Reoperation for growth hormone-secreting pituitary adenomas: report on an endonasal endoscopic series with a systematic review and meta-analysis of the literature.
Almeida JP, Ruiz-Treviño AS, Liang B, Omay SB, Shetty SR, Chen YN, Anand VK, Grover K, Christos P, Schwartz TH. Reoperation for growth hormone-secreting pituitary adenomas: report on an endonasal endoscopic series with a systematic review and meta-analysis of the literature. Journal Of Neurosurgery 2017, 129: 404-416. PMID: 28862548, DOI: 10.3171/2017.2.jns162673.Peer-Reviewed Original ResearchConceptsExtended endonasal endoscopic approachFirst-time surgeryCavernous sinus invasionPreoperative GH levelsSinus invasionSurgery groupControl rateDisease controlSystematic reviewReoperation groupTumor sizeGH levelsGrowth hormone-secreting pituitary adenomaHormone-secreting pituitary adenomasTransient diabetes insipidusDisease control rateFirst-line therapyResults of reoperationTime of surgerySmaller tumor sizeNegative prognostic indicatorSimilar control ratesLow control rateEndonasal endoscopic approachFirst-time operations