Adenomas Hipofisários Operados por Via Transesfenoidal em Maringá - PR: comparação entre as técnicas microscópica e endoscópica

Pituitary adenomas account for 10% to 25% of all intracranial tumors, with a prevalence of approximately 17%, and a higher incidence in adenohypophysis. Transsphenoidal neurosurgery is the mainstay of treatment for most of these tumors, being performed by two main techniques, the microscopic and the endoscopic. Objective: To evaluate comparatively the treatment of pituitary adenomas by microscopic and endoscopic neurosurgery transsphenoidal analyzing whether there is superiority of one technique over the other to the presence or absence of postoperative complications, length of hospital stay and need for reoperation. Methods: Retrospective cross-sectional study by analysis of medical records of patients undergoing neurosurgical treatment of pituitary adenomas treated at the Santa Casa de Misericordia and the University Hospital of Maringa, between 1999 and 2013. Results: It was evident, with statistical significance, a higher rate of complications, length of stay and need for reintervention in patients undergoing transsphenoidal neurosurgery microscopic compared with the endoscopic technique. Conclusion: The endoscopic technique has demonstrated superiority in the therapeutic management of pituitary adenomas, reducing the risks and morbidity for patients.