Diode laser assisted minimal invasive sphenoidotomy for endoscopic transphenoidal pituitary surgery: Our technique and results

Jih Chin Lee*, Wen Sen Lai, Da Tong Ju, Yueng Hsiang Chu, Jinn-Moon Yang

*Corresponding author for this work

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Background and Objective During endoscopic sinus surgery (ESS), intra-operative bleeding can significantly compromise visualization of the surgical field. The diode laser that provides good hemostatic and vaporization effects and excellent photocoagulation has been successfully applied in endoscopic surgery with several advantages. The current retrospective study demonstrates the feasibility of diode laser-combined endoscopic sinus surgery on sphenoidotomy. Study Design/Materials and Methods The patients who went through endoscopic transphenoidal pituitary surgery were enrolled. During the operation, the quality of the surgical field was assessed and graded by the operating surgeon using the scale proposed by Boezaart. Results The mean operation time was 37.80 ± 10.90 minutes. The mean score on the quality of surgical field was 1.95. A positive correlation between the lower surgical field quality score and the shorter surgical time was found with statistical significance (P < 0.0001). No infections, hemorrhages, or other complications occurred intra- or post-operatively. Conclusion The diode laser-assisted sphenoidotomy is a reliable and safe approach of pituitary gland surgery with minimal invasiveness. It is found that application of diode laser significantly improved quality of surgical field and shortened operation time. Lasers Surg. Med. 47:239-242, 2015.

Original languageEnglish
Pages (from-to)239-242
Number of pages4
JournalLasers in Surgery and Medicine
Volume47
Issue number3
DOIs
StatePublished - 1 Mar 2015

Keywords

  • diode laser
  • endoscopic transsphenoidal approach
  • sphenoidotomy
  • surgical field

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