Pituitary surgery: transsphenoidal approach.
THE TRANSSPHENOIDAL APPROACH for sellar tumors has evolved significantly since it was described initially during the first decade of the 20th century. The approach currently incorporates technological advancements and refinements in patient selection, operative technique, and postoperative care. Although many of these innovations are considered indispensable, the operative technique, as performed by contemporary neurosurgeons, is not standardized. This variability is a reflection of surgeon's preference, the lessons of experience, and the bias inherent in neurosurgical training. The methods and preferences described herein embody the distillation of an experience gained from 3900 transsphenoidal operations.
Jane
John A
JA
Department of Neurosurgery, University of Virginia, Charlottesville, USA.
Thapar
Kamal
K
Kaptain
George J
GJ
Maartens
Nicholas
N
Laws
Edward R
ER
D002558:Cerebrospinal Fluid Otorrhea / Q000601:surgery; D002559:Cerebrospinal Fluid Rhinorrhea / Q000601:surgery; D003480:Cushing Syndrome / Q000601:surgery; D004334:Drug Administration Schedule; D004724:Endoscopy; D006801:Humans; D006854:Hydrocortisone / Q000008:administration & dosage / Q000627:therapeutic use; D008046:Lip; D009296:Nasal Cavity; D019635:Neurosurgical Procedures; D010902:Pituitary Gland / Q000601:surgery*; D010911:Pituitary Neoplasms / Q000601:surgery; D011182:Postoperative Care; D012658:Sella Turcica / Q000601:surgery; D019292:Skull Base Neoplasms / Q000601:surgery; D013100:Sphenoid Bone; D013238:Stereotaxic Techniques
D006854:Hydrocortisone