Compartir
array:23 [ "pii" => "S1130147305704310" "issn" => "11301473" "doi" => "10.1016/S1130-1473(05)70431-0" "estado" => "S300" "fechaPublicacion" => "2005-01-01" "aid" => "70431" "copyright" => "Sociedad Española de Neurocirugía" "copyrightAnyo" => "2005" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 2005;16:27-33" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2218 "formatos" => array:3 [ "EPUB" => 18 "HTML" => 1312 "PDF" => 888 ] ] "itemSiguiente" => array:18 [ "pii" => "S1130147305704322" "issn" => "11301473" "doi" => "10.1016/S1130-1473(05)70432-2" "estado" => "S300" "fechaPublicacion" => "2005-01-01" "aid" => "70432" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 2005;16:34-8" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2377 "formatos" => array:3 [ "EPUB" => 13 "HTML" => 1285 "PDF" => 1079 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Malformación de Chiari tipo I: evolución postoperatoria a dos años. Análisis de 10 casos" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "34" "paginaFinal" => "38" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Chiari I malformation: postsurgical evolution after 2 years. Report of ten cases" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "L. Alvarez-Betancourt, J.A. García-Rentaría, S.J. López-Ortega, A. Caldera-Duarte" "autores" => array:4 [ 0 => array:2 [ "nombre" => "L." "apellidos" => "Alvarez-Betancourt" ] 1 => array:2 [ "nombre" => "J.A." "apellidos" => "García-Rentaría" ] 2 => array:2 [ "nombre" => "S.J." "apellidos" => "López-Ortega" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Caldera-Duarte" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147305704322?idApp=UINPBA00004B" "url" => "/11301473/0000001600000001/v1_201305151233/S1130147305704322/v1_201305151233/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1130147305704309" "issn" => "11301473" "doi" => "10.1016/S1130-1473(05)70430-9" "estado" => "S300" "fechaPublicacion" => "2005-01-01" "aid" => "70430" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Neurocirugia. 2005;16:26" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1416 "formatos" => array:3 [ "EPUB" => 17 "HTML" => 871 "PDF" => 528 ] ] "en" => array:7 [ "idiomaDefecto" => true "titulo" => "Comentario al trabajo: <span class="elsevierStyleItalic">Espasmo hemifacial como presentación clínica de meningiomas intracraneales. Presentación de tres casos y revisión de la literatura</span> de Gómez-Perals y cols" "tienePdf" => "en" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "26" ] ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "P. Miranda, R.D. Lobato" "autores" => array:2 [ 0 => array:2 [ "nombre" => "P." "apellidos" => "Miranda" ] 1 => array:2 [ "nombre" => "R.D." "apellidos" => "Lobato" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147305704309?idApp=UINPBA00004B" "url" => "/11301473/0000001600000001/v1_201305151233/S1130147305704309/v1_201305151233/en/main.assets" ] "es" => array:15 [ "idiomaDefecto" => true "titulo" => "Cirugía transnasal transesfenoidal endoscópica en afecciones de región selar" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "27" "paginaFinal" => "33" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J.L. González-González, O. López-Arbolay, O. Morales-Sabina, J.F. Martí-Piñeiro, R. Vidal-Verdial" "autores" => array:5 [ 0 => array:3 [ "nombre" => "J.L." "apellidos" => "González-González" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "O." "apellidos" => "López-Arbolay" ] 2 => array:2 [ "nombre" => "O." "apellidos" => "Morales-Sabina" ] 3 => array:2 [ "nombre" => "J.F." "apellidos" => "Martí-Piñeiro" ] 4 => array:2 [ "nombre" => "R." "apellidos" => "Vidal-Verdial" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neurocirugía. Hospital Hermanos Ameijeiras. Ciudad de la Habana. Cuba" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondencia postal: Servicio de Neurocirugía. Hospital “Hermanos Ameijeiras” San Lázaro 701 Código Postal 10300. Centro Habana. Ciudad de la Habana. Cuba." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Transnasal-transsphenoidal endoscopic surgery of the sellar región" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2004-03-15" "fechaAceptado" => "2004-04-20" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec158723" "palabras" => array:7 [ 0 => "Abordaje" 1 => "Adenomectomía" 2 => "Endoscópica" 3 => "Fístulas" 4 => "Macroadenomas" 5 => "Transnasal" 6 => "Transesfenoidal" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec158722" "palabras" => array:5 [ 0 => "Approach" 1 => "Pituitary" 2 => "Endoscopic" 3 => "Transnasal" 4 => "Transsphenoidal" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Para un gran número de tumores pituitarios la cirugía es el tratamiento de primera línea y el abordaje transesfenoidal microquirúrgico el más utilizado. En estos momentos, el mismo se ejecuta tanto por la vía sublabial como por la transnasal. Recientemente, el abordaje transnasal endoscópico ha irrumpido como una opción en desarrollo, que pudiera llegar a predominar en un futuro próximo.