{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,11,12]],"date-time":"2022-11-12T06:02:21Z","timestamp":1668232941635},"reference-count":27,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nAntecedentes: <\/jats:title>\nEl abordaje endosc\u00f3pico endonasal (AEE) presenta ventajas potenciales a los abordajes abiertos tradicionales. Sin embargo, se han descrito complicaciones como la f\u00edstula de l\u00edquido cefalorraqu\u00eddeo (LCR), trastornos visuales y meningitis postquir\u00fargica. El objetivo de este trabajo es presentar la experiencia acumulada en 120 casos de cirug\u00eda endosc\u00f3pica de base de cr\u00e1neo realizadas por un mismo equipo quir\u00fargico, y describir y analizar las principales complicaciones postoperatorias seg\u00fan la complejidad de los casos.<\/jats:p>\n<\/jats:sec>\n\nM\u00e9todos: <\/jats:title>\nEstudio retrospectivo sobre nuestra base de datos de pacientes operados de AEE de base de cr\u00e1neo por diversas patolog\u00edas entre julio de 2011 y marzo de 2022.<\/jats:p>\n<\/jats:sec>\n\nResultados: <\/jats:title>\nSe analizaron 120 cirug\u00edas con AEE de base de cr\u00e1neo. El 57.14% fueron realizadas en mujeres. La mediana de edad fue de 44 a\u00f1os. El 26.66% fueron reintervenciones. La patolog\u00eda m\u00e1s frecuente fue el adenoma hipofisario (49.17%) seguida de la f\u00edstula de LCR (8.33%). El AEE m\u00e1s utilizado fue el transelar 65.83%. Se registraron 26 complicaciones, sin diferencias seg\u00fan la complejidad. Se constataron 13 casos de diabetes ins\u00edpida (DI) y 8 de f\u00edstula de LCR. Esta fue m\u00e1s frecuente en pacientes con f\u00edstula intraoperatoria de LCR. La mediana de internaci\u00f3n fue de 5.5 d\u00edas.<\/jats:p>\n<\/jats:sec>\n\nConclusiones: <\/jats:title>\nEl AEE de base de cr\u00e1neo se ha vuelto una opci\u00f3n cada vez m\u00e1s utilizada para el manejo quir\u00fargico de la patolog\u00eda de la base de cr\u00e1neo, con una baja frecuencia de complicaciones postoperatorias inmediatas y baja mortalidad. El perfeccionamiento de la t\u00e9cnica como la mejor\u00eda en los cuidados postoperatorios se asocian a una menor estancia hospitalaria.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_980_2022","type":"journal-article","created":{"date-parts":[[2022,11,11]],"date-time":"2022-11-11T05:26:50Z","timestamp":1668144410000},"page":"523","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cirug\u00eda endosc\u00f3pica transnasal de base de cr\u00e1neo: An\u00e1lisis de las complicaciones en los primeros 120 procedimientos"],"prefix":"10.25259","volume":"13","author":[{"given":"H\u00e9ctor Pablo","family":"Rojas","sequence":"first","affiliation":[{"name":"Unidad de Cirug\u00eda Hipofisaria y Base de Cr\u00e1neo, Grupo Gamma, Rosario, Argentina."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pablo Horacio","family":"Jos\u00e9","sequence":"additional","affiliation":[{"name":"Unidad de Cirug\u00eda Hipofisaria y Base de Cr\u00e1neo, Grupo Gamma, Rosario, Argentina."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto Rafael","family":"Herrera","sequence":"additional","affiliation":[{"name":"Servicio de Neurocirug\u00eda de la Cl\u00ednica Adventista Belgrano, Cl\u00ednica Adventista Belgrano, Ciudad Aut\u00f3noma de Buenos Aires, Argentina."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Luis","family":"Ledesma","sequence":"additional","affiliation":[{"name":"Servicio de Neurocirug\u00eda de la Cl\u00ednica Adventista Belgrano, Cl\u00ednica Adventista Belgrano, Ciudad Aut\u00f3noma de Buenos Aires, Argentina."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo","family":"Rub\u00edn","sequence":"additional","affiliation":[{"name":"Unidad de Cirug\u00eda Hipofisaria y Base de Cr\u00e1neo, Grupo Gamma, Rosario, Argentina."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis Agust\u00edn Ram\u00edrez","family":"Stieben","sequence":"additional","affiliation":[{"name":"Unidad de Cirug\u00eda Hipofisaria y Base de Cr\u00e1neo, Grupo Gamma, Rosario, Argentina."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2022,11,11]]},"reference":[{"key":"10.25259\/SNI_980_2022\/ref-1","doi-asserted-by":"crossref","first-page":"S389","DOI":"10.4103\/2152-7806.104403","article-title":"Endoscopic transnasal surgery for pituitary adenomas","volume":"3","author":"Ajler","year":"2012","journal-title":"Surg Neurol Int"},{"key":"10.25259\/SNI_980_2022\/ref-2","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1016\/j.wneu.2015.12.105","article-title":"Endoscopic endonasal anterior skull base surgery: A systematic review of complications during the past 65 years","volume":"95","author":"Borg","year":"2016","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_980_2022\/ref-3","first-page":"e13457","article-title":"The 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