Perspectives on endoscopic transsphenoidal surgery.
Sellar tumors are most commonly approached through the transsphenoidal corridor, and tumor resection is most often performed using the operating microscope. More recently the endoscope has been introduced for use either as an adjunct to or in lieu of the microscope. Both the microscopic and endoscopic transsphenoidal approaches to sellar tumors allow safe and effective tumor resection. The authors describe their current endoscopic technique and elucidate the advantages and disadvantages of the pure endoscopic adenomectomy compared with the standard microscopic approach.
Jane
John A
JA
Department of Neurological Surgery, University of Virginia Health System, Charlottesville, Virginia 22908, USA. johnjanejr@virginia.edu
Han
Joseph
J
Prevedello
Daniel M
DM
Jagannathan
Jay
J
Dumont
Aaron S
AS
Laws
Edward R
ER
D004724:Endoscopy / Q000379:methods* / Q000639:trends; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D008853:Microscopy / Q000379:methods / Q000639:trends; D008866:Microsurgery / Q000379:methods / Q000639:trends; D019635:Neurosurgical Procedures / Q000295:instrumentation* / Q000379:methods* / Q000639:trends; D010902:Pituitary Gland / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D010911:Pituitary Neoplasms / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D012658:Sella Turcica / Q000473:pathology / Q000601:surgery; D013100:Sphenoid Bone / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome