{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T16:07:21Z","timestamp":1776096441931,"version":"3.50.1"},"reference-count":40,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,1]]},"abstract":"\n OBJECTIVE<\/jats:title>\n Early discharge following uncomplicated endonasal resection of pituitary adenoma has been described as safe and feasible. Discharge on postoperative day (POD) 1 is not a widely implemented practice in the United States. This study aimed to evaluate the safety of routine POD1 discharges by assessing postoperative unplanned medical care rates compared with those of patients discharged on POD 2 or later (POD2+). The secondary endpoint was to identify predictors of delayed discharge in the POD2+ cohort.<\/jats:p>\n <\/jats:sec>\n \n METHODS<\/jats:title>\n A retrospective database review of the medical records of 534 patients who underwent endonasal resection of pituitary adenoma at the Mayo Clinic was performed. Relevant demographics, tumor characteristics, and perioperative metrics were abstracted from the medical record, including intraoperative CSF leakage, postoperative complications, emergency department visits, or inpatient readmissions within 30 days. Descriptive, univariate, and multivariate analyses were performed.<\/jats:p>\n <\/jats:sec>\n \n RESULTS<\/jats:title>\n In comparison to 422 (79%) patients discharged on POD1, 112 (21%) patients discharged on POD2+ had a higher unplanned medical care rate (13% vs 5.5%, p = 0.019). There were significantly more men in the POD1 group (48%) than in the POD2+ group (37%) (p < 0.04). The most common reasons for POD1 unplanned care were endocrine dysfunction (2.4%), split evenly between syndrome of inappropriate antidiuretic hormone and adrenal insufficiency, whereas the most frequent reason in the POD2+ cohort was medical (0.06%). Univariate analyses indicated that female sex, higher BMI, intensive care unit (ICU) admission, obstructive sleep apnea, continuous positive airway pressure dependence, intraoperative CSF leakage, and diabetes insipidus (DI) increased the likelihood of POD2+ discharge. The reduced logistic regression model demonstrated a higher likelihood of POD2+ discharge with older age, ICU admission, intraoperative CSF leakage, and DI (p < 0.001). Common factors contributing to discharge after POD1 included endocrine (n = 66, 35%) and\/or medical (n = 65, 34%) reasons.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSIONS<\/jats:title>\n Routine patient discharge on POD1 following uncomplicated endonasal resection of pituitary adenoma is a safe practice, as evidenced by the significantly lower rates of unplanned medical care and complications compared with those of patients discharged on POD2 or later. Delayed discharge was associated with older age, ICU admission, intraoperative CSF leakage, and DI. The most frequent reasons for POD1 readmission were endocrine versus medical reasons for POD2+. Preoperative identification of risk factors for delayed discharge and preemptive management of endocrine and medical complications may reduce the length of stay and return to medical care.<\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/2025.9.jns25752","type":"journal-article","created":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T01:41:46Z","timestamp":1769218906000},"page":"929-936","source":"Crossref","is-referenced-by-count":0,"title":["Association of standard postoperative day 1 discharge following endonasal surgery for pituitary adenoma with lower complication rates and unplanned medical care"],"prefix":"10.3171","volume":"144","author":[{"given":"Rima S.","family":"Rindler","sequence":"first","affiliation":[{"name":"Departments of Neurologic Surgery,"},{"name":"Sierra Neurosurgery Group, Reno, Nevada; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danielle D.","family":"Dang","sequence":"additional","affiliation":[{"name":"Departments of Neurologic Surgery,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rahul","family":"Kumar","sequence":"additional","affiliation":[{"name":"Departments