Extended transsphenoidal approach for pediatric craniopharyngioma: a clinical analysis
WANG Julei
HENG Lijun
ZHANG Zhiguo
HUANG Tao
TIAN Qilong
QU Yan
Abstract：Objective The indications,operative techniques and precautions of extended transsphenoidal approach for pediatric craniopharyngioma were studied.Methods The clinical data of 6 cases with craniopharyngioma who operated via extended transsphenoidal approach were analyzed retrospectively,including the clinical symptoms,images,complications and the follow-up data.Results The average age of 6 cases was 10.7 years old,and all of them were diagnosed by CT and MRI.The main clinical symptoms were headache,decreased vision,and retardation.After operation,5 primary and 1 recurrent tumors were completely resected without death.Postoperative cerebrospinal fluid leakage occurred in 1 case,intracranial infection in 1 case,hypopituitarism in 2 cases and diabetes insipidus in 3 cases.There were 1 case of hypopituitarism,1 case of diabetes insipidus and no recurrence cases within a long term (＞ 1 month).Conclusion Extended transsphenoidal approach for the removal of pediatric craniopharyngioma is feasible,but it requires a higher surgical skill and a longer learning curve.Craniopharyngioma under the sellar diaphragm is the best surgical indication.
Keywords：Extended transsphenoidal approachCraniopharyngiomaPediatric
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 216-218 )