Endoscopic Pituitary Surgery

Pituitary Tumour

Endoscopic Pituitary Surgery is also called as the Transphenoidal endoscopic surgery and is used for removing the tumors that occur in the Pituitary gland. This gland controls your entire body through the hormones it secretes into the blood stream. This surgery is performed with an Endoscope inserted through the nose. With the help of the camera in the Endoscope the surgeon is able to see what he is doing on a television monitor while doing the surgical procedure.

This type of surgery is performed to remove all types of tumors and cancerous growths including hormone secreting tumors, non- hormone secreting tumors, cancerous tumors etc. These types of surgery are becoming very common and are becoming the standard procedure to get rid of tumors inside the skull especially in the pituitary region. The Endoscopic Pituitary Surgery is one of the safest ways of tumor removal in the pituitary glands; still it carries some risk factors that are very common to all types of surgical procedures like adverse reaction to anesthesia and related drugs, excessive bleeding, and chance of getting infection.

Apart from this in an Endoscopic Pituitary Surgery some of the observed risk factors are

  • CSF Rhinorrhea: that involves in the leaking of cerebrospinal fluid surrounding the brain after the surgery. In some severe cases this condition may need another surgery to correct it.
  • Damage to the Pituitary gland: while doing the surgery through the endoscope there are chances of accidental damage to the normal portion of the glands. If the damage occurs to the areas of the hormone producing parts of the gland, the patient may require hormone replacement after this type of surgery
  • Meningitis: this is a form of infection that occurs in the membrane that surrounds the brain and the spinal cord. The chances of this infection increases in the case of CSF leaks
  • Severe bleeding : caused by excessive damage of any of the major blood vessels leading to internal hemorrhage into the brain or bleeding through the nose
  • Diabetes Insipidus: this condition occurs in cases of Endoscopic Pituitary Surgery when that part of the gland that controls urination is damaged in the surgery. This leads to continuous thirst and frequent urination
  • Problems to the eyesight : the nerves that carry the sight signals from the eyes to the brain pass through the Pituitary region and hence any accidental damage to them may lead to temporary to permanent eyesight related problems

In any case before undergoing the Endoscopic Pituitary Surgery the patient has to consult his Endocrinologist to know the exact condition of the tumor and the extent of possible damage to the pituitary gland. They have to go for a vision check also. This type of surgery is to be performed under a general anesthesia and the patient must be advised to refrain from any of the drugs that may increase the chance of bleeding during the surgery.

The Endoscopic Pituitary Surgery usually takes more than two hours to complete and the surgery team usually has an ENT specialist who places the Endoscope through the nose or through an incision made under the upper lip. After the surgery the patient has to stay for two days in the hospital and the post operative care includes

  • Medication to control headaches
  • Advice against stress and straining of the body by lifting of heavy objects
  • Follow ups with the Endocrinologist
  • Repeating MRI scans to see the progress of re-growth if any at the surgery site
  • Frequent and regular checking of eyesight of the patient

Thus, the Endoscopic Pituitary Surgery is becoming a boon to the patients diagnosed with tumors in their glands. Though this surgery is prone to risks still the benefits to the patients far outweigh the perceived risks. Hence this type of Endoscopic Pituitary Surgery is increasingly performed to save the lives of so many of the patients around the globe.


For more information:

World Laparoscopy Hospital, Cyber City, DLF Phase II, Gurugram, NCR Delhi, 122 002, India
For Training: +919811416838
For Treatment: +919811912768
For General Enquiry: +91(0)124 - 2351555

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