</p> <span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Evaluar mediante el análisis de los resultados si es posible realizar en nuestro medio el abordaje transnasal transesfenoidal endoscópico para las lesiones de la región selar con resultados quirúrgicos, al menos, similares a los obtenidos con el método transesfenoidal tradicional.</p> <span class="elsevierStyleSectionTitle">Material y método</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Como fase I de un ensayo en 3 etapas se realiza una investigación limitada tipo cohorte, estrictamente controlada y prospectiva de 10 pacientes seleccionados según criterios de inclusión y a los cuales se les practicó el abordaje transnasal endoscópico como método de tratamiento quirúrgico entre Agosto del 2002 y Agosto del 2003 en el servicio de Neurocirugía del Hospital “Hermanos Ameijeiras”.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Se operaron seis casos que tenían macroadenomas hipoflsarios, tres productores de GH, uno secretor de PRL y otros dos no productores. A los otros cuatro se les había diagnosticado fístula de LCR a través del piso selar. De los seis macroadenomas, en cinco se logró exéresis total del tumor, mientras que en el otro se obtuvo exéresis subtotal. La rinorrea desapareció en 2 pacientes con fístula de LCR y se mantuvo en los otros 2. De las complicaciones observadas en el 30% de los casos, solo en 1 (10%) transcendieron más allá del transoperatorio.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Los resultados obtenidos en la fase 1 con la utilización del método transnasal endoscópico, hacen que el procedimiento en nuestro medió sea lo suficientemente seguro como para justificar el pase a la fase II del ensayo (aleatorizada y controlada), en busca de información más consistente, en relación al valor real de la técnica a estas alturas del desarrollo de la cirugía hipofisaria.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Transnasal transsphenoidal endoscopic approach to the sella turcica has recently become an option to the pituitary surgery which could predomínate in a near future.</p> <span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">To evalúate through the analysis of our results whether it is possible to perform in our Hospital the endoscopic transnasal transsphenoidal approach to the sella with results at least as good as those we obtain with the microscopic sublabial transseptal transsphenoidal approach.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">As the first stage of a three stage randomized trial, this is a prospective study of 10 patients operated on, using transnasal transsphenoidal endoscopic aproach between august 2002 and August 2003 at the department of neurosurgery of “Hermanos Ameijeiras Hospital”.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Six patients had pituitary macroadenomas and four had cerebrospinal fluid leak through the sellar floor. In five of six macroadenomas total tumor resection was obtained and in the other one a subtotal resection was performed. Two of four patients with cerebrospinal fluid leak could be cured while the other two patients do not. Complications were present in 30% of cases, but in only 1 (10%) it reached the postoperatory period.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Transnasal transsphenoidal endoscopic approach to the sella can be done save enough in our Hospital to justify the start of the second stage of one randomized trial to determine if the endoscopic techni-que is better than the usual transsphenoidal approach.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">González-González, J.L.; López-Arbolay, O.; Morales-Sabina, O.; Martí-Piñeiro, J.F.; Vidal-Verdial R.: Cirugía transnasal transesfenoidal endoscópica en afecciones de región selar. Neurocirugía 2005; 16: 27–23.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:33 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pituitary adenoma in Olmsted County, Minnesota, 1935–1977: a report of an increasing incidente of diagnosis in women o fchildbearing age" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "J.F. Annegers" 1 => "C.B. Coulam" 2 => "C.E. Abboud" 3 => "E.R. Laws Jr." 4 => "L.T. Kurland" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Mayo Clin Proc" "fecha" => "1978" "volumen" => "53" "paginaInicial" => "641" "paginaFinal" => "643" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/713594" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pituitary tumors: clinical presentation and evaluation of transphenoidal surgical treatment" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "P. Becker" 1 => "D. Schaehter" 2 => "E. Gallardo" 3 => "E. Colin" 4 => "J. Selman" 5 => "C. Martínez" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Rev Med Chil" "fecha" => "1994" "volumen" => "122" "paginaInicial" => "769" "paginaFinal" => "776" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7732226" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S0091674907022531" "estado" => "S300" "issn" => "00916749" ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Modified technique in transsphenoidal operations of pituitary adenomas: Technical note [in Germán]" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "K.A. Bushe" 