"RIV/00843989:_____/12:00102606!RIV13-MZ0-00843989" . . . "Kom\u00EDnek, Pavel" . "Endoskopick\u00E1 transnaz\u00E1ln\u00ED chirurgie sel\u00E1rn\u00ED oblasti" . . . "6"^^ . "61" . "Endoskopick\u00E1 transnaz\u00E1ln\u00ED chirurgie sel\u00E1rn\u00ED oblasti"@cs . "\u0160trympl, Pavel" . . "[44ADAFC84974]" . "Endoscopic transnasal surgery of sellar region"@en . . "Endoscopic transnasal surgery of sellar region"@en . "Objective: The paper presents our experience with endoscopic technique and advantages of interdisciplinary collaboration in the endoscopic approach to cranial base. Material and method: The patients operated on for intracranial pathology by transnasal approach at the Center of endoscopic surgery of cranial base, Faculty Hospital in Ostrava, were enrolled in the study. The surgery was indicated by neurologist and the approach to the tumor was evaluated by otorhinolaryngologist. Results: Since January 2008 till January 2011 the authors performed 105 surgeries for pathology in the area of anterior cranial fossa by transnasal endoscopic approach. Ninety patients suffered from adenoma of hypophysis (83 nonfunctional and 7 functional ones). Non-pituitary lesions were the reason for surgery in 15 patients (meningioma 3 times, craniopharyngioma 6 times, epidermoid cyst once, metastasis in the sellar region once, Rathke recess cyst twice, dermoid cyst twice). In 83 patients with nonfunctional adenomas of hypophysis control MR examination resulted in radical resection with 67 patients (80%) and in the remaining 17 patients (20%) partial resection was used. From the total of 15 non-pituitary lesions, radical extirpation was performed in eleven patients. Serious complications were observed in 8 patients (4 times postoperative liquorrhea, diabetes insipidus 3 times, pseudoaneurysm of carotid artery once), there was no mortality. Postoperative deterioration of vision was not observed. Conclusions: Endoscopic transnasal approach is a minimally invasive approach which makes it possible to solve adenoma of hypophysis and other pathological conditions in the sellar region."@en . "Endoskopick\u00E1 transnaz\u00E1ln\u00ED chirurgie sel\u00E1rn\u00ED oblasti" . . . . "V" . . . "6"^^ . . "Pniak, Tom\u00E1\u0161" . "1210-7867" . "3" . "CZ - \u010Cesk\u00E1 republika" . "Lipina, Radim" . . "transnasal endoscopic surgery of cranial base; sellar region tumors"@en . . "C\u00EDl pr\u00E1ce: V pr\u00E1ci jsou prezentov\u00E1ny na\u0161e zku\u0161enosti s endoskopickou technikou a v\u00FDhody mezioborov\u00E9 spolupr\u00E1ce p\u0159i endoskopick\u00E9m p\u0159\u00EDstupu k lebn\u00ED bazi. Materi\u00E1l a metoda: Do sledovan\u00E9ho souboru byli za\u0159azeni pacienti operovan\u00ED pro intrakrani\u00E1ln\u00ED patologii transnaz\u00E1ln\u00EDm endoskopick\u00FDm p\u0159\u00EDstupem v Centru endoskopick\u00E9 chirurgie lebn\u00ED baze FN Ostrava. Pacienti byli k operaci indikov\u00E1ni neurochirurgem, p\u0159\u00EDstupov\u00E1 cesta k n\u00E1doru a vhodnost endoskopick\u00E9ho p\u0159\u00EDstupu byla zhodnocena otorinolaryngologem. V\u00FDsledky: Od ledna 2008 do ledna 2011 bylo provedeno 105 operac\u00ED pro patologii v oblasti p\u0159edn\u00ED lebn\u00ED j\u00E1my transnaz\u00E1ln\u00EDm endoskopick\u00FDm p\u0159\u00EDstupem. U 90 pacient\u016F se jednalo o adenom hypof\u00FDzy (83 adenom\u016F afunk\u010Dn\u00EDch a 7 funk\u010Dn\u00EDch). Pro non-pituit\u00E1rn\u00ED