of Neurologic Surgery,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justine","family":"Herndon","sequence":"additional","affiliation":[{"name":"Endocrinology, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dana","family":"Erickson","sequence":"additional","affiliation":[{"name":"Endocrinology, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"Davidge-Pitts","sequence":"additional","affiliation":[{"name":"Endocrinology, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irina","family":"Bancos","sequence":"additional","affiliation":[{"name":"Endocrinology, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Garret","family":"Choby","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, University of Pittsburgh, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Atkinson","sequence":"additional","affiliation":[{"name":"Departments of Neurologic Surgery,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jamie J.","family":"Van Gompel","sequence":"additional","affiliation":[{"name":"Departments of Neurologic Surgery,"},{"name":"Otorhinolaryngology and Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota;"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"1","key":"b1","series-title":"J Neurosurg","first-page":"67","article-title":"Morbidity of repeat transsphenoidal surgery assessed in more than 1000 operations","volume":"121","author":"Jahangiri A","year":"2014","unstructured":"Jahangiri A, Wagner J, Han SW, Morbidity of repeat transsphenoidal surgery assessed in more than 1000 operations. J Neurosurg. 2014;121(1):67\u201374."},{"issue":"6","key":"b2","series-title":"Int Forum Allergy Rhinol","first-page":"785","article-title":"Predicting prolonged length of stay after endoscopic transsphenoidal surgery for pituitary adenoma","volume":"10","author":"Vimawala S","year":"2020","unstructured":"Vimawala S, Chitguppi C, Reilly E, Predicting prolonged length of stay after endoscopic transsphenoidal surgery for pituitary adenoma. Int Forum Allergy Rhinol. 2020;10(6):785\u2013790."},{"issue":"5","key":"b3","series-title":"J Neurosurg","first-page":"1337","article-title":"Evaluation of early postoperative day 1 discharge after endoscopic endonasal pituitary adenoma resection","volume":"136","author":"Yu S","year":"2022","unstructured":"Yu S, Taghvaei M, Collopy S, Evaluation of early postoperative day 1 discharge after endoscopic endonasal pituitary adenoma resection. J Neurosurg. 2022;136(5):1337\u20131346."},{"issue":"8","key":"b4","series-title":"Mayo Clin Proc","first-page":"2043","article-title":"Pituitary tumor surgery: comparison of endoscopic and microscopic techniques at a single center","volume":"96","author":"Van Gompel JJ","year":"2021","unstructured":"Van Gompel JJ, Atkinson JLD, Choby G, Pituitary tumor surgery: comparison of endoscopic and microscopic techniques at a single center. Mayo Clin Proc. 2021;96(8):2043\u20132057."},{"issue":"3","key":"b5","series-title":"Cancer","first-page":"613","article-title":"The prevalence of pituitary adenomas: a systematic review","volume":"101","author":"Ezzat S","year":"2004","unstructured":"Ezzat S, Asa SL, Couldwell WT, The prevalence of pituitary adenomas: a systematic review. Cancer. 2004;101(3):613\u2013619."},{"issue":"3-4","key":"b6","series-title":"World Neurosurg","first-page":"576","article-title":"Prospective trial of a short hospital stay protocol after endoscopic endonasal pituitary adenoma surgery","volume":"81","author":"Thomas JG","year":"2014","unstructured":"Thomas JG, Gadgil N, Samson SL, Takashima M, Yoshor D. Prospective trial of a short hospital stay protocol after endoscopic endonasal pituitary adenoma surgery. World Neurosurg. 2014;81(3-4):576\u2013583."