title: Resection of pituitary tumors: endoscopic versus microscopic.
abstract: Transsphenoidal microscopic pituitary surgery has long been considered the gold standard in surgical treatment of pituitary tumors. Endonasal endoscopic pituitary surgery has come into prominence over the last two decades as an alternative to microscopic surgery. In this review, we use recent literature to discuss the advantages and disadvantages of each approach. Our review shows that for small intrasellar tumors, both approaches appear equally effective in experienced hands. For larger tumors with extrasellar extension, the endoscopic approach offers several advantages and may improve outcomes associated with the extent of resection and postoperative complications.
authors.affiliation: New York Prebyterian - Weill Cornell Medical Center, New York, NY, USA.|Stanford University School of Medicine, Stanford, CA, USA.
authors.forename: Harminder
authors.initials: H
authors.lastname: Singh
authors.affiliation: New York Prebyterian - Weill Cornell Medical Center, New York, NY, USA.
authors.forename: Walid I
authors.initials: WI
authors.lastname: Essayed
authors.affiliation: Goodman Campbell Brain and Spine, Indiana University School of Medicine, Indianapolis, IN, USA.
authors.forename: Aaron
authors.initials: A
authors.lastname: Cohen-Gadol
authors.affiliation: Keck School of Medicine of USC, Los Angeles, CA, USA.
authors.forename: Gabriel
authors.initials: G
authors.lastname: Zada
authors.affiliation: New York Prebyterian - Weill Cornell Medical Center, New York, NY, USA. schwarh@med.cornell.edu.
authors.forename: Theodore H
authors.initials: TH
authors.lastname: Schwartz
mesh_terms: D006801:Humans; D008866:Microsurgery / Q000009:adverse effects / Q000379:methods*; D057605:Natural Orifice Endoscopic Surgery / Q000009:adverse effects / Q000379:methods*; D019635:Neurosurgical Procedures / Q000009:adverse effects / Q000379:methods*; D010911:Pituitary Neoplasms / Q000601:surgery*; D011183:Postoperative Complications; D016896:Treatment Outcome
keywords: Endonasal; Endoscopic; Microscopic; Pituitary adenoma; Skull base surgery; Transsphenoidal