Microscopic versus endoscopic pituitary surgery: A systematic review
Objectives/Hypothesis: To critically review current literature comparing microscopic versus endoscopic surgery in the treatment of pituitary adenomas. Study Design: Systematic review of the literature. Methods: All English language literature published between January 1989 and June 2009 on PubMed we...
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| Veröffentlicht in: | The Laryngoscope 2010-07, Vol.120 (7), p.1292-1297 |
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| creator | Rotenberg, Brian Tam, Samantha Ryu, Won Hyung A. Duggal, Neil |
| description | Objectives/Hypothesis:
To critically review current literature comparing microscopic versus endoscopic surgery in the treatment of pituitary adenomas.
Study Design:
Systematic review of the literature.
Methods:
All English language literature published between January 1989 and June 2009 on PubMed were eligible for inclusion. Inclusion criteria were: direct comparison between microscopic and fully endoscopic approaches and surgery performed with the intent to treat a pituitary adenoma. Endoscopic‐assisted comparisons and studies comparing outcomes with previous literature were excluded. Technical notes, case reports, letters, and comments were also excluded. Included studies were categorized according to level of evidence and evaluated for quality using a modified Downs and Black scale. Data was extracted and compared between studies.
Results:
Of the 3,586 studies retrieved from the search strategy, 11 studies met the inclusion and exclusion criteria. Various outcomes measures were used including: operating time, extent of tumor resection, postoperative normalization of hormone levels, incidence of complications, length of hospital stay, and patient pain and discomfort. The endoscopic approach decreased operating time, lumbar drains, immediate postoperative diabetes insipidus, some rhinologic complications, length of hospital stay, and patient pain and discomfort. Other outcome measures were comparable between the two approaches.
Conclusions:
The literature comparing endoscopic and microscopic pituitary surgery favors the endoscopic approach for pituitary surgery. Major outcome measures (extent of tumor resection, changes in hormone levels) do not differ between the two approaches. Complications, time in the operating room and hospital, and patient discomfort are significantly less with the endoscopic approach. Laryngoscope, 2010 |
| doi_str_mv | 10.1002/lary.20949 |
| format | Article |
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To critically review current literature comparing microscopic versus endoscopic surgery in the treatment of pituitary adenomas.
Study Design:
Systematic review of the literature.
Methods:
All English language literature published between January 1989 and June 2009 on PubMed were eligible for inclusion. Inclusion criteria were: direct comparison between microscopic and fully endoscopic approaches and surgery performed with the intent to treat a pituitary adenoma. Endoscopic‐assisted comparisons and studies comparing outcomes with previous literature were excluded. Technical notes, case reports, letters, and comments were also excluded. Included studies were categorized according to level of evidence and evaluated for quality using a modified Downs and Black scale. Data was extracted and compared between studies.
Results:
Of the 3,586 studies retrieved from the search strategy, 11 studies met the inclusion and exclusion criteria. Various outcomes measures were used including: operating time, extent of tumor resection, postoperative normalization of hormone levels, incidence of complications, length of hospital stay, and patient pain and discomfort. The endoscopic approach decreased operating time, lumbar drains, immediate postoperative diabetes insipidus, some rhinologic complications, length of hospital stay, and patient pain and discomfort. Other outcome measures were comparable between the two approaches.