},{"issue":"2","key":"b7","series-title":"J Neurosurg","first-page":"405","article-title":"Routine postoperative fluid restriction to prevent syndrome of inappropriate antidiuretic hormone secretion after transsphenoidal resection of pituitary adenoma","volume":"136","author":"Snyder MH","year":"2022","unstructured":"Snyder MH, Asuzu DT, Shaver DE, Vance ML, Jane JA. Routine postoperative fluid restriction to prevent syndrome of inappropriate antidiuretic hormone secretion after transsphenoidal resection of pituitary adenoma. J Neurosurg. 2022;136(2):405\u2013412."},{"key":"b8","series-title":"J Clin Transl Endocrinol","first-page":"100336","article-title":"Patient and caregiver perspectives of fluid discharge protocols following pituitary surgery","volume":"35","author":"Chang JJ","year":"2024","unstructured":"Chang JJ, Amano A, Brown-Johnson C, Patient and caregiver perspectives of fluid discharge protocols following pituitary surgery. J Clin Transl Endocrinol. 2024;35:100336."},{"key":"b9","series-title":"J Clin Neurosci","first-page":"180","article-title":"Postoperative fluid restriction to prevent hyponatremia after transsphenoidal pituitary surgery: an updated meta-analysis and critique","volume":"106","author":"Castle-Kirszbaum M","year":"2022","unstructured":"Castle-Kirszbaum M, Goldschlager T, Shi MDY, Kam J, Fuller PJ. Postoperative fluid restriction to prevent hyponatremia after transsphenoidal pituitary surgery: an updated meta-analysis and critique. J Clin Neurosci. 2022;106:180\u2013184."},{"issue":"9","key":"b10","series-title":"Endocr Pract","first-page":"966","article-title":"Fluid restriction after transsphenoidal surgery for the prevention of delayed hyponatremia: a systematic review and meta-analysis","volume":"27","author":"Perez-Vega C","year":"2021","unstructured":"Perez-Vega C, Tripathi S, Domingo RA, Fluid restriction after transsphenoidal surgery for the prevention of delayed hyponatremia: a systematic review and meta-analysis. Endocr Pract. 2021;27(9):966\u2013972."},{"issue":"2","key":"b11","series-title":"Otolaryngol Head Neck Surg","first-page":"359","article-title":"Causes for 30-day readmission following transsphenoidal surgery","volume":"154","author":"Hendricks BL","year":"2016","unstructured":"Hendricks BL, Shikary TA, Zimmer LA. Causes for 30-day readmission following transsphenoidal surgery. Otolaryngol Head Neck Surg. 2016;154(2):359\u2013365."},{"key":"b12","series-title":"World Neurosurg","first-page":"233","article-title":"Delayed complications after transsphenoidal surgery for pituitary adenomas","volume":"109","author":"Alzhrani G","year":"2018","unstructured":"Alzhrani G, Sivakumar W, Park MS, Taussky P, Couldwell WT. Delayed complications after transsphenoidal surgery for pituitary adenomas. World Neurosurg. 2018;109:233\u2013241."},{"issue":"8","key":"b13","series-title":"Laryngoscope","first-page":"1283","article-title":"Incidence, etiology, and management of cerebrospinal fluid leaks following trans-sphenoidal surgery","volume":"113","author":"Shiley SG","year":"2003","unstructured":"Shiley SG, Limonadi F, Delashaw JB, Incidence, etiology, and management of cerebrospinal fluid leaks following trans-sphenoidal surgery. Laryngoscope. 2003;113(8):1283\u20131288."},{"issue":"11","key":"b14","series-title":"Int Forum Allergy Rhinol","first-page":"1117","article-title":"Factors impacting cerebrospinal fluid leak rates in endoscopic sellar surgery","volume":"6","author":"Karnezis TT","year":"2016","unstructured":"Karnezis TT, Baker AB, Soler ZM, Factors impacting cerebrospinal fluid leak rates in endoscopic sellar surgery. Int Forum Allergy Rhinol. 2016;6(11):1117\u20131125."},{"issue":"6","key":"b15","series-title":"Clin Neurol Neurosurg","first-page":"570","article-title":"Cerebrospinal fluid rhinorrhea following trans-sphenoidal pituitary macroadenoma surgery: experience from 592 patients","volume":"110","author":"Han ZL","year":"2008","unstructured":"Han ZL, He DS, Mao ZG, Wang HJ. Cerebrospinal fluid rhinorrhea following trans-sphenoidal pituitary macroadenoma surgery: experience from 592 patients. Clin Neurol Neurosurg. 2008;110(6):570\u2013579."