메뉴 건너뛰기
.. 내서재 .. 알림
소속 기관/학교 인증
인증하면 논문, 학술자료 등을  무료로 열람할 수 있어요.
한국대학교, 누리자동차, 시립도서관 등 나의 기관을 확인해보세요
(국내 대학 90% 이상 구독 중)
로그인 회원가입 고객센터 ENG
주제분류
인문학
인문학 일반 역사학 철학 종교학 어문학 기타 인문학
사회과학
사회과학 일반 경영학 관광학 교육학 군사학 문헌정보학 법학 사회학 신문방송학 심리과학 정치외교학 지리학 행정학 경제학 무역학 인류학 기타 사회과학
자연과학
자연과학 일반 물리학 생물학 생활과학 수학·통계학 천문학 지구과학 화학 기타 자연과학
공학
공학 일반 건축공학 기계공학 산업공학 재료·에너지공학 전기전자공학 조선해양공학 화학공학 컴퓨터학 기타공학
의약학
의학 일반 간호학 수의학 약학 한의학 기초의학 임상의학 기타 의약학
농수해양학
농수해양학 일반 농학 수산학 식품과학 임학 축산학 해상운송학 기타 농수해양학
예술체육학
예술 일반 디자인 미술 미용 사진 음악학 의상 체육 공연매체예술 기타 예술체육학
복합학
학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

ENG

추천
검색

논문 기본 정보

자료유형
학술저널
저자정보
Hwang, Joo Min (Department of Neurosurgery, Seoul National University Hospital, Seoul National University College of Medicine) Kim, Yong Hwy (Department of Neurosurgery, Seoul National University Hospital, Seoul National University College of Medicine) Kim, Jin Wook (Department of Neurosurgery, Seoul National University Hospital, Seoul National University College of Medicine) Kim, Dong Gyu (Department of Neurosurgery, Seoul National University Hospital, Seoul National University College of Medicine) Jung, Hee-Won (Department of Neurosurgery, Seoul National University Hospital, Seoul National University College of Medicine) Chung, Young Seob (Department of Neurosurgery, SMG-SNU Boramae Medical Center, Seoul National University College of Medicine)
저널정보
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제54권 제4호
발행연도
2013.1
수록면
317 - 322 (6page)

이용수

표지
📌
연구주제
📖
연구배경
🔬
연구방법
🏆
연구결과
AI에게 요청하기
추천
검색

초록· 키워드

오류제보하기
Objective : The surgical approach for recurrent pituitary adenoma after trans-sphenoidal approach (TSA) is challenging. We report the outcomes of the endoscopic TSA for recurrent pituitary adenoma after microscopic TSA. Methods : From February 2010 to February 2013, endoscopic TSA was performed for removal of 30 recurrent pituitary adenomas after microscopic TSA. Twenty-seven (90%) patients had a clinically non-functioning pituitary adenoma. Twenty-four (80%) patients suffered from a visual disturbance related to tumor growth. The clinical features and surgical outcomes were retrospectively analyzed for the ophthalmological, endocrinological, and oncological aspects. Results : The mean tumor volume was 11.7 $cm^3$, and gross total resection was achieved in 50% of patients. The volumetric analysis based on the postoperative MR showed that the mean extent of resection rates were 90%. Vision was improved in 19 (79%) of 24 patients with visual symptoms, and endocrinological cure was achieved in all of three functioning pituitary adenomas; however, the post-operative follow-up endocrinological examination revealed a new endocrinological deficit in one patient. Two patients required antibiotics management for post-operative meningitis. Conclusion : The endoscopic TSA can be an effective treatment option for recurrent pituitary adenoma after microscopic TSA with acceptable outcome.
#Endoscopy #Revision surgery #Pituitary adenoma

목차

등록된 정보가 없습니다.

참고문헌 (33)

참고문헌 신청
Alwani RA / 2011 / Rapid decrease in adrenal responsiveness to ACTH stimulation after successful pituitary surgery in patients with Cushing’s disease / Clin Endocrinol (Oxf) 75:602~607 google schola Ammirati M / 2013 / Short-term outcome of endoscopic versus microscopic pituitary adenoma surgery : a systematic review and meta-analysis / J Neurol Neurosurg Psychiatry 84:843~849 google schola Benveniste RJ / 2005 / Repeated transsphenoidal surgery to treat recurrent or residual pituitary adenoma / J Neurosurg 102:1004~1012 google schola Cappabianca P / 2012 / The endoscopic endonasal approach for the treatment of recurrent or residual pituitary adenomas : widening what to see expands what to do? / World Neurosurg 77:455~456 google schola Cavallo LM / 2013 / Endoscopic Endonasal Transsphenoidal Removal of Recurrent and Regrowing Pituitary Adenomas : Experience on a 59-Patient Series / World Neurosurg 80:342~350 google schola

이 논문의 저자 정보

최근 본 자료

전체보기

댓글(0)

0