A Survey on Pituitary Surgery in Italy.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Solari Domenico, Zenga Francesco, Angileri Filippo F, Barbanera Andrea, Berlucchi Silvia, Bernucci Claudio, Carapella Carmine, Catapano Domenico, Catapano Giuseppe, Cavallo Luigi M, D'Arrigo Corrado, de Angelis Michelangelo, Denaro Luca, Desogus Nicola, Ferroli Paolo, Fontanella Marco M, Galzio Renato J, Gianfreda Cosimo D, Iacoangeli Maurizio, Lauretti Liverana, Locatelli Davide, Locatelli Marco, Luglietto Davide, Mazzatenta Diego, Menniti Agazio, Milani Davide, Nasi Maria Teresa, Romano Antonio, Ruggeri Andrea G, Saladino Andrea, Santonocito Orazio, Schwarz Andreas, Skrap Miran, Stefini Roberto, Volpin Lorenzo, Wembagher Giulio C, Zoia Cesare, Zona Gianluigi, Cappabianca Paolo
Аннотация
METHODS: On behalf of the SINch (Società Italiana di Neurochirurgia), a survey was undertaken with the participants to explore the activities in the field of pituitary surgery within 41 public institutions.
RESULTS: Of the 41 centers, 37 participated in the present study. The total number of neurosurgical procedures performed in 2016 was 1479. Most of the procedures were performed using the transsphenoidal approach (1320 transsphenoidal [1204 endoscopic, 53 microscopic, 53 endoscope-assisted microscopic] vs. 159 transcranial). A multidisciplinary tumor board is convened regularly in 32 of 37 centers, and a research laboratory is present in 18 centers.
CONCLUSIONS: Diagnosing pituitary/hypothalamus disorders and treating them is the result of teamwork, composed of several diverse experts. Regarding neurosurgery, our findings have confirmed the central role of the transsphenoidal approach, with preference toward the endoscopic technique. Better outcomes can be expected at centers with a multidisciplinary team and a full, or part of a, residency program, with a greater surgical caseload.