},{"issue":"5","key":"b16","series-title":"Otolaryngol Head Neck Surg","first-page":"952","article-title":"Risk factors for intraoperative and postoperative cerebrospinal fluid leaks in endoscopic transsphenoidal sellar surgery","volume":"158","author":"Patel PN","year":"2018","unstructured":"Patel PN, Stafford AM, Patrinely JR, Risk factors for intraoperative and postoperative cerebrospinal fluid leaks in endoscopic transsphenoidal sellar surgery. Otolaryngol Head Neck Surg. 2018;158(5):952\u2013960."},{"issue":"10","key":"b17","series-title":"J Laryngol Otol","first-page":"1033","article-title":"Endoscopic, endonasal, trans-sphenoidal hypophysectomy: retrospective analysis of 171 procedures","volume":"126","author":"Kumar S","year":"2012","unstructured":"Kumar S, Darr A, Hobbs CG, Carlin WV. Endoscopic, endonasal, trans-sphenoidal hypophysectomy: retrospective analysis of 171 procedures. J Laryngol Otol. 2012;126(10):1033\u20131040."},{"issue":"2","key":"b18","series-title":"Pituitary","first-page":"150","article-title":"Endoscopic endonasal compared with microscopic transsphenoidal and open transcranial resection of giant pituitary adenomas","volume":"15","author":"Komotar RJ","year":"2012","unstructured":"Komotar RJ, Starke RM, Raper DMS, Anand VK, Schwartz TH. Endoscopic endonasal compared with microscopic transsphenoidal and open transcranial resection of giant pituitary adenomas. Pituitary. 2012;15(2):150\u2013159."},{"issue":"3","key":"b19","series-title":"Pituitary","first-page":"288","article-title":"Complications of endoscopic surgery of the pituitary adenomas: analysis of 570 patients and review of the literature","volume":"15","author":"Berker M","year":"2012","unstructured":"Berker M, Hazer DB, Y\u00fccel T, Complications of endoscopic surgery of the pituitary adenomas: analysis of 570 patients and review of the literature. Pituitary. 2012;15(3):288\u2013300."},{"issue":"2","key":"b20","series-title":"Laryngoscope","first-page":"311","article-title":"Complications following primary and revision transsphenoidal surgeries for pituitary tumors","volume":"125","author":"Krings JG","year":"2015","unstructured":"Krings JG, Kallogjeri D, Wineland A, Nepple KG, Piccirillo JF, Getz AE. Complications following primary and revision transsphenoidal surgeries for pituitary tumors. Laryngoscope. 2015;125(2):311\u2013317."},{"issue":"1","key":"b1","series-title":"J Neurosurg","first-page":"67","article-title":"Morbidity of repeat transsphenoidal surgery assessed in more than 1000 operations","volume":"121","author":"Jahangiri A","year":"2014","unstructured":"Jahangiri A, Wagner J, Han SW, Morbidity of repeat transsphenoidal surgery assessed in more than 1000 operations. J Neurosurg. 2014;121(1):67\u201374."},{"issue":"6","key":"b2","series-title":"Int Forum Allergy Rhinol","first-page":"785","article-title":"Predicting prolonged length of stay after endoscopic transsphenoidal surgery for pituitary adenoma","volume":"10","author":"Vimawala S","year":"2020","unstructured":"Vimawala S, Chitguppi C, Reilly E, Predicting prolonged length of stay after endoscopic transsphenoidal surgery for pituitary adenoma. Int Forum Allergy Rhinol. 2020;10(6):785\u2013790."},{"issue":"5","key":"b3","series-title":"J Neurosurg","first-page":"1337","article-title":"Evaluation of early postoperative day 1 discharge after endoscopic endonasal pituitary adenoma resection","volume":"136","author":"Yu S","year":"2022","unstructured":"Yu S, Taghvaei M, Collopy S, Evaluation of early postoperative day 1 discharge after endoscopic endonasal pituitary adenoma resection. J Neurosurg. 2022;136(5):1337\u20131346."},{"issue":"8","key":"b4","series-title":"Mayo Clin Proc","first-page":"2043","article-title":"Pituitary tumor surgery: comparison of endoscopic and microscopic techniques at a single center","volume":"96","author":"Van Gompel JJ","year":"2021","unstructured":"Van Gompel JJ, Atkinson JLD, Choby G, Pituitary tumor surgery: comparison of endoscopic and microscopic techniques at a single center. Mayo Clin Proc. 2021;96(8):2043\u20132057."