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Removal of the Medial Wall of the Cavernous Sinus for Functional Pituitary Adenomas: A Technical Report and Pathologic Significance
http://hdl.handle.net/2237/00030682
http://hdl.handle.net/2237/0003068227147284-bfa1-4be0-9449-beb41b7c38c9
名前 / ファイル | ライセンス | アクション |
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2019-09-11 | |||||
タイトル | ||||||
タイトル | Removal of the Medial Wall of the Cavernous Sinus for Functional Pituitary Adenomas: A Technical Report and Pathologic Significance | |||||
言語 | en | |||||
著者 |
Nagata, Yuichi
× Nagata, Yuichi× Takeuchi, Kazuhito× Yamamoto, Taiki× Ishikawa, Takayuki× Kawabata, Teppei× Shimoyama, Yoshie× Wakabayashi, Toshihiko |
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アクセス権 | ||||||
アクセス権 | open access | |||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
権利 | ||||||
言語 | en | |||||
権利情報 | © 2019. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Acromegaly | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Cavernous sinus | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Cushing disease | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Medial wall | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Medial wall–plasty | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Medial wall removal | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Pituitary adenoma | |||||
抄録 | ||||||
内容記述 | Background: Removal of the medial wall of the cavernous sinus (MW) is challenging for neurosurgeons. We describe a practical method of endoscopic MW removal via endonasal transsphenoidal approach to minimalize intraoperative blood loss and postoperative morbidities. We also present the pathologic significance of this technique for functional pituitary adenomas (FPAs). Methods: We performed MW removal in patients with FPA with no well-defined pseudocapsule and a tumor in direct contact with the MW. The MW was judged to have tumor invasion based on the intraoperative appearance, and it was removed regardless of the appearance of MW involvement. Intraoperative findings and postoperative clinical, endocrinologic, and pathologic outcomes were retrospectively reviewed. Results: Fourteen patients underwent MW removal for FPA, including 12 patients with acromegaly and 2 with Cushing disease. Mean intraoperative blood loss was 170 mL (range, 32–400 mL), and none of the patients required blood transfusion. Among the 7 patients without intraoperative apparent MW involvement, 4 (57.1%) had pathologically confirmed tumor invasion into the MW (occult invasion). Biochemical remission by surgery alone was achieved in 13 patients (92.9%). Transient oculomotor palsy occurred in 1 patient (7.1%). Conclusions: Occult tumor invasion into the MW was often detected in patients with FPA without a well-defined pseudocapsule but in direct contact with the MW. Our technique can enhance the effectiveness of surgery with minimal postoperative morbidities. | |||||
言語 | en | |||||
内容記述タイプ | Abstract | |||||
内容記述 | ||||||
内容記述 | ファイル公開:2020-06-01 | |||||
言語 | ja | |||||
内容記述タイプ | Other | |||||
出版者 | ||||||
言語 | en | |||||
出版者 | Elsevier | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプresource | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | journal article | |||||
出版タイプ | ||||||
出版タイプ | AM | |||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
DOI | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | DOI | |||||
関連識別子 | https://doi.org/10.1016/j.wneu.2019.02.134 | |||||
ISSN(print) | ||||||
収録物識別子タイプ | PISSN | |||||
収録物識別子 | 1878-8750 | |||||
書誌情報 |
en : World Neurosurgery 巻 126, p. 53-58, 発行日 2019-06 |
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著者版フラグ | ||||||
値 | author |