l\u00E9ze bylo operov\u00E1no 15 pacient\u016F (3x meningeom, 6x kraniofaryngeom, 1x epidermoidn\u00ED cysta, 1x metast\u00E1za v sel\u00E1rn\u00ED krajin\u011B, 2x cysta Rathkeho v\u00FDchlipky, 2x dermoidn\u00ED cysta). U 83 pacient\u016F s afunk\u010Dn\u00EDmi adenomy hypof\u00FDzy byla dle kontroln\u00ED MR radik\u00E1ln\u00ED resekce u 67 pacient\u016F (80 %), u zbyl\u00FDch 17 pacient\u016F byla exstirpace parci\u00E1ln\u00ED (20 %). Z celkem 15 non-pituit\u00E1rn\u00EDch l\u00E9z\u00ED byla radik\u00E1ln\u00ED exstirpace provedena u 11. Z\u00E1va\u017En\u00E9 komplikace byly pozorov\u00E1ny u 8 pacient\u016F (4x poopera\u010Dn\u00ED likvorea, 3x diabetes insipidus, 1x pseudoaneurysma a. carotis), mortalita byla nulov\u00E1. Nepozorovali jsme poopera\u010Dn\u00ED zhor\u0161en\u00ED zraku. Z\u00E1v\u011Br: Endoskopick\u00FD transnaz\u00E1ln\u00ED p\u0159\u00EDstup je p\u0159\u00EDstupem minim\u00E1ln\u011B invazivn\u00EDm, kter\u00FD umo\u017E\u0148uje \u0159e\u0161it nejen adenomy hypof\u00FDzy, ale i dal\u0161\u00ED patologie v sel\u00E1rn\u00ED oblasti."@cs . . "Otorinolaryngologie a foniatrie" . "134290" . "Matou\u0161ek, Petr" . . "Pale\u010Dek, Tom\u00E1\u0161" . . "C\u00EDl pr\u00E1ce: V pr\u00E1ci jsou prezentov\u00E1ny na\u0161e zku\u0161enosti s endoskopickou technikou a v\u00FDhody mezioborov\u00E9 spolupr\u00E1ce p\u0159i endoskopick\u00E9m p\u0159\u00EDstupu k lebn\u00ED bazi. Materi\u00E1l a metoda: Do sledovan\u00E9ho souboru byli za\u0159azeni pacienti operovan\u00ED pro intrakrani\u00E1ln\u00ED patologii transnaz\u00E1ln\u00EDm endoskopick\u00FDm p\u0159\u00EDstupem v Centru endoskopick\u00E9 chirurgie lebn\u00ED baze FN Ostrava. Pacienti byli k operaci indikov\u00E1ni neurochirurgem, p\u0159\u00EDstupov\u00E1 cesta k n\u00E1doru a vhodnost endoskopick\u00E9ho p\u0159\u00EDstupu byla zhodnocena otorinolaryngologem. V\u00FDsledky: Od ledna 2008 do ledna 2011 bylo provedeno 105 operac\u00ED pro patologii v oblasti p\u0159edn\u00ED lebn\u00ED j\u00E1my transnaz\u00E1ln\u00EDm endoskopick\u00FDm p\u0159\u00EDstupem. U 90 pacient\u016F se jednalo o adenom hypof\u00FDzy (83 adenom\u016F afunk\u010Dn\u00EDch a 7 funk\u010Dn\u00EDch). Pro non-pituit\u00E1rn\u00ED l\u00E9ze bylo operov\u00E1no 15 pacient\u016F (3x meningeom, 6x kraniofaryngeom, 1x epidermoidn\u00ED cysta, 1x metast\u00E1za v sel\u00E1rn\u00ED krajin\u011B, 2x cysta Rathkeho v\u00FDchlipky, 2x dermoidn\u00ED cysta). U 83 pacient\u016F s afunk\u010Dn\u00EDmi adenomy hypof\u00FDzy byla dle kontroln\u00ED MR radik\u00E1ln\u00ED resekce u 67 pacient\u016F (80 %), u zbyl\u00FDch 17 pacient\u016F byla exstirpace parci\u00E1ln\u00ED (20 %). Z celkem 15 non-pituit\u00E1rn\u00EDch l\u00E9z\u00ED byla radik\u00E1ln\u00ED exstirpace provedena u 11. Z\u00E1va\u017En\u00E9 komplikace byly pozorov\u00E1ny u 8 pacient\u016F (4x poopera\u010Dn\u00ED likvorea, 3x diabetes insipidus, 1x pseudoaneurysma a. carotis), mortalita byla nulov\u00E1. Nepozorovali jsme poopera\u010Dn\u00ED zhor\u0161en\u00ED zraku. Z\u00E1v\u011Br: Endoskopick\u00FD transnaz\u00E1ln\u00ED p\u0159\u00EDstup je p\u0159\u00EDstupem minim\u00E1ln\u011B invazivn\u00EDm, kter\u00FD umo\u017E\u0148uje \u0159e\u0161it nejen adenomy hypof\u00FDzy, ale i dal\u0161\u00ED patologie v sel\u00E1rn\u00ED oblasti." . "RIV/00843989:_____/12:00102606" . . "6"^^ . . "Endoskopick\u00E1 transnaz\u00E1ln\u00ED chirurgie sel\u00E1rn\u00ED oblasti"@cs .