Endoscopic Transsphenoidal Surgery in Pituitary Macroadenomas: Pathogenesis, Risk Factors, and Strategies for Postoperative Endocrine Complications

Key Points

• This research aims to evaluate the pathogenesis and risk factors for endocrine complications after endoscopic transsphenoidal surgery.
• Analyzed diagnostic frameworks and risk factors associated with endocrine complications.
• Integrated molecular insights and updated classification systems in the evaluation.
• Focused on the significance of advanced postoperative monitoring.
• Highlighted the disruption of the hypothalamic-pituitary axis post-surgery.
• Identified critical mechanisms of hormonal imbalance following the procedure.
• Demonstrated that enhanced postoperative monitoring can significantly improve patient outcomes.

Abstract