Anesthesia for endoscopic endonasal transsphenoidal pituitary surgery Anestezi yönünden endoskopik endonazal transsfenoidal hipofiz cerrahisi
Anestezi Dergisi, cilt.25, sa.4, ss.188-191, 2017 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 25 Sayı: 4
- Basım Tarihi: 2017
- Dergi Adı: Anestezi Dergisi
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.188-191
- Anahtar Kelimeler: Anesthesia, Pituitary surgery, Transsphenoidal surgery
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: Nowadays endoscopic endonasal transsphenoidal method is mostly used in the surgical treatment of pituitary tumors. As with other neuroanesthesia cases, anesthesia requires a special approach in this surgical cases. Our aim is using the literature, to present the anesthetic properties of these surgical operations which are frequently performed in our hospital. Method: After approval of the ethics committee, 380 patients who had retrospective pituitary surgery were reached; demographic data, characteristics of the lesion, ASA score, accompanying diseases, duration of anesthesia, duration of surgery, Mallampati score, intubation difficulty, monitorization methods, anesthetic drugs, bleeding condition, preoperative complications, and postoperative intensive care unit were evaluated. Results: Two hundred and one patients have secretary adenoma. 118 patients were acromegalic, 5 of whom had difficult airways, but patients were successfully entubated. Of 62 patients with Cushing's disease, only 1 had intraoperative hypertension and 2 patients had difficulty in finding a venous line. 1 of the patients had postoperative nausea and vomiting and 2 of them had postoperative diabetes insipidus. In general, the intraoperative and postoperative complication rates of the patients were 4.4%. Conclusion: The consequences of hyper- or hyposecretion of the hypophyseal hormones and the mass effect of the tumor on the surrounding tissue may cause problems related to anesthesia. For this reason, pituitary tumor-based disease management is very important and it is appropriate to manage between endocrinology, neurosurgery, and anesthesia. Detection of the systemic condition of the patient before the operation and completion of consultations prevent morbidity and mortality.