Table 4.
Operative modality | Number Of studies | Fixed-effect model | Random-effect model | Heterogeneity | P-interaction | P-value for Begg’s test | ||||
---|---|---|---|---|---|---|---|---|---|---|
GTR rate (%) | 95%-CI | GTR rate (%) | 95%-CI | I2 value (%) | P-heterogeneity | Fixed effect model | Random effect model | |||
ETSS PA Overall | 50 | 74.0 | 72.6–75.3 | 71.2 | 66.2–75.8 | 92.1 | <0.01 | <0.01 | 0.44 | 0.33 |
MTSS PA Overall | 19 | 66.6 | 64.6–68.6 | 67.5 | 58.5–75.4 | 84.8 | <0.01 | |||
ETSS FPA | 13 | 75.8 | 72.8–78.5 | 76.7 | 70.5–81.8 | 63.9 | <0.01 | 0.92 | 0.67 | 0.91 |
MTSS FPA | 5 | 75.5 | 69.1–80.9 | 74.1 | 62.2–83.2 | 79.0 | <0.01 | |||
ETSS NFPA | 19 | 71.0 | 68.7–73.3 | 74.1 | 67.5–79.7 | 86.3 | <0.01 | <0.01 | 0.127 | 0.08 |
MTSS NFPA | 8 | 60.7 | 57.3–64.0 | 64.6 | 53.1–74.7 | 87.4 | <0.01 |
Abbreviations: GTR, gross total resection, PA, pituitary adenoma; NR, not reported; FPA, functional pituitary adenoma; NFPA, nonfunctional pituitary adenoma; ETSS, Endoscopic Transsphenoidal surgery; MTSS, Microscopic Transsphenoidal Surgery