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2 results on '"Pituitary/hypothalamus"'

1. A Survey on Pituitary Surgery in Italy.

Author

Solari D, Zenga F, Angileri FF, Barbanera A, Berlucchi S, Bernucci C, Carapella C, Catapano D, Catapano G, Cavallo LM, D'Arrigo C, de Angelis M, Denaro L, Desogus N, Ferroli P, Fontanella MM, Galzio RJ, Gianfreda CD, Iacoangeli M, Lauretti L, Locatelli D, Locatelli M, Luglietto D, Mazzatenta D, Menniti A, Milani D, Nasi MT, Romano A, Ruggeri AG, Saladino A, Santonocito O, Schwarz A, Skrap M, Stefini R, Volpin L, Wembagher GC, Zoia C, Zona G, and Cappabianca P

Subjects
Adenoma epidemiology, Central Nervous System Cysts epidemiology, Craniopharyngioma epidemiology, Humans, Italy epidemiology, Needs Assessment, Patient Care Team organization & administration, Pituitary Gland surgery, Pituitary Neoplasms epidemiology, Adenoma surgery, Central Nervous System Cysts surgery, Craniopharyngioma surgery, Neurosurgical Procedures statistics & numerical data, Pituitary Neoplasms surgery
Abstract

Background: Pituitary tumors are a heterogeneous group of lesions that are usually benign. Therefore, a proper understanding of the anatomy, physiology, and pathology is mandatory to achieve favorable outcomes. Accordingly, diagnostic tests and treatment guidelines should be determined and implemented. Thus, we decided to perform a multicenter study among Italian neurosurgical centers performing pituitary surgery to provide an actual depiction from the neurosurgical standpoint., Methods: On behalf of the SINch (Società Italiana di Neurochirurgia), a survey was undertaken with the participants to explore the activities in the field of pituitary surgery within 41 public institutions., Results: Of the 41 centers, 37 participated in the present study. The total number of neurosurgical procedures performed in 2016 was 1479. Most of the procedures were performed using the transsphenoidal approach (1320 transsphenoidal [1204 endoscopic, 53 microscopic, 53 endoscope-assisted microscopic] vs. 159 transcranial). A multidisciplinary tumor board is convened regularly in 32 of 37 centers, and a research laboratory is present in 18 centers., Conclusions: Diagnosing pituitary/hypothalamus disorders and treating them is the result of teamwork, composed of several diverse experts. Regarding neurosurgery, our findings have confirmed the central role of the transsphenoidal approach, with preference toward the endoscopic technique. Better outcomes can be expected at centers with a multidisciplinary team and a full, or part of a, residency program, with a greater surgical caseload., (Copyright © 2018 Elsevier Inc. All rights reserved.)

Published
2019
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2. A Survey on Pituitary Surgery in Italy

