The Prevalence Complications in Transphenoidal Pituitary Surgery: a Review of the National Inpatient Sample
Abstract
Transsphenoidal surgery is now the standard treatment of choice for pituitary tumors; it is clinically informative to examine how different care settings affect surgical outcome. It has been shown that factors such as hospital size and surgeon skill impact patient outcomes; our study intends to analyze these factors as well as qualities such as patient characteristics and the circumstances for admittance.The findings of the current study suggest that racial disparities do exist with respect to overall length of stay and hospital charges associated with transsphenoidal surgery. Adverse outcomes following pituitary surgery correlated strongly with increasing age. The most common inpatient complications following surgery for pituitary lesions included diabetes insipidus and other fluid/electrolytes abnormalities. Cerebrospinal fluid leakage was reported in approximately 2% of patients.
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