%0 Journal Article
%T Evoluci¨®n del tratamiento neuroquir¨²rgico de la patolog¨ªa hipofisaria: Experiencia de 800 casos
%A Krivoy O
%A Sa¨²l
%J Gaceta M¨¦dica de Caracas
%D 2010
%I Scientific Electronic Library Online
%X pituitary tumors are among the most common intracranial neoplasias (10 % to 15 %). the purpose of this study is to present the author£¿s experience in the surgical management of 800 pituitary tumors based on the study protocols applied in the pituitary units of the miguel p¨¦rez carre£¿o hospital and university hospital, and in the author£¿s private practice. the most frecuent findings and diagnostic techniques are presented, highlighting the role of magnetic resonance and cerebral angiography. trans-sphenoidal and trans-cranial surgical techniques are analyzed. the advantage of the trans-sphenoidal technique, the improvements made to the surgical technique, and the use of neuro-endoscopy are presented. the importance of a multi-specialty team is stressed. this experience allowed to reduce the associated morbidity and mortality by shortening surgical time and improving recovery, quality of life, and prognosis.
%K pituitary tumors
%K transphenoidal
%K microsurgery
%K neuro-endoscopy.
%U http://www.scielo.org.ve/scielo.php?script=sci_abstract&pid=S0367-47622010000100007&lng=en&nrm=iso&tlng=en