The endoscopic diving technique in endonasal transsphenoidal surgery: how I do it.
Diving surgery
Endoscopic diving technique
Endoscopic endonasal transsphenoidal surgery
Pituitary