},{"issue":"3","key":"b5","series-title":"Cancer","first-page":"613","article-title":"The prevalence of pituitary adenomas: a systematic review","volume":"101","author":"Ezzat S","year":"2004","unstructured":"Ezzat S, Asa SL, Couldwell WT, The prevalence of pituitary adenomas: a systematic review. Cancer. 2004;101(3):613\u2013619."},{"issue":"3-4","key":"b6","series-title":"World Neurosurg","first-page":"576","article-title":"Prospective trial of a short hospital stay protocol after endoscopic endonasal pituitary adenoma surgery","volume":"81","author":"Thomas JG","year":"2014","unstructured":"Thomas JG, Gadgil N, Samson SL, Takashima M, Yoshor D. Prospective trial of a short hospital stay protocol after endoscopic endonasal pituitary adenoma surgery. World Neurosurg. 2014;81(3-4):576\u2013583."},{"issue":"2","key":"b7","series-title":"J Neurosurg","first-page":"405","article-title":"Routine postoperative fluid restriction to prevent syndrome of inappropriate antidiuretic hormone secretion after transsphenoidal resection of pituitary adenoma","volume":"136","author":"Snyder MH","year":"2022","unstructured":"Snyder MH, Asuzu DT, Shaver DE, Vance ML, Jane JA. Routine postoperative fluid restriction to prevent syndrome of inappropriate antidiuretic hormone secretion after transsphenoidal resection of pituitary adenoma. J Neurosurg. 2022;136(2):405\u2013412."},{"key":"b8","series-title":"J Clin Transl Endocrinol","first-page":"100336","article-title":"Patient and caregiver perspectives of fluid discharge protocols following pituitary surgery","volume":"35","author":"Chang JJ","year":"2024","unstructured":"Chang JJ, Amano A, Brown-Johnson C, Patient and caregiver perspectives of fluid discharge protocols following pituitary surgery. J Clin Transl Endocrinol. 2024;35:100336."},{"key":"b9","series-title":"J Clin Neurosci","first-page":"180","article-title":"Postoperative fluid restriction to prevent hyponatremia after transsphenoidal pituitary surgery: an updated meta-analysis and critique","volume":"106","author":"Castle-Kirszbaum M","year":"2022","unstructured":"Castle-Kirszbaum M, Goldschlager T, Shi MDY, Kam J, Fuller PJ. Postoperative fluid restriction to prevent hyponatremia after transsphenoidal pituitary surgery: an updated meta-analysis and critique. J Clin Neurosci. 2022;106:180\u2013184."},{"issue":"9","key":"b10","series-title":"Endocr Pract","first-page":"966","article-title":"Fluid restriction after transsphenoidal surgery for the prevention of delayed hyponatremia: a systematic review and meta-analysis","volume":"27","author":"Perez-Vega C","year":"2021","unstructured":"Perez-Vega C, Tripathi S, Domingo RA, Fluid restriction after transsphenoidal surgery for the prevention of delayed hyponatremia: a systematic review and meta-analysis. Endocr Pract. 2021;27(9):966\u2013972."},{"issue":"2","key":"b11","series-title":"Otolaryngol Head Neck Surg","first-page":"359","article-title":"Causes for 30-day readmission following transsphenoidal surgery","volume":"154","author":"Hendricks BL","year":"2016","unstructured":"Hendricks BL, Shikary TA, Zimmer LA. Causes for 30-day readmission following transsphenoidal surgery. Otolaryngol Head Neck Surg. 2016;154(2):359\u2013365."},{"key":"b12","series-title":"World Neurosurg","first-page":"233","article-title":"Delayed complications after transsphenoidal surgery for pituitary adenomas","volume":"109","author":"Alzhrani G","year":"2018","unstructured":"Alzhrani G, Sivakumar W, Park MS, Taussky P, Couldwell WT. Delayed complications after transsphenoidal surgery for pituitary adenomas. World Neurosurg. 2018;109:233\u2013241."},{"issue":"8","key":"b13","series-title":"Laryngoscope","first-page":"1283","article-title":"Incidence, etiology, and management of cerebrospinal fluid leaks following trans-sphenoidal surgery","volume":"113","author":"Shiley SG","year":"2003","unstructured":"Shiley SG, Limonadi F, Delashaw JB, Incidence, etiology, and management of cerebrospinal fluid leaks following trans-sphenoidal surgery. Laryngoscope. 