Evidence map›Paper›PMID 36447883›Full record

ArticleSurgical neurology international2022

[Transnasal endoscopic skull base surgery: analysis of complications in the first 120 procedures].

Héctor Pablo Rojas, Pablo Horacio José, Roberto Rafael Herrera, José Luis Ledesma, Eduardo Rubín, Luis Agustín Ramírez Stieben

Abstract readEnglish Abstract
In one paragraph

Article in Surgical neurology international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Héctor Pablo RojasUnidad de Cirugía Hipofisaria y Base de Cráneo, Grupo Gamma, Rosario, Argentina.
Pablo Horacio JoséUnidad de Cirugía Hipofisaria y Base de Cráneo, Grupo Gamma, Rosario, Argentina.
Roberto Rafael HerreraServicio de Neurocirugía de la Clínica Adventista Belgrano, Clínica Adventista Belgrano, Ciudad Autónoma de Buenos Aires, Argentina.
José Luis LedesmaServicio de Neurocirugía de la Clínica Adventista Belgrano, Clínica Adventista Belgrano, Ciudad Autónoma de Buenos Aires, Argentina.
Eduardo RubínUnidad de Cirugía Hipofisaria y Base de Cráneo, Grupo Gamma, Rosario, Argentina.
Luis Agustín Ramírez StiebenUnidad de Cirugía Hipofisaria y Base de Cráneo, Grupo Gamma, Rosario, Argentina.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The endonasal endoscopic approach (EEA) has potential advantages over traditional open approaches. However, complications such as cerebrospinal fluid (CFS) leak, visual disturbances, and postoperative meningitis have been described. The aim was to present the experience accumulated in 120 cases of skull base EEA performed by the same surgical team and describe and analyze the main postoperative complications according to the complexity of the cases. Methods: Retrospective study on our database of patients undergoing skull base EEA for various pathologies between July 2011 and March 2022. Results: 120 skull base EEA surgeries were analyzed. 57.14% were performed on women. The median age was 44 years. 26.66% were reinterventions. The most frequent pathology was pituitary adenoma (49.17%) followed by CSF leak (8.33%). The most used EEA was the transelar 65.83%. 26 complications were recorded, with no differences according to complexity. There were 13 cases of diabetes insipidus (DI) and 8 of CSF leak. This was more frequent in patients with intraoperative CSF leak. The median hospital stay was 5.5 days. Conclusion: Skull base EEA has become increasingly common for the surgical management of skull base pathology, with a low frequency of immediate postoperative complications and low mortality. The improvement of the technique and the improvement in postoperative care are associated with a shorter hospital stay.

Indexed as

Cerebrospinal fluid leakPituitary neoplasmsPostoperative complicationsSkull base

Identifiers

PMID36447883
PMCPMC9699884

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