Author

Andreas Schwarz, Andrea Barbanera, Cosimo Damiano Gianfreda, Lorenzo Volpin, Miran Skrap, Andrea Ruggeri, Luca Denaro, Silvia Berlucchi, Domenico Catapano, Davide Milani, Carmine M. Carapella, Gianluigi Zona, Roberto Stefini, Michelangelo de Angelis, Davide Locatelli, Maria Teresa Nasi, Nicola Desogus, Orazio Santonocito, Cesare Zoia, Domenico Solari, Agazio Menniti, C D'Arrigo, Claudio Bernucci, Luigi Maria Cavallo, Renato Galzio, Marco Locatelli, Giuseppe Catapano, Paolo Ferroli, Antonio Romano, Paolo Cappabianca, Giulio C. Wembagher, Francesco Zenga, Andrea Saladino, Maurizio Iacoangeli, Liverana Lauretti, Diego Mazzatenta, Davide Luglietto, Filippo Flavio Angileri, Marco Maria Fontanella, Solari D., Zenga F., Angileri F.F., Barbanera A., Berlucchi S., Bernucci C., Carapella C., Catapano D., Catapano G., Cavallo L.M., D'Arrigo C., de Angelis M., Denaro L., Desogus N., Ferroli P., Fontanella M.M., Galzio R.J., Gianfreda C.D., Iacoangeli M., Lauretti L., Locatelli D., Locatelli M., Luglietto D., Mazzatenta D., Menniti A., Milani D., Nasi M.T., Romano A., Ruggeri A.G., Saladino A., Santonocito O., Schwarz A., Skrap M., Stefini R., Volpin L., Wembagher G.C., Zoia C., Zona G., Cappabianca P., Solari, Domenico, Zenga, Francesco, Angileri, Filippo F., Barbanera, Andrea, Berlucchi, Silvia, Bernucci, Claudio, Carapella, Carmine, Catapano, Domenico, Catapano, Giuseppe, Cavallo, Luigi M., D'Arrigo, Corrado, de Angelis, Michelangelo, Denaro, Luca, Desogus, Nicola, Ferroli, Paolo, Fontanella, Marco M., Galzio, Renato J., Gianfreda, Cosimo D., Iacoangeli, Maurizio, Lauretti, Liverana, Locatelli, Davide, Locatelli, Marco, Luglietto, Davide, Mazzatenta, Diego, Menniti, Agazio, Milani, Davide, Nasi, Maria Teresa, Romano, Antonio, Ruggeri, Andrea G., Saladino, Andrea, Santonocito, Orazio, Schwarz, Andrea, Skrap, Miran, Stefini, Roberto, Volpin, Lorenzo, Wembagher, Giulio C., Zoia, Cesare, Zona, Gianluigi, and Cappabianca, Paolo

Subjects
Endoscopic endonasal surgery, medicine.medical_treatment, Settore MED/27 - NEUROCHIRURGIA, Pituitary neoplasm, Neurosurgical Procedure, Neurosurgical Procedures, Craniopharyngioma, Craniopharyngiomas, Multidisciplinary team, Pituitary adenomas, Pituitary surgery, Pituitary/hypothalamus, Transsphenoidal surgery, 0302 clinical medicine, inglese, Central Nervous System Cysts, media_common, Teamwork, Italy, Pituitary/hypothalamu, Pituitary Gland, 030220 oncology & carcinogenesis, Neurosurgery, Needs Assessment, Human, Adenoma, medicine.medical_specialty, Humans, Patient Care Team, Pituitary Neoplasms, media_common.quotation_subject, 03 medical and health sciences, Surgery, Neurology (clinical), medicine, business.industry, General surgery, Pituitary tumors, medicine.disease, Pituitary adenoma, Clinical trial, Central Nervous System Cyst, business, 030217 neurology & neurosurgery
Abstract

Background Pituitary tumors are a heterogeneous group of lesions that are usually benign. Therefore, a proper understanding of the anatomy, physiology, and pathology is mandatory to achieve favorable outcomes. Accordingly, diagnostic tests and treatment guidelines should be determined and implemented. Thus, we decided to perform a multicenter study among Italian neurosurgical centers performing pituitary surgery to provide an actual depiction from the neurosurgical standpoint. Methods On behalf of the SINch (Societa Italiana di Neurochirurgia), a survey was undertaken with the participants to explore the activities in the field of pituitary surgery within 41 public institutions. Results Of the 41 centers, 37 participated in the present study. The total number of neurosurgical procedures performed in 2016 was 1479. Most of the procedures were performed using the transsphenoidal approach (1320 transsphenoidal [1204 endoscopic, 53 microscopic, 53 endoscope-assisted microscopic] vs. 159 transcranial). A multidisciplinary tumor board is convened regularly in 32 of 37 centers, and a research laboratory is present in 18 centers. Conclusions Diagnosing pituitary/hypothalamus disorders and treating them is the result of teamwork, composed of several diverse experts. Regarding neurosurgery, our findings have confirmed the central role of the transsphenoidal approach, with preference toward the endoscopic technique. Better outcomes can be expected at centers with a multidisciplinary team and a full, or part of a, residency program, with a greater surgical caseload.

Published
2019

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