2018 AANS Annual Scientific Meeting-590. Assessing the Promise of Endoscopic Pituitary Surgery—A Matched Analysis of Clinical and Socioeconomic Outcomes

590. Assessing the Promise of Endoscopic Pituitary Surgery—A Matched Analysis of Clinical and Socioeconomic Outcomes

Video Transcription

Video Summary

In this video, Dan Vail presents an analysis of clinical and socioeconomic outcomes of endoscopic pituitary surgery compared to the traditional microscopic transphenoidal approach. The study uses data from a large multi-institution administrative database to assess post-operative complication rates, cost of care, length of stay, and likelihood of post-resection radiation therapy. The analysis includes matching and unmatched models to explore correlation and generalizability of the findings. Results show a higher overall 30-day complication rate for endoscopic surgery, particularly in neurologic and renal complications. However, there were no significant differences in mortality, readmission rates, surgical revision rates, or long-term costs between the two approaches. The endoscopic approach was associated with a lower likelihood of post-resection radiation, suggesting a potentially more complete tumor resection. The study acknowledges limitations such as the lack of tumor anatomy data.

Asset Caption

Daniel Vail

Keywords

endoscopic pituitary surgery

microscopic transphenoidal approach

complication rates

cost of care

post-resection radiation therapy