Endoscopic Sellar, Suprasellar and Parasellar Surgery with Image Guidance

Objective: This study was conducted to assess the efficacy of using image-guided systems in endoscopic sellar, suprasellar parasellar surgeries. Material and Methods: The study included 20 patients presented with sellar, suprasellar and parasellar pathologies. Patients were divided into 2 groups: Study group, which included 10 patients who were operated upon using the imageguided system (IGS) and control group, which included 10 patients who were operated upon without using the IGS. The main outcomes measured were major complications, average blood loss, and operative time. Results: The study group had one major complication; an average blood loss of 840ml, and an average total operative time of 166 minutes. The control group had three major complications; an average blood loss of 818ml; and an average total operative time of 154 minutes. Conclusion: The use of an image-guided system for endoscopic transsphenoidal surgery may reduce the complications associated with the procedure and allow for a more thorough operation. However, operative time and blood loss may be increased.