Conclusions:
The literature comparing endoscopic and microscopic pituitary surgery favors the endoscopic approach for pituitary surgery. Major outcome measures (extent of tumor resection, changes in hormone levels) do not differ between the two approaches. Complications, time in the operating room and hospital, and patient discomfort are significantly less with the endoscopic approach. Laryngoscope, 2010</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1002/lary.20949</identifier><identifier>PMID: 20578228</identifier><identifier>CODEN: LARYA8</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Biological and medical sciences ; Endocrinopathies ; endoscopic surgery ; Humans ; Hypophysectomy - methods ; Hypothalamus. Hypophysis. Epiphysis (diseases) ; Level of Evidence: 2a ; Medical sciences ; Microsurgery - methods ; minimally invasive surgery ; Neuroendoscopy - methods ; Non tumoral diseases. Target tissue resistance. Benign neoplasms ; Otorhinolaryngology. Stomatology ; Pituitary adenoma ; Pituitary Neoplasms - surgery</subject><ispartof>The Laryngoscope, 2010-07, Vol.120 (7), p.1292-1297</ispartof><rights>Copyright © 2010 The American Laryngological, Rhinological, and Otological Society, Inc.</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4629-459d0aaa4707aabfb4d8b4726b259f2328f462e7837fc04d48bd645d917f04af3</citedby><cites>FETCH-LOGICAL-c4629-459d0aaa4707aabfb4d8b4726b259f2328f462e7837fc04d48bd645d917f04af3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Flary.20949$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Flary.20949$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23010999$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20578228$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rotenberg, Brian</creatorcontrib><creatorcontrib>Tam, Samantha</creatorcontrib><creatorcontrib>Ryu, Won Hyung A.</creatorcontrib><creatorcontrib>Duggal, Neil</creatorcontrib><title>Microscopic versus endoscopic pituitary surgery: A systematic review</title><title>The Laryngoscope</title><addtitle>The Laryngoscope</addtitle><description>Objectives/Hypothesis:
To critically review current literature comparing microscopic versus endoscopic surgery in the treatment of pituitary adenomas.
Study Design:
Systematic review of the literature.
Methods:
All English language literature published between January 1989 and June 2009 on PubMed were eligible for inclusion. Inclusion criteria were: direct comparison between microscopic and fully endoscopic approaches and surgery performed with the intent to treat a pituitary adenoma. Endoscopic‐assisted comparisons and studies comparing outcomes with previous literature were excluded. Technical notes, case reports, letters, and comments were also excluded. Included studies were categorized according to level of evidence and evaluated for quality using a modified Downs and Black scale. Data was extracted and compared between studies.
Results:
Of the 3,586 studies retrieved from the search strategy, 11 studies met the inclusion and exclusion criteria. Various outcomes measures were used including: operating time, extent of tumor resection, postoperative normalization of hormone levels, incidence of complications, length of hospital stay, and patient pain and discomfort. The endoscopic approach decreased operating time, lumbar drains, immediate postoperative diabetes insipidus, some rhinologic complications, length of hospital stay, and patient pain and discomfort. Other outcome measures were comparable between the two approaches.
Conclusions:
The literature comparing endoscopic and microscopic pituitary surgery favors the endoscopic approach for pituitary surgery. Major outcome measures (extent of tumor resection, changes in hormone levels) do not differ between the two approaches. Complications, time in the operating room and hospital, and patient discomfort are significantly less with the endoscopic approach. Laryngoscope, 2010</description><subject>Biological and medical sciences</subject><subject>Endocrinopathies</subject><subject>endoscopic surgery</subject><subject>Humans</subject><subject>Hypophysectomy - methods</subject><subject>Hypothalamus. Hypophysis. Epiphysis (diseases)</subject><subject>Level of Evidence: 2a</subject><subject>Medical sciences</subject><subject>Microsurgery - methods</subject><subject>minimally invasive surgery</subject><subject>Neuroendoscopy - methods</subject><subject>Non tumoral diseases. Target tissue resistance. Benign neoplasms</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Pituitary adenoma</subject><subject>Pituitary Neoplasms - surgery</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LAzEQhoMoWqsXf4DsRQRhaz43G2-1ahVqBalYTyG7m0h0-2Gy29p_b2o_vHkamHnmHeYB4ATBFoIQX5bKLVoYCip2QAMxgmIqBNsFjTAkccrw8AAcev8BIeKEwX1wgCHjKcZpA9w82txNfD6Z2jyaaedrH-lxselMbVXbKuRHvnbv2i2uonbkF77SI1WFudMzq-dHYM-o0uvjdW2Cl7vbQec-7j11HzrtXpzTBIuYMlFApRTlkCuVmYwWaUY5TjLMhMEEpyZwmqeEmxzSgqZZkVBWCMQNpMqQJjhf5U7d5KvWvpIj63NdlmqsJ7WXnBCWCCh4IC9W5PI577SRU2dH4Q-JoFxKk0tp8ldagE_XsXU20sUW3VgKwNkaUD5XpXFqnFv_xxGIoBDLILTi5rbUi39Oyl77-W1zPF7t2CD1e7uj3KdMOOFMvva7ssOTzrB_3ZMD8gM3qZP_</recordid><startdate>201007</startdate><enddate>201007</enddate><creator>Rotenberg, Brian</creator><creator>Tam, Samantha</creator><creator>Ryu, Won Hyung A.