic transsphenoidal surgery for pituitary adenoma were collected retrospectively and divided into three groups chronologically (early, middle, and late periods). Surgical complexity was differentiated based on Knosp classification (Knsop grade 0-2 vs. Knosp grade 3-4), tumor maximum diameter (MD) (macroadenomas vs. giant adenomas), and history of previous surgery for pituitary adenoma (first operation vs. reoperation). Then the temporal trends in operative time, surgical outcomes, and postoperative complications were evaluated from early to late. The median operative time decrease from 169 to 147 min across the three periods (  = 0.001). A significant decrease in operative time was seen in the simple groups [Knosp grade 0-2 adenoma (169 to 137 min,  
ISSN:2296-875X
2296-875X
DOI:10.3389/fsurg.2023.1117766