title: Perspectives on endoscopic transsphenoidal surgery.
abstract: 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.
authors.affiliation: Department of Neurological Surgery, University of Virginia Health System, Charlottesville, Virginia 22908, USA. johnjanejr@virginia.edu
authors.forename: John A
authors.initials: JA
authors.lastname: Jane
authors.forename: Joseph
authors.initials: J
authors.lastname: Han
authors.forename: Daniel M
authors.initials: DM
authors.lastname: Prevedello
authors.forename: Jay
authors.initials: J
authors.lastname: Jagannathan
authors.forename: Aaron S
authors.initials: AS
authors.lastname: Dumont
authors.forename: Edward R
authors.initials: ER
authors.lastname: Laws
mesh_terms: 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