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Contributors: Timothy R. DeKlotz
With the widespread use of the endoscope in pituitary surgery, many technical nuances have emerged. Some surgeons still use a sublabial incision and a speculum, despite using the endoscope for visualization, while others favor approaches that are purely endonasal. Some surgical teams, using an endoscope-holder, work sequentially and individually, while others prefers two surgeons working together simultaneously. In this video, we demonstrate an endoscopic endonasal approach, in which the tumor resection is performed with a 4-hand technique with both surgeons working simultaneously.
DOI#: http://dx.doi.org/10.17797//bdxmmtst16
Endoscopic Endonasal Approach for Pituitary Tumor Resection
adenoma of the pituitary gland
prolactinomas amendable to medical therapy
Endoscope
N/A
visual field test
endocrine laboratory tests (pituitary panel)
os the sphenoid sinus
floor of the sella turcica
optico-carotid recess
planum sphenoidale
Risks: post-operative CSF leak, endocrinopathy
Risks: post-operative CSF leak, endocrinopathy
N/A
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