ENDOSCOPIC TRANS-SPHENOIDAL SURGERY IN MANAGEMENT OF SELLAR TUMORS: EXPERIENCE AT BANHA NEUROSURGICAL DEPARTMENT.

Aim:- Endoscopic transsphenoidal approaches to sellar tumor have undergone several refinement over the last 100 years, we report the results of our early experience of a consecutive series patients who underwent sellar tumor excision via endoscopic endonasal approach and the results of the evaluation of the efficacy and safety of this approach and recognized the learning curve for this procedure. Material And Methods:- 20 patients undergoing sellar region surgery between March 2014 and March 2016 were assessed retrospectively and prospectively in our department. Results: The preoperative clinical presentation of the patients, visual assessment, hormone profile, computed tomography and magnetic resonance imaging findings, were evaluated and revealed the importance of the parameters for surgery. Surgical technique, tumor characteristics, postoperative clinical condition of the patients, hormone profile, complications and follow-up period were reviewed. Conclusion: Endonasal endoscopic pituitary surgery is a minimal invasive, safe and effective surgical technique.