Matices del abordaje endonasal endoscópico extendido en la exéresis de los craneofaringiomas

Abstract

Introduction: Craneopharyngiomas are embryonic tumors located in anterosuperior part of the hypophysial gland with frecuent enlargement to supraselar area. It can involved the anterior, medium o posterior hipothalamus zone depended of the growing vector of the tumors. Method: 40 patient was operated in “Hermanos Ameijeiras” Hospital, the type of extended endonasal endoscopic approach was performed depended on Kassam classification, and the clinical status was assessed according Elliot classification. Outcome: Visual status improved after surgery, however pituitary and hypothalamic status persisted, but was stabilized. Surgical approach was excellent, and gross total resection was achieved in 92,5%. The most frecuent complication was insipid diabetes.