Abstract

KRIVOY O, Saúl. Evolución del tratamiento neuroquirúrgico de la patología hipofisaria: Experiencia de 800 casos. Gac Méd Caracas. [online]. 2010, vol.118, n.1, pp.42-52. ISSN 0367-4762.

Pituitary tumors are among the most common intracranial neoplasias (10 % to 15 %). The purpose of this study is to present the author’s experience in the surgical management of 800 pituitary tumors based on the study protocols applied in the Pituitary Units of the Miguel Pérez Carreño Hospital and University Hospital, and in the author’s private practice. The most frecuent findings and diagnostic techniques are presented, highlighting the role of magnetic resonance and cerebral angiography. Trans-sphenoidal and trans-cranial surgical techniques are analyzed. The advantage of the trans-sphenoidal technique, the improvements made to the surgical technique, and the use of neuro-endoscopy are presented. The importance of a multi-specialty team is stressed. This experience allowed to reduce the associated morbidity and mortality by shortening surgical time and improving recovery, quality of life, and prognosis.

Keywords : Pituitary tumors; Transphenoidal; Microsurgery; Neuro-endoscopy.