A prospective comparative study assessing the efficacy of endoscopic and microscopic excision of noninvasive pituitary adenoma

Aim: To compare the effectiveness of endoscopic v/s microscopic excision of a benign pituitary adenoma. Materials and methods: The present prospective comparative was conducted in the Department of General Surgery, Pt. J.N.M. Medical College Raipur, C.G., India among 50 patients diagnosed of noninvasive pituitary Adenoma. Group I (n=28); underwent endoscopic transsphenoidal surgery. Group II (n=22): underwent microscopic transsphenoidal surgery. Results: A total of 50 patients with pituitary noninvasive adenoma were operated transsphenoidally. Endonasal endoscopic transsphenoidal surgery (group I) was carried out among 28 patients and 22 patients were operated by microscopic transsphenoidal surgery (group II). In group I, complete tumor excision was achieved in 16 (57.1%) patients, and in group II, it was achieved in 12 (54.5%) patients. Conclusion: Pituitary noninvasive adenomas can be treated with any approach. In compared to microscopic method, endoscopy is superior for resection and has less post-operative complications.