Table 3:
Summary table of intra-operative and post-operative complications between the microsurgical and endoscopic groups.
| Microsurgical Case Series | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Intra-operative complications (n) | Post-operative complications (n) | ||||||||||||
| Author | Year | Patients | CSF Leak | Vascular injury |
Visual deficit |
CSF Leak |
Hypopituitarism | Pan- hypopituitarism |
Meningitis | Epistaxis | Transient DI |
Permanent DI |
|
| Fathalla H et al | 2015 | 23 | - | - | - | 2 | 1 | - | - | 1 | 8 | 4 | |
| Sarkar S et al | 2014 | 14 | 17 | - | 0 | 2 | 18 | 10 | 2 | - | 2 | - | |
| Nishioka H et al | 2014 | 150 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
| Sun H et al | 2014 | 59 | - | - | - | 0 | - | - | - | - | 6 | 2 | |
| Starke RM et al | 2013 | 41 | 12 | 0 | 0 | 1 | - | 0 | 0 | 1 | 2 | 0 | |
| Li ZQ et al | 2012 | 52 | - | 0 | 2 | - | 0 | 0 | 0 | 0 | 3 | 1 | |
| Krzentowaka-Korek A et al | 2011 | 85 | 0 | 0 | 0 | 0 | - | - | 0 | 0 | 0 | - | |
| Shen M et al | 2010 | 39 | - | - | - | - | - | - | - | - | - | - | |
| Abassioun K et al | 2006 | 151 | 0 | 0 | 0 | 12 | 28 | 0 | 1 | 0 | 17 | 2 | |
| Ertruk E et al | 2005 | 30 | - | 0 | 0 | - | 3 | - | - | 0 | - | - | |
| Nomikos P et al | 2005 | 506 | - | 1 | 0 | - | 15 | 0 | - | 0 | 0 | 6 | |
| Kurosaki M et al | 2003 | 22 | - | - | - | - | - | - | - | - | - | 0 | |
| Beauregard C et al | 2003 | 103 | - | 1 | - | - | 3 | - | - | - | - | - | |
| De P et al | 2003 | 90 | - | - | 0 | - | 22 | 39 | 3 | 0 | 16 | 14 | |
| Krieger MD et al | 2003 | 205 | - | - | - | - | - | - | - | - | - | - | |
| Kreutzer J et al | 2001 | 57 | 0 | 0 | 0 | 1 | 3 | 0 | 0 | - | 2 | 1 | |
| Biermasz NR et al | 2000 | 59 | - | - | - | - | 3 | - | - | - | - | - | |
| Absoch A et al | 1998 | 254 | 0 | 0 | 0 | 5 | 4 | 0 | 6 | 0 | 54 | 4 | |
| Freda PU et al | 1998 | 115 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 4 | 0 | |
| Yamada S et al | 1997 | 44 | - | 0 | 0 | - | 3 | 1 | 0 | 0 | 21 | 0 | |
| Sheaves R et al | 1996 | 100 | - | 1 | 0 | - | 21 | 0 | 8 | 0 | 29 | 8 | |
| Osman IA et al | 1994 | 79 | 10 | - | 0 | 0 | 10 | 0 | 0 | 0 | 3 | 0 | |
| Tindall GT et al | 1993 | 103 | - | 0 | 1 | - | 3 | 3 | 0 | 0 | 7 | 1 | |
| Buchfelder M et al | 1991 | 61 | - | - | - | - | - | - | - | - | - | - | |
| Losa M et al | 1989 | 29 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 9 | 0 | |
| Fahlbusch R et al | 1988 | 42 | - | - | - | - | - | - | - | - | - | - | |
| van’t Verlaat J. et al | 1988 | 25 | 0 | 1 | 0 | 0 | 3 | 2 | 0 | 0 | 2 | 2 | |
