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논문KCI 등재

내시경하 경비강 경접형동 뇌하수체종양 절제술의 임상적 고찰

Clinical Analysis of Endoscopic Transnasal Transsphenoidal Hypophysectomy of Pituitary Tumor

박동선|조진희|강준명|김수환|정대건|윤희로
대한이비인후과학회 (Korean Society of Otorhinolaryngology-Head and Neck Surgery)|2005.01|대한이비인후과학회지 두경부외과학 (Korean Journal of Otorhinolaryngology-Head and Neck Surgery)|제48권 제1호|pp. 30-33

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참고문헌

키워드

뇌하수체종양 절제술·내시경·뇌하수체종양.Pituitary tumor· Endoscopy· Hypophysectomy.
주제분류이비인후과학

초록

Abstract

Background and Objectives：Various surgical approach has been used for the removal of pituitary tumor. Recently, endoscopic transnasal transsphenoidal approach has been technically upgraded and the morbidity associated with surgical treatment of the pituitary tumor has been decreased. The objectives of our study was to describe surgical techniques and materials used in sellar repair after endoscopic transnasal transsphenoidal approach. Subjects and Method：We retrospectively reviewed the medical records of 18 patients who had received endoscopic transnasal transsphenoidal pituitary surgery between November 2002 and January 2004. We evaluated effectiveness of this technique by analyzing surgical techniques, symptom improvement and complications after surgery. Results：In most of the case, tumor was found to be macroadenoma and 8 of the cases had suprasellar extension. Tumor was totally removed in 13 cases and partially removed in 5 cases. In all cases we used endoscopic unilateral transnasal transsphenoidal approach with anterior sphenoidotomy. Conclusion：We may consider that this approach is more safe and effective and a better treatment method for pituitary tumor surgery than the transcranial approach. (Korean J Otolaryngol 2005;48:30-3)

참고문헌 (20)

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  15. "Easy selar reconstruction in endoscopic endonasal transsphenoidal surgery with olyester-silicone dural substitute and fibringlue", pp.473~5 (2001)
  16. "Sellar reconstruction with resorbable vicryl pa-tches and fibrin glue in transsphenoidalsurgery A 10-year experience with 376 patients", pp.762~5 (2000)
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  18. "Postoperative nasal symptoms after transseptal transsphenoidal hypophysectomy" (2000)
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관련 논문AI추천

내시경 중두개저 수술김부영, 김성원대한이비인후과학회 부산,울산,경남 지부회 · 임상이비인후과2013 · 제24권 제1호측두개저로의 내시경적 비내접근법노환중, 홍성룡대한이비인후과학회 부산,울산,경남 지부회 · 임상이비인후과2013 · 제24권 제1호내시경적 두개저 수술의 소개김대우, 김동규대한이비인후과학회 부산,울산,경남 지부회 · 임상이비인후과2013 · 제24권 제1호학습곡선 상승기 중 비내시경하 경비강 경접형동 뇌하수체 종양 절제술의 임상적 결과고준석, 김대우, 박경범, 전시영, 정진명, 조상재, 주연희대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2011 · 제54권 제02호후두개저와 비인강 병변에 대한 경비강 내시경 접근법원태빈대한이비인후과학회 부산,울산,경남 지부회 · 임상이비인후과2013 · 제24권 제1호경접형동 접근법의 성립과 발전에 관한 역사적 고찰김옥주, 서인석, 황상익대한의사학회 · 의사학2002 · 제11권 제1호

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