Abstract
Purpose: The purpose of this study was to compare the effectiveness of endoscopic vs microscopic excision of pituitary noninvasive adenoma.Materials and Methods: The current prospective comparison study was carried out at the Department of Neurology, Apex Hospital, Jaipur, Rajasthan, India among 40 patients who had been diagnosed with noninvasive pituitary adenoma Group I (n=22) had endoscopic trans-sphenoidal surgery performed on them. Group II (n=18) had trans-sphenoidal surgery using a microscopic approach.Results: An overall total of 40 individuals with pituitary nodules had transsphenoidal surgery as a result of this study. Endonasal endoscopic trans-sphenoidal surgery (Group I) was performed on 22 patients, whereas microscopic trans-sphenoidal surgery (Group II) was performed on 18 patients (group II). Complete tumour excision was accomplished in 14 (63.6 percent) of the patients in group I, while it was achieved in 10 (55.6 percent) of the patients in group II.Conclusion: Both techniques are valid for the treatment of pituitary noninvasive adenomas. However, endoscopy proves to be superior for resection followed by less post-operative complication in comparison to microscopic technique.
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