Research Information System
EANS2024, Sofija, Bulgaria, 13 - 17 October 2024, vol.4, pp.83
Background: We aimed to evaluate the clinical and endocrinological results of the endoscopic transnasal approach applied to the 56 pediatric craniopharyngioma patients which diagnosed with radiological and pathologically and to present the surgical approaches applied to these cases. Methods: Between September 1997 and November 2023, 5521 cases who were operated on endoscopic transnasal route in Kocaeli University Medical Faculty Neurosurgery Clinic were retrospectively screened. 56 pediatric craniopharyngioma patients, as well as their 67 operations, were included in the study. These 67 cases were divided into 4 groups according to infundibulum and third ventricle. Standard endoscopic surgery was performed in the cases, and in some cases an extended infrachiasmatic approach was performed. Results: Standard techniques were performedinourcases withintrasellar spread craniopharyngioma, but our remaining cases were treated extended technique. GTR was achieved in 38/67 (56,7%) cases. Postoperatively cerebrospinal fluid (CSF) leakage developed in six cases included in the study. In 21 cases were transient, 32 had permanent diabetes insipidus, and 24 patients had postoperative hypophyseal insufficiency (one or multi hormonal) evolved. Conclusions: The extended approach that can be applied after obtaining a certain experience is the ideal method if the lateral expansions are not excessive in the lesions of preinfundibular, transinfundibular and retroinfundibular craniopharyngioma. Combined approaches should be preferred in patients with lateral expansion. The extended approach in the middle midline lesions is easier and safer.