1 => "E. Halves" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "ActaNeurochir" "fecha" => "1978" "volumen" => "41" "paginaInicial" => "163" "paginaFinal" => "175" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Endoscopio endonasal transsphenoidal approach to the sella: towards functional endoscopio pituitary surgery (FEPS)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "P. Cappabianca" 1 => "A. Alfieri" 2 => "E. de Divitis" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Minim Invas Neurosurg" "fecha" => "1998" "volumen" => "41" "paginaInicial" => "66" "paginaFinal" => "73" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Instruments for endoscopio endonasal transsphenoidal surgery" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "P. Cappabianca" 1 => "A. Alfieri" 2 => "S. Thermes" 3 => "S. Buonamassa" 4 => "E. Divitis" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Neurosurgery" "fecha" => "1999" "volumen" => "45" "paginaInicial" => "392" "paginaFinal" => "397" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10449087" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib6" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Transnasal-transsphenoidal endoscopio surgery of the pituitary gland" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "R.L. Carrau" 1 => "H.D. Jho" 2 => "Y. Ko" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Laryngoscope" "fecha" => "1996" "volumen" => "106" "paginaInicial" => "914" "paginaFinal" => "918" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8667994" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib7" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Nasal endoscopio repair of cerebroespinal fluid rhinorrhea" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "L. Castillo" 1 => "A. Jaklis" 2 => "P. Paquis" 3 => "A. Haddad" 4 => "J. Santini" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rhinology" "fecha" => "1999" "volumen" => "37" "paginaInicial" => "33" "paginaFinal" => "36" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10229980" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib8" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Transsphenoidal surgery: operative techniques" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "C. Cawley" 1 => "G. Tindall" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:4 [ "titulo" => "Pituitary disorders: comprehensive management" "paginaInicial" => "349" "paginaFinal" => "359" "serieFecha" => "1999" ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib9" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Transsphenoidal microsurgery of pituitary macroadenomas with long-tenn follow-up results" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "I. Cirio" 1 => "M. Mikhael" 2 => "T. Stafford" 3 => "L. Lawson" 4 => "R. Garces" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3171/jns.1983.59.3.0395" "Revista" => array:6 [ "tituloSerie" => "J Neurosurg" "fecha" => "1983" "volumen" => "59" "paginaInicial" => "395" "paginaFinal" => "401" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6886753" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib10" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Adenomas de la hipófisis. Epidemia?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "W.F. Collins" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Clin Quirurg Norte Am" "fecha" => "1980" "volumen" => "5" "paginaInicial" => "1217" ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib11" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Subclinical adenoma of the pituitary gland" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "R.T. Costello" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Pathol" "fecha" => "1936" "volumen" => "12" "paginaInicial" => "205" "paginaFinal" => "216" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19970261" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib12" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The use of the rigid endoscope in transsphenoidal pituitary sugery" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "A. Gamea" 1 => "M. Fathi" 2 => "A. El-Guindy" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Laryngol Otol" "fecha" => "1994" "volumen" => "108" "paginaInicial" => "19" "paginaFinal" => "22" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8133158" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib13" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Experience with paraorbital transethmoidal procedure in pituitary tumors [in Germán]" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "W.E. Goldhahn" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Zentralbl Neurochir" "fecha" => "1980" "volumen" => "41" "paginaInicial" => "177" "paginaFinal" => "184" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6258356" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib14" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A direct transnasal approach to the sphenoid sirius. Technical note" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "H.B. Griffith" 1 => "R. Veerapen" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3171/jns.1987.66.1.0140" "Revista" => array:6 [ "tituloSerie" => "J Neurosurg" "fecha" => "1987" "volumen" => "66" "paginaInicial" => "140" "paginaFinal" => "142" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3783248" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib15" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Endoscopio sphenoidotomy approach to the sella" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "C.B. Heilman" 1 => "W.A. Shucart" 2 => "E.E. Rebeiz" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Neurosurgery" "fecha" => "1997" "volumen" => "41" "paginaInicial" => "602" "paginaFinal" => "607" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9310977" "web" => "Medline" ] ] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib16" "etiqueta" => "16." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Endonasal method of removal of hypophyseal tumors" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "O. Hirsch" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "JAMA" "fecha" => "1910" "volumen" => "5" "paginaInicial" => "772" "paginaFinal" => "774" ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib17" "etiqueta" => "17." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The surgical management of pituitary adenomas in a series of 3093 cases" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J.A. Jane" 1 => "E.R. Laws" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Am Coll Surg" "fecha" => "2001" "volumen" => "193" "paginaInicial" => "651" "paginaFinal" => "659" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11768682" "web" => "Medline" ] ] ] ] ] ] ] ] 17 => array:3 [ "identificador" => "bib18" "etiqueta" => "18." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Endoscopio pituitary tumor surgery" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "R. Jankowski" 1 => "J. Aunque" 2 => "C. Simón" 3 => "J.C. Marchal" 4 => "H. Hepner" 5 => "M. Wayoff" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1288/00005537-199202000-00016" "Revista" => array:6 [ "tituloSerie" => "Laryngoscope" "fecha" => "1992" "volumen" => "102" "paginaInicial" => "198" "paginaFinal" => "202" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1738293" "web" => "Medline" ] ] ] ] ] ] ] ] 18 => array:3 [ "identificador" => "bib19" "etiqueta" => "19." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Jho, H.D., Carrau, R.L., Ko, Y.: Endoscopio pituitary surgery. En: Wilkins RH, Renganchary SS., eds. Neurosurgical operative atlas. Park Ridge 111: Am." ] ] ] 19 => array:3 [ "identificador" => "bib20" "etiqueta" => "20." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Endoscopio pituitary surgery: an early experience" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "H.D. Jho" 1 => "R.L. Carrau" 2 => "M.A. Daly" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Surg Neurol" "fecha" => "1997" "volumen" => "47" "paginaInicial" => "213" "paginaFinal" => "223" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9068690" "web" => "Medline" ] ] ] ] ] ] ] ] 20 => array:3 [ "identificador" => "bib21" "etiqueta" => "21." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Endoscopio endonasal transsphenoidal surgery: experience with 50 patients" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "H.D. Jho" 1 => "R.L. Carrau" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3171/jns.1997.87.1.0044" "Revista" => array:6 [ "tituloSerie" => "J Neurosurg" "fecha" => "1997" "volumen" => "87" "paginaInicial" => "44" "paginaFinal" => "51" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9202264" "web" => "Medline" ] ] ] ] ] ] ] ] 21 => array:3 [ "identificador" => "bib22" "etiqueta" => "22." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Functional endoscopio sinus surgery: theory and diagnostic evaluation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "D.W. Kennedy" 1 => "J. Zenrich" 2 => "A.M. Rosebaum" 3 => "M.E. Johns" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Arch Otolaryngol Head Neck Surg" "fecha" => "1985" "volumen" => "111" "paginaInicial" => "576" "paginaFinal" => "582" ] ] ] ] ] ] 22 => array:3 [ "identificador" => "bib23" "etiqueta" => "23." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Endoscopio transnasal transsphenoidal microsurgery versus the sublabial approach for the treatmentof pituitary tumors: endonasal complications" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "I. Koren" 1 => "T. Hadar" 2 => "Z.H. Rappaport" 3 => "E. Yaniv" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/00005537-199911000-00022" "Revista" => array:6 [ "tituloSerie" => "Laryngoscope" "fecha" => "1999" "volumen" => "109" "paginaInicial" => "1838" "paginaFinal" => "1840" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10569418" "web" => "Medline" ] ] ] ] ] ] ] ] 23 => array:3 [ "identificador" => "bib24" "etiqueta" => "24." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Carcinomas of the pituitary: definition and review of the literature" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "D. Lubke" 1 => "W. Saeger" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Gen Diagn Pathol" "fecha" => "1995" "volumen" => "141" "paginaInicial" => "81" "paginaFinal" => "92" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8548598" "web" => "Medline" ] ] ] ] ] ] ] ] 24 => array:3 [ "identificador" => "bib25" "etiqueta" => "25." