Conclusion
somatotropinomas, somatotropinoma, tamponade, traumatic, pain, acromegaly, tumors
POSTOPERATIVE COMPLICATIONS, DISEASE, REMISSION, ACROMEGALY, TUMORS, COMPLICATIONS
The study has shown that endoscopic surgery’s average anesthesia and procedure times are significantly shorter than those of microscopic surgery. Compared to the microscopic technique, the endoscopic technique increases the radicality of somatotropinoma total removal in patients with acromegaly. In general, the complications following endoscopic intervention were mainly mild. Moderate and severe complications occurred less frequently compared to microscopic operations. Since most complications are hormonal and often regress during the late postoperative period, the endoscopic intervention seems to have less severe consequences. The exclusion of unnecessary postoperative nasal tamponade during endoscopic surgery reduced the length of hospital stay, the frequency of moderate and severe postoperative complications, and pain, leading to rapid postoperative recovery. In general, both microscopic and endoscopic procedures show similar effectiveness in achieving disease remission. Given the above advantages, endoscopic endonasal transsphenoidal adenomectomy is the preferred method for surgical treatment of acromegaly. This method has proven efficacy, lower traumatic effect, and a higher degree of somatotropinomas removal radicality. At the same time, the microscopic somatotropin removal technique is reliable as well. It can be applied to remove chiasmal-sellar region tumors, when there is no required equipment or skilled personnel to perform endoscopic endonasal transsphenoidal adenomectomy.