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Endoscopic endonasal transsphenoidal approach for craniopharyngioma: Case series

  • Authors:
    • Jie Liu
    • Pan Wang
    • Chao Tang
    • Hao-Tian Jiang
    • Gang Zhang
    • Nan Wu
  • View Affiliations / Copyright

    Affiliations: Department of Neurosurgery, Chongqing General Hospital, Liangjiang, Chongqing 401147, P.R. China
    Copyright: © Liu et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 114
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    Published online on: January 27, 2023
       https://doi.org/10.3892/etm.2023.11813
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Abstract

Thanks to the rapid development and progress of endoscopic technology, the endoscopic endonasal transsphenoidal approach has become one of the best surgical methods for resection of sellar and suprasellar tumors. The craniopharyngioma is usually located in the sellar region or suprasellar region, which is suitable for resection through the endoscopic endonasal transsphenoidal approach. The present report describes 21 cases of craniopharyngioma treated by endoscopic endonasal transsphenoidal approach in the Department of Neurosurgery at the Chongqing General Hospital from February 2014 to September 2019. The characteristics of patients and tumors, including clinical symptoms, preoperative magnetic resonance imaging, intraoperative conditions, as well as postoperative and follow‑up outcomes were evaluated. The main clinical symptoms were headache in 15 cases, visual deficiency in 13 cases and growth retardation in two cases. All 21 patients with craniopharyngioma underwent endoscopic endonasal transsphenoidal surgery. Of these, 20 patients achieved gross total resection and one case achieved subtotal resection. After surgery, headache symptoms improved in 11 patients without deterioration and the vision of 11 patients improved without deterioration. The primary postoperative complications were pituitary deficiency in eight cases and permanent diabetes insipidus in five cases. The patients were followed up from one to 52 months post‑operation. There was no recurrence in all patients during the follow‑up period. The endoscopic endonasal transsphenoidal approach is a safe and effective resection for craniopharyngioma. Moreover, the endoscopic endonasal trans‑sphenoidal approach is one of the preferred surgical methods for treatment of sellar or suprasellar tumor.
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Copy and paste a formatted citation
Spandidos Publications style
Liu J, Wang P, Tang C, Jiang H, Zhang G and Wu N: Endoscopic endonasal transsphenoidal approach for craniopharyngioma: Case series. Exp Ther Med 25: 114, 2023.
APA
Liu, J., Wang, P., Tang, C., Jiang, H., Zhang, G., & Wu, N. (2023). Endoscopic endonasal transsphenoidal approach for craniopharyngioma: Case series. Experimental and Therapeutic Medicine, 25, 114. https://doi.org/10.3892/etm.2023.11813
MLA
Liu, J., Wang, P., Tang, C., Jiang, H., Zhang, G., Wu, N."Endoscopic endonasal transsphenoidal approach for craniopharyngioma: Case series". Experimental and Therapeutic Medicine 25.3 (2023): 114.
Chicago
Liu, J., Wang, P., Tang, C., Jiang, H., Zhang, G., Wu, N."Endoscopic endonasal transsphenoidal approach for craniopharyngioma: Case series". Experimental and Therapeutic Medicine 25, no. 3 (2023): 114. https://doi.org/10.3892/etm.2023.11813
Copy and paste a formatted citation
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Spandidos Publications style
Liu J, Wang P, Tang C, Jiang H, Zhang G and Wu N: Endoscopic endonasal transsphenoidal approach for craniopharyngioma: Case series. Exp Ther Med 25: 114, 2023.
APA
Liu, J., Wang, P., Tang, C., Jiang, H., Zhang, G., & Wu, N. (2023). Endoscopic endonasal transsphenoidal approach for craniopharyngioma: Case series. Experimental and Therapeutic Medicine, 25, 114. https://doi.org/10.3892/etm.2023.11813
MLA
Liu, J., Wang, P., Tang, C., Jiang, H., Zhang, G., Wu, N."Endoscopic endonasal transsphenoidal approach for craniopharyngioma: Case series". Experimental and Therapeutic Medicine 25.3 (2023): 114.
Chicago
Liu, J., Wang, P., Tang, C., Jiang, H., Zhang, G., Wu, N."Endoscopic endonasal transsphenoidal approach for craniopharyngioma: Case series". Experimental and Therapeutic Medicine 25, no. 3 (2023): 114. https://doi.org/10.3892/etm.2023.11813
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