Will pituitary tumor recur after neuroendoscopic surgery? Why should we choose neuroendoscopy for pituitary tumor surgery?

If a pituitary tumor recurs after surgery, it has nothing to do with neuroendoscopy. Generally speaking, it is recognized both at home and abroad that any pituitary tumor may recur after treatment. Therefore, after surgery, patients may need to keep in touch with their doctors for the rest of their lives. If the tumor is found to have increased in size, they can choose to undergo another surgery or use drugs or other treatments to control the growth of the tumor.

Pituitary tumor is an uncommon disease and many people are unfamiliar with it. In fact, pituitary tumor is extremely harmful to the human body and is not easy to cure. To treat pituitary tumor, pituitary tumor neuroendoscopic surgery is required. However, some people say that pituitary tumor will recur after neuroendoscopic surgery. So will pituitary tumor recur after neuroendoscopic surgery?

1. Will pituitary tumors recur after neuroendoscopic surgery?

Pituitary tumors usually recur after neuroendoscopic surgery. This has nothing to do with the presence or absence of endocrine function, because pituitary tumors themselves are particularly prone to recurrence, and if they are not completely removed during surgery, even a small amount of residue will cause the possibility of recurrence. If this related situation occurs, relevant treatment measures must be taken again, and during the last surgery, appropriate radiotherapy can also be used to prevent recurrence. Pituitary tumors are benign tumors, but some patients cannot be completely removed by endoscopic surgery, and need to be treated with a combination of drugs and radiotherapy. According to foreign statistics on transnasal microsurgery for pituitary tumors, with endocrine relief as the cure standard, 1/3 to 1/2 of pituitary adenoma patients can achieve the goal of cure. The recurrence rate of patients who undergo neuroendoscopic transnasal surgery has decreased, but recurrence still exists. This is mainly because pituitary tumors invade surrounding tissues, such as the cavernous sinus, can surround the internal carotid artery, and even compress and surround the cranial nerves. Complete resection cannot be achieved during surgery, and postoperative recurrence is prone to occur.

Why should we choose neuroendoscopy for pituitary tumor surgery?

Neuroendoscopy and traditional pituitary tumor surgery are mainly performed through transsphenoidal surgery or craniotomy. Microscopes are generally used to perform this type of surgery under a microscope. However, with the popularity and development of endoscopes in China in recent years, neuroendoscopy is more commonly used because microscopes provide a direct field of view. When performing transsphenoidal and transnasal surgery, it is necessary to destroy the common structure of the nasal cavity. Neuroendoscopy uses the natural passage of the nasal cavity and enters the sphenoid sinus cavity by shrinking the nasal mucosa. Another reason is that this is better than a microscope in protecting the nasal structure. The second is the advantage of the neuroendoscopy itself. Compared with a microscope, the neuroendoscopy is more flexible, easy to use, and smart. Another reason is that it has good lighting and a wide field of view. The observation of tumors is more careful and detailed. Currently, more neuroendoscopy is used in surgery than in surgery using a microscope.