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Table 1 Univariate analysis of postoperative DI

From: Change in cephalocaudal tumor cavity diameter after transsphenoidal surgery is a predictor of diabetes insipidus in pituitary adenoma

Factors

Non-postoperative DI (n = 130)

Postoperative DI (n = 82)

P value

Age (year)

48 (37, 59)

51 (40, 63)

0.540

Sex

 Wen

65 (30.7%)

50 (23.6%)

0.118

 Women

65 (30.7%)

32 (15.1%)

 Preoperative cephalocaudal tumor cavity diameter (mm)

23.0 (18.7, 28.7)

26.4 (20.9, 33.9)

0.016

 Tumor size (cm3)

4.1 (2.4, 6.6)

4.9 (2.8, 8.1)

0.104

Tumor size classification

 Macroadenoma

112 (52.8%)

37 (17.5%)

 < 0.001

 Giant pituitary adenoma

18 (8.5%)

45 (21.2%)

Pathological tumor type

 Gonadotropinoma

39 (18.4%)

35 (16.5%)

0.536

 Null-cell adenoma

34 (16.0%)

20 (9.4%)

 PRL cell adenoma

19 (8.9%)

7 (3.3%)

 GH cell adenoma

11 (5.2%)

4 (1.9%)

 ACTH cell adenoma

15 (7.1%)

8 (3.8%)

 Plurihormonal

11 (5.2%)

7 (3.3%)

 Thyroid cell adenoma

1 (0.5%)

1 (0.5%)

Intratumoral cysts or hematoma

 Yes

48 (22.6%)

40 (18.9%)

0.088

 No

82 (38.7%)

42 (19.8%)

PPBS occurrence

 Positive

116 (54.7%)

71 (33.5%)

0.561

 Negative

14 (6.6%)

11 (5.2%)

Invasiveness

 Yes

20 (9.4%)

12 (5.7%)

0.882

 No

110 (51.9%)

70 (33.0%)

The imaginary angle (°)

91.0 (75.7, 105.3)

86.0 (68.75, 97.3)

0.069

Postoperative cephalocaudal Tumor cavity diameter (mm)

15.3 (12.0, 19.1)

14.6 (10.0, 17.7)

0.08

Change in cephalocaudal tumor cavity diameter after TSS (mm)

7.17 (2.8, 11.9)

10.6 (5.9, 17.1)

 < 0.001

Preoperative pituitary stalk deviation angle (°)

40.5 (29.5, 51.0)

45.5 (29.7, 55.0)

0.061

Postoperative pituitary stalk deviation angle (°)

29.0 (16.5, 40.5)

29.0 (16.0, 38.5)

0.612

Difference in pituitary stalk deviation angle (°)

3 (0, 17.2)

11.5 (0, 22)

0.003

Extent of tumor resection

 Total resection

103 (48.6%)

70 (33.0%)

0.515

 Subtotal resection

17 (8.0%)

7 (3.3%)

 Partial resection

10 (4.7%)

5 (2.4%)

Intraoperative cerebrospinal fluid leaks

 Yes

22 (10.3%)

16 (7.5%)

0.632

 No

108 (50.9%)

66 (31.3%)

 

Length of stay after surgery

7 (6, 8)

7 (6, 9)

0.229

  1. Data were expressed as means (standard deviations), medians (interquartile ranges) or numbers (proportions)
  2. DI diabetes insipidus, PPBS posterior pituitary bright spot, TSS transsphenoidal surgery, The imaginary angle the imaginary angle drawn between the two edges of diaphragm sellae begins its elevation and the highest point of the diaphragm sellae