| ObjectiveTo summarize the methods and experiences of transsphenoidal surgery for intrasellar cysts and reconstruction of the sellar floor through the studies of 12 clinical cases.MethodClinical data of 12 cases of intrasellar cysts underwent transsphenoidal surgery and reconstruction of the sellar floor in our neurosurgery department during the period from October 2015 to October 2016 were analyzed retrospectively,including clinical manifestations,preoperative and postoperative imaging features,surgical methods,the methods of reconstruction of the sellar floor and postoperative recovery status.The patients include 5 male cases(one case of arachnoid cyst and four cases of Rathke cleft cysts)and 7 female cases(one case of arachnoid cyst and six cases of Rathke cleft cysts).All patients had symptomatic clinical manifestations,preoperative head CT and pituitary MRI(plain+enhanced)were examined.All cases were treated by transsphenoidal microsurgical approach,and their sellar floors were reconstructed during the operations.ResultsPostoperative patients with preoperative symptoms disappeared in 2 cases,10 cases of symptoms relief.They were all partial resection,retaining part of the cyst wall.Intraoperative temporary cerebrospinal fluid rhinorrhea occurred in 4 cases.After the reconstruction of the sellar floor,there were no postoperative cerebrospinal fluid rhinorrhea occurred in all the 12 patients.No serious postoperative complications were seen in all cases.ConclusionTranssphenoidal surgery for intrasellar cysts and reconstruction of the sellar floor are safe and effective,significantly improving the patients's preoperative symptoms.For intraoperative cerebrospinal fluid rhinorrhea cases,timely and effective reconstruction of the sellar floor,as far as possible to the anatomical reduction,can effectively avoid postoperative cerebrospinal fluid rhinorrhea and related complications caused by the structural damage of the sellar. |
PDF Full Text Request