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Endoscopio transnasal transesfenoidal approach to the pituitary lesions" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "A. Morita" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "No Shinkei Geka" "fecha" => "1999" "volumen" => "27" "paginaInicial" => "699" "paginaFinal" => "710" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10457933" "web" => "Medline" ] ] ] ] ] ] ] ] 25 => array:3 [ "identificador" => "bib26" "etiqueta" => "26." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Transnasal transseptal endoscopio repair of sphenoidal cere bral spinal fluid fístula" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "F.A. Papay" 1 => "M.S. Benninger" 2 => "H.L. Levine" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Otolaryngol Head Neck Surg" "fecha" => "1989" "volumen" => "101" "paginaInicial" => "595" "paginaFinal" => "597" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2521166" "web" => "Medline" ] ] ] ] ] ] ] ] 26 => array:3 [ "identificador" => "bib27" "etiqueta" => "27." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Transnasal transseptal endoscopio approach to the sphenoid sinus" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "F.A. Papay" 1 => "J.M. Stein" 2 => "R.L.P. Rhoten" 3 => "M. Luciano" 4 => "J. Zins" 5 => "J. Hahn" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Craniofacial Surg" "fecha" => "1997" "volumen" => "8" "paginaInicial" => "159" "paginaFinal" => "163" ] ] ] ] ] ] 27 => array:3 [ "identificador" => "bib28" "etiqueta" => "28." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Rodas, Y.E. Complicaciones de la vía transeptoesfenoidal. Tesis de grado. Ciudad de La Habana: Hospital Her manos Ameijeiras 1998." ] ] ] 28 => array:3 [ "identificador" => "bib29" "etiqueta" => "29." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Transnasal endoscopio surgery of the pituitary gland: technical note" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "G.S. Rodziewicz" 1 => "R.T. Kelley" 2 => "R.M. Kellman" 3 => "M.V. Smith" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Neurosurgery" "fecha" => "1996" "volumen" => "39" "paginaInicial" => "189" "paginaFinal" => "198" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8805160" "web" => "Medline" ] ] ] ] ] ] ] ] 29 => array:3 [ "identificador" => "bib30" "etiqueta" => "30." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Endoscopio pituitary surgery: a minimally invasive technique" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "D.S. Sethi" 1 => "P.K. Pillay" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Am J Rhinol" "fecha" => "1996" "volumen" => "10" "paginaInicial" => "141" "paginaFinal" => "148" ] ] ] ] ] ] 30 => array:3 [ "identificador" => "bib31" "etiqueta" => "31." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Preliminary comparison of the endoscopio transnasal vs the sublabial transeptal approach for clinicaly nonfuncioning pituitary macroadenomas" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "M.T. Sheehan" 1 => "J.L. Atkison" 2 => "J.L. Kasperbauer" 3 => "B.J. Ericson" 4 => "T.B. Nippoldt" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.4065/74.7.661" "Revista" => array:6 [ "tituloSerie" => "Mayo Clin Proc" "fecha" => "1999" "volumen" => "74" "paginaInicial" => "661" "paginaFinal" => "670" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10405694" "web" => "Medline" ] ] ] ] ] ] ] ] 31 => array:3 [ "identificador" => "bib32" "etiqueta" => "32." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pituitary adenomas and granular cell tumors: incidence, cell type, and location of tumor in 100 pituitary glands at autopsy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "T. Tomita" 1 => "E. Gates" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Clin Pathol" "fecha" => "1999" "volumen" => "111" "paginaInicial" => "817" "paginaFinal" => "825" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10361519" "web" => "Medline" ] ] ] ] ] ] ] ] 32 => array:3 [ "identificador" => "bib33" "etiqueta" => "33." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Transnasal-transseptal sphenoidal approach to hypophysectomy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "H.M. Tucker" 1 => "J.F. Hahn" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Laryngoscope" "fecha" => "1996" "volumen" => "106" "paginaInicial" => "914" "paginaFinal" => "918" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8667994" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/11301473/0000001600000001/v1_201305151233/S1130147305704310/v1_201305151233/es/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/11301473/0000001600000001/v1_201305151233/S1130147305704310/v1_201305151233/es/main.pdf?idApp=UINPBA00004B&text.app=https://revistaneurocirugia.com/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147305704310?idApp=UINPBA00004B" ]