</creator><creator>Duggal, Neil</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley-Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201007</creationdate><title>Microscopic versus endoscopic pituitary surgery: A systematic review</title><author>Rotenberg, Brian ; Tam, Samantha ; Ryu, Won Hyung A. ; Duggal, Neil</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4629-459d0aaa4707aabfb4d8b4726b259f2328f462e7837fc04d48bd645d917f04af3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Biological and medical sciences</topic><topic>Endocrinopathies</topic><topic>endoscopic surgery</topic><topic>Humans</topic><topic>Hypophysectomy - methods</topic><topic>Hypothalamus. Hypophysis. Epiphysis (diseases)</topic><topic>Level of Evidence: 2a</topic><topic>Medical sciences</topic><topic>Microsurgery - methods</topic><topic>minimally invasive surgery</topic><topic>Neuroendoscopy - methods</topic><topic>Non tumoral diseases. Target tissue resistance. Benign neoplasms</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Pituitary adenoma</topic><topic>Pituitary Neoplasms - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rotenberg, Brian</creatorcontrib><creatorcontrib>Tam, Samantha</creatorcontrib><creatorcontrib>Ryu, Won Hyung A.</creatorcontrib><creatorcontrib>Duggal, Neil</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rotenberg, Brian</au><au>Tam, Samantha</au><au>Ryu, Won Hyung A.</au><au>Duggal, Neil</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Microscopic versus endoscopic pituitary surgery: A systematic review</atitle><jtitle>The Laryngoscope</jtitle><addtitle>The Laryngoscope</addtitle><date>2010-07</date><risdate>2010</risdate><volume>120</volume><issue>7</issue><spage>1292</spage><epage>1297</epage><pages>1292-1297</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><coden>LARYA8</coden><abstract>Objectives/Hypothesis:
To critically review current literature comparing microscopic versus endoscopic surgery in the treatment of pituitary adenomas.
Study Design:
Systematic review of the literature.
Methods:
All English language literature published between January 1989 and June 2009 on PubMed were eligible for inclusion. Inclusion criteria were: direct comparison between microscopic and fully endoscopic approaches and surgery performed with the intent to treat a pituitary adenoma. Endoscopic‐assisted comparisons and studies comparing outcomes with previous literature were excluded. Technical notes, case reports, letters, and comments were also excluded. Included studies were categorized according to level of evidence and evaluated for quality using a modified Downs and Black scale. Data was extracted and compared between studies.
Results:
Of the 3,586 studies retrieved from the search strategy, 11 studies met the inclusion and exclusion criteria. Various outcomes measures were used including: operating time, extent of tumor resection, postoperative normalization of hormone levels, incidence of complications, length of hospital stay, and patient pain and discomfort. The endoscopic approach decreased operating time, lumbar drains, immediate postoperative diabetes insipidus, some rhinologic complications, length of hospital stay, and patient pain and discomfort. Other outcome measures were comparable between the two approaches.
Conclusions:
The literature comparing endoscopic and microscopic pituitary surgery favors the endoscopic approach for pituitary surgery. Major outcome measures (extent of tumor resection, changes in hormone levels) do not differ between the two approaches. Complications, time in the operating room and hospital, and patient discomfort are significantly less with the endoscopic approach. Laryngoscope, 2010</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>20578228</pmid><doi>10.1002/lary.20949</doi><tpages>6</tpages></addata></record> |
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| ispartof | The Laryngoscope, 2010-07, Vol.120 (7), p.1292-1297 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Biological and medical sciences Endocrinopathies endoscopic surgery Humans Hypophysectomy - methods Hypothalamus. Hypophysis. Epiphysis (diseases) Level of Evidence: 2a Medical sciences Microsurgery - methods minimally invasive surgery Neuroendoscopy - methods Non tumoral diseases. Target tissue resistance. Benign neoplasms Otorhinolaryngology. Stomatology Pituitary adenoma Pituitary Neoplasms - surgery |
| title | Microscopic versus endoscopic pituitary surgery: A systematic review |
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