COMPARATIVE ANALYSIS OF ENDOSCOPIC ENDONASAL TRANSSPHENOIDAL AND MICROSURGICAL TRANSCRANIAL METHODS FOR REMOVING CRANIOPHARYNGIOMAS

Mkrtchyan Vahe Seryoja

Craniopharyngiomas are epithelial histologically benign neoplasms the main method о treatment for which is surgical removal. Endoscopic endonasal transsphenoidal and various microsurgical approaches are used for this. The choice of surgical approach mostly depends on the preferences of the neurosurgeon. This publication shows the results of a comparative analysis of two groups: a group of 32 patients operated on through a completely endoscopic endonasal transsphenoidal approach and a group of 21 patients operated on through transcranial microsurgical approaches. The comparison revealed a significantly shorter duration of surgery, a shorter duration of hospitalization, a high degree of achievement of GTR and a low degree of partial resection, as well as a lower incidence of postoperative visual disturbances with EET surgery in comparison with the second type of intervention.

Keywords:Craniopharyngioma, surgical endoscopy, transsphenoidal surgery, transcranial surgery of craniopharyngiomas