The learning curve for endoscopic endonasal pituitary surgery: a systematic review.


Journal

Neurosurgical review
ISSN: 1437-2320
Titre abrégé: Neurosurg Rev
Pays: Germany
ID NLM: 7908181

Informations de publication

Date de publication:
12 Sep 2023
Historique:
received: 24 06 2023
accepted: 28 08 2023
revised: 24 07 2023
medline: 13 9 2023
pubmed: 12 9 2023
entrez: 12 9 2023
Statut: epublish

Résumé

Recent literature demonstrates that a learning curve exists for endoscopic pituitary surgery. However, there is significant variability in the way these studies report their outcomes. This study aims to systematically review the literature regarding outcomes for endoscopic pituitary surgery and how this may be related to a surgical learning curve. An electronic search of the databases Medline, Scopus, Embase, Web of Science and Cochrane Library databases was performed and data extracted according 2020 Preferred Reporting Items of Systematic Reviews and Meta-Analyses (PRISMA) statement. Ten articles were included in the review as they examined the following: rates of gross total resection, average operative time, CSF leak rate, visual outcomes, endocrine outcomes and how these results were influenced by surgical experience. We have demonstrated that a learning curve exists for some outcome variables for endoscopic pituitary surgery. However, there is significant heterogeneity in the current body of literature which makes clear comparisons difficult.

Identifiants

pubmed: 37698777
doi: 10.1007/s10143-023-02136-8
pii: 10.1007/s10143-023-02136-8
pmc: PMC10497425
doi:

Types de publication

Systematic Review Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

241

Informations de copyright

© 2023. The Author(s).

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Auteurs

Nicholas G Candy (NG)

Department of Surgery - Otolaryngology, Head and Neck Surgery, The University of Adelaide, Basil Hetzel Institute for Translational Research, Woodville South, Adelaide, Australia. nicholas.candy@adelaide.edu.au.
Department of Neurosurgery, Royal Adelaide Hospital, Adelaide, Australia. nicholas.candy@adelaide.edu.au.

Christopher Ovenden (C)

Department of Neurosurgery, Royal Adelaide Hospital, Adelaide, Australia.

Alistair K Jukes (AK)

Department of Neurosurgery, Royal Adelaide Hospital, Adelaide, Australia.

Peter-John Wormald (PJ)

Department of Surgery - Otolaryngology, Head and Neck Surgery, The University of Adelaide, Basil Hetzel Institute for Translational Research, Woodville South, Adelaide, Australia.

Alkis J Psaltis (AJ)

Department of Surgery - Otolaryngology, Head and Neck Surgery, The University of Adelaide, Basil Hetzel Institute for Translational Research, Woodville South, Adelaide, Australia.

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Classifications MeSH