ArticleSurgical neurology international2025
Assessing surgical outcomes in pituitary adenoma: A comparison of microscopic and endoscopic techniques.
Article in Surgical neurology international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Outcomes of endoscopic and microscopic transsphenoidal pituitary surgery: evidence from a systematic review, meta-analysis, and institutional experience.Neurosurgical review · 2026Pooled it
- Article
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Authors and funding
5 authors.
Funding
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Abstract
Background: The advantages of endoscopic resection of pituitary adenomas over microscopic have been exhaustively documented in the literature, though controversy persists regarding the superiority of either technique. The microscopic technique being more common at our center, we compared the outcome of patients operated by microscopic transsphenoidal surgery (MTS) and endoscopic transsphenoidal surgery (ETS) approach. Methods: Retrospective data on transsphenoidal surgery for nonfunctional adenomas between 2019 and 2023 were analyzed. The symptoms, resection rates, surgical time, blood loss, and postoperative complications were compared with 1-year follow-up. The Statistical Package for the Social Sciences version 25 was used for statistical analysis. Results: We identified 91 patients who met the inclusion criteria. The MTS group included 48 (52.75%) patients, while the ETS category comprised 43 (47.25%). Headache was present in 47.91% of MTS and 72.09% of ETS cases ( Conclusion: Both surgical techniques are well established for pituitary adenoma resection and are comparable in terms of complications. The surgeon's experience plays a critical role in pituitary surgery and its outcomes. However, tumor characteristics and patient-specific factors are also important determinants of the approach.
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