| Ross DA et al | 1988 | 214 | 0 | 5 | 0 | 11 | 10 | 4 | 4 | 1 | 1 | 0 | |
| Arafah BM et al | 1987 | 43 | 0 | 0 | 0 | 0 | - | - | - | - | 10 | 1 | |
| Karashima T et al | 1986 | 44 | - | - | - | - | - | - | - | - | - | - | |
| Roelfesma F et al | 1985 | 60 | - | - | 2 | - | 17 | 2 | 1 | 0 | 2 | 0 | |
| Serri O et al | 1985 | 25 | - | - | - | - | - | - | - | - | - | - | |
| Grisoli F et al | 1985 | 100 | - | 2 | - | - | 0 | 0 | - | - | - | - | |
| Bynke O et al | 1983 | 14 | 0 | 0 | 0 | 1 | - | - | 0 | 0 | 0 | 0 | |
| Arafah BU et al | 1980 | 25 | 0 | 1 | 1 | 0 | 1 | 0 | 0 | 0 | 4 | 1 | |
| Tucker HS et al | 1980 | 32 | 0 | 0 | 0 | 1 | - | 4 | 1 | 0 | 10 | 1 | |
| Laws ER Jr et al | 1979 | 82 | - | 0 | 0 | - | 3 | 10 | 0 | 0 | 0 | 0 | |
| Leavens ME et al | 1977 | 16 | 0 | 0 | 0 | 5 | 0 | 0 | 1 | 0 | 7 | 0 | |
| Giovanelli MA et al | 1976 | 29 | 0 | 0 | 0 | 3 | - | 0 | 0 | 0 | 5 | 0 | |
| Total, n/n (%)† | 3222 | 39/1373 (2.8) | 13/2400 (0.5) |
6/2440 (0.2) |
44/ 1455 (3.0) |
191/2542 (6.7) |
76/2368 (3.2) |
27/1861 (1.4) |
4/2349 (0.1) |
208/2492 (9.0) |
48/2375 (2.0) |
||
| Endoscopic Series | |||||||||||||
| Netuka D et al | 2016 | 105 | - | - | - | 2 | 10 | - | - | - | 1 | - | |
| Fathalla H et al | 2015 | 42 | - | - | - | 2 | 1 | - | `- | - | 8 | 4 | |
| Sarkar S et al | 2014 | 66 | 22 | - | 0 | 1 | 12 | 14 | - | 1 | 6 | - | |
| Yildirum A et al | 2014 | 56 | - | 1 | - | 2 | 1 | 3 | 0 | 0 | 2 | 1 | |
| Zhou T et al | 2014 | 133 | 19 | 0 | 1 | 0 | 5 | 3 | 1 | 2 | 12 | 0 | |
| Hazer DB et al | 2013 | 214 | 29 | 0 | 0 | 5 | 8 | 1 | 1 | 1 | 0 | 2 | |
| Starke RM et al | 2013 | 72 | 23 | 1 | 0 | 2 | - | - | 1 | 4 | 6 | 3 | |
| van Bunderen CC | 2013 | 30 | - | - | - | - | - | - | - | - | - | - | |
| Wang YY et al | 2012 | 43 | - | 0 | 0 | - | 5 | 0 | 1 | 0 | 14 | 2 | |
| Dusek T et al | 2011 | 49 | - | 1 | 0 | - | - | - | 1 | 0 | - | - | |
| Wagenmakers MA et al | 2011 | 40 | - | 0 | 0 | 3 | 5 | 0 | 0 | 4 | 15 | 0 | |
| Gondim JA et al | 2010 | 67 | 0 | 0 | 0 | 0 | 5 | 0 | 0 | 4 | 3 | 0 | |
| Hofstetter CP et al | 2010 | 24 | 12 | 0 | 1 | 2 | 0 | 2 | 0 | 0 | 0 | 0 | |
| Campbell PG et al | 2010 | 27 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 2 | 0 | |
| Total, n/n (%)† | 968 | 86/ 603 (17.4) |
3/725 (0.4) |
2/ 735 (0.2) |
20/ 855 (2.3) |
52/ 817 (6.4) |
23/ 670 (3.4) |
5/ 725 (0.7) |
16/791 (2.0) |
69/ 889 (7.8) |
12/ 718 (1.7) | ||
†
Total n/n = complication / total patients. Abbreviations: Intra-op = intra-operative; post-op = post-operative; CSF = cerebral spinal fluid; DI = diabetes insipidus; n = number.