論文

国際誌
2023年8月

The efficacy of a visiting surgical service versus that of a hospital-based surgical service in providing endoscopic endonasal surgery to remove nonfunctioning pituitary adenomas in rural communities.

Pituitary
  • Toshihiro Ogiwara
  • Satoshi Kitamura
  • Tetsuya Goto
  • Yu Fujii
  • Ken Yamazaki
  • Haruki Kuwabara
  • Akifumi Yokota
  • Hiromu Murase
  • Yoshiki Hanaoka
  • Atsushi Sato
  • Kazuhiro Hongo
  • Tetsuyoshi Horiuchi
  • 全て表示

26
4
開始ページ
521
終了ページ
528
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1007/s11102-023-01338-z

PURPOSE: To satisfy the increasing demand for endoscopic endonasal approach (EEA) to treat pituitary tumors, especially in rural areas, the "mobile EEA" system, a visiting surgical service, has been established We report this unique system for maintaining community healthcare and evaluate the surgical results of mobile EEA. METHODS: A retrospectively acquired database of 225 consecutive cases of EEA at Shinshu University Hospital (i.e., "home EEA") and its affiliated hospitals (i.e., "away EEA") between May 2018 and May 2022 was reviewed. A total of 105 consecutive patients who fulfilled the criterion of a diagnosis of new-onset nonfunctioning pituitary adenoma (PA) were included. Clinical characteristics and postoperative clinical outcomes were statistically compared between the home EEA and away EEA groups to assess the presence of a home advantage and/or an away disadvantage. RESULTS: Patients were stratified into two cohorts: patients treated at our hospital (home EEA: n = 41 [39.0%]) and those treated in the visiting surgical service at an affiliated hospital (away EEA: n = 64 [61.0%]). Postoperative clinical outcomes, such as the extent of tumor resection (p = 0.39), operation time (p = 0.80), visual function (p = 0.54), and occurrence of surgical complications (p = 0.53), were comparable between the groups. There were no visiting surgical service-related adverse events or accidents caused by physicians' driving to away hospitals. CONCLUSION: Pituitary surgeries performed via the mobile EEA system for nonfunctioning PAs may help maintain local community healthcare. Furthermore, this system can also contribute to the efficient training of surgeons by the same experienced pituitary surgeon using the same protocol.

リンク情報
DOI
https://doi.org/10.1007/s11102-023-01338-z
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/37477852
ID情報
  • DOI : 10.1007/s11102-023-01338-z
  • PubMed ID : 37477852

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