Risks of pituitary surgery in the elderly

被引：14

作者：

Freda, Pamela U. ^{[2
]}

Bruce, Jeffrey N. ^{[1
]}

机构：

[1] Columbia Univ Coll Phys & Surg, Neurol Inst, Dept Neurosurg, New York, NY 10032 USA

[2] Columbia Univ Coll Phys & Surg, Dept Med, New York, NY 10032 USA

来源：

NATURE REVIEWS ENDOCRINOLOGY | 2010年 / 6卷 / 11期

关键词：

TRANSSPHENOIDAL SURGERY; FOLLOW-UP; TUMORS; EXPERIENCE;

D O I：

10.1038/nrendo.2010.170

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Surgical resection of pituitary tumors is the treatment of choice for patients with hormone-secreting tumors or those that impair vision and other neurological functions. A recent study by Grossman et al., however, found transsphenoidal surgery to be associated with increased mortality and morbidities in elderly patients, which suggests the need for careful individualized decision-making in this vulnerable population.

引用

页码：606 / 608

页数：4

共 9 条

[1] Postoperative assessment of the patient after transsphenoidal pituitary surgery [J].

Ausiello, John C. ;

Bruce, Jeffrey N. ;

Freda, Pamela U. .

PITUITARY, 2008, 11 (04) :391-401

[2] Transsphenoidal surgery for pituitary tumors in the United States, 1996-2000: Mortality, morbidity, and the effects of hospital and surgeon volume [J].

Barker, FG ;

Klibanski, A ;

Swearingen, B .

JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2003, 88 (10) :4709-4719

[3] Surgical treatment of pituitary tumors in the elderly:: clinical outcome and long-term follow-up [J].

Ferrante, L ;

Trillò, G ;

Ramundo, E ;

Celli, P ;

Jaffrain-Rea, ML ;

Salvati, M ;

Esposito, V ;

Roperto, R ;

Osti, MF ;

Minniti, G .

JOURNAL OF NEURO-ONCOLOGY, 2002, 60 (02) :185-191

[4] Outcome of surgery for acromegaly - the experience of a dedicated pituitary surgeon [J].

Gittoes, NJL ;

Sheppard, MC ;

Johnson, AP ;

Stewart, PM .

QJM-MONTHLY JOURNAL OF THE ASSOCIATION OF PHYSICIANS, 1999, 92 (12) :741-745

[5] Complications and death among elderly patients undergoing pituitary tumour surgery [J].

Grossman, Rachel ;

Mukherjee, Debraj ;

Chaichana, Kaisorn L. ;

Salvatori, Roberto ;

Wand, Gary ;

Brem, Henry ;

Chang, David C. ;

Quinones-Hinojosa, Alfredo .

CLINICAL ENDOCRINOLOGY, 2010, 73 (03) :361-368

[6] Clinical analysis of 103 elderly patients with pituitary adenomas: Transsphenoidal surgery and follow-up [J].

Hong, Jingfang ;

Ding, Xuehua ;

Lu, Yicheng .

JOURNAL OF CLINICAL NEUROSCIENCE, 2008, 15 (10) :1091-1095

[7] Craniotomy for resection of meningioma in the elderly: a multicentre, prospective analysis from the National Surgical Quality Improvement Program [J].

Patil, Chirag G. ;

Veeravagu, Anand ;

Lad, Shivanand P. ;

Boakye, Maxwell .

JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2010, 81 (05) :502-505

[8] Transsphenoidal surgery for pituitary adenoma in elderly patients [J].

Sheehan, J. M. ;

Douds, G. L. ;

Hill, K. ;

Farace, E. .

ACTA NEUROCHIRURGICA, 2008, 150 (06) :571-574

[9] Pituitary tumours in the elderly: a 20 year experience [J].

Turner, HE ;

Adams, CBT ;

Wass, JAH .

EUROPEAN JOURNAL OF ENDOCRINOLOGY, 1999, 140 (05) :383-389

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