2003;113(8):1283\u20131288."},{"issue":"11","key":"b14","series-title":"Int Forum Allergy Rhinol","first-page":"1117","article-title":"Factors impacting cerebrospinal fluid leak rates in endoscopic sellar surgery","volume":"6","author":"Karnezis TT","year":"2016","unstructured":"Karnezis TT, Baker AB, Soler ZM, Factors impacting cerebrospinal fluid leak rates in endoscopic sellar surgery. Int Forum Allergy Rhinol. 2016;6(11):1117\u20131125."},{"issue":"6","key":"b15","series-title":"Clin Neurol Neurosurg","first-page":"570","article-title":"Cerebrospinal fluid rhinorrhea following trans-sphenoidal pituitary macroadenoma surgery: experience from 592 patients","volume":"110","author":"Han ZL","year":"2008","unstructured":"Han ZL, He DS, Mao ZG, Wang HJ. Cerebrospinal fluid rhinorrhea following trans-sphenoidal pituitary macroadenoma surgery: experience from 592 patients. Clin Neurol Neurosurg. 2008;110(6):570\u2013579."},{"issue":"5","key":"b16","series-title":"Otolaryngol Head Neck Surg","first-page":"952","article-title":"Risk factors for intraoperative and postoperative cerebrospinal fluid leaks in endoscopic transsphenoidal sellar surgery","volume":"158","author":"Patel PN","year":"2018","unstructured":"Patel PN, Stafford AM, Patrinely JR, Risk factors for intraoperative and postoperative cerebrospinal fluid leaks in endoscopic transsphenoidal sellar surgery. Otolaryngol Head Neck Surg. 2018;158(5):952\u2013960."},{"issue":"10","key":"b17","series-title":"J Laryngol Otol","first-page":"1033","article-title":"Endoscopic, endonasal, trans-sphenoidal hypophysectomy: retrospective analysis of 171 procedures","volume":"126","author":"Kumar S","year":"2012","unstructured":"Kumar S, Darr A, Hobbs CG, Carlin WV. Endoscopic, endonasal, trans-sphenoidal hypophysectomy: retrospective analysis of 171 procedures. J Laryngol Otol. 2012;126(10):1033\u20131040."},{"issue":"2","key":"b18","series-title":"Pituitary","first-page":"150","article-title":"Endoscopic endonasal compared with microscopic transsphenoidal and open transcranial resection of giant pituitary adenomas","volume":"15","author":"Komotar RJ","year":"2012","unstructured":"Komotar RJ, Starke RM, Raper DMS, Anand VK, Schwartz TH. Endoscopic endonasal compared with microscopic transsphenoidal and open transcranial resection of giant pituitary adenomas. Pituitary. 2012;15(2):150\u2013159."},{"issue":"3","key":"b19","series-title":"Pituitary","first-page":"288","article-title":"Complications of endoscopic surgery of the pituitary adenomas: analysis of 570 patients and review of the literature","volume":"15","author":"Berker M","year":"2012","unstructured":"Berker M, Hazer DB, Y\u00fccel T, Complications of endoscopic surgery of the pituitary adenomas: analysis of 570 patients and review of the literature. Pituitary. 2012;15(3):288\u2013300."},{"issue":"2","key":"b20","series-title":"Laryngoscope","first-page":"311","article-title":"Complications following primary and revision transsphenoidal surgeries for pituitary tumors","volume":"125","author":"Krings JG","year":"2015","unstructured":"Krings JG, Kallogjeri D, Wineland A, Nepple KG, Piccirillo JF, Getz AE. Complications following primary and revision transsphenoidal surgeries for pituitary tumors. Laryngoscope. 2015;125(2):311\u2013317."}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/144\/4\/article-p929.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/144\/4\/article-p929.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/144\/4\/article-p929.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T15:26:41Z","timestamp":1776094001000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/144\/4\/article-p929.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,1]]},"references-count":40,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.3171\/2025.9.jns25752","relation":{},"ISSN":["0022-3085","1933-0693"],"issn-type":[{"value":"0022-3085","type":"print"},{"value":"1933-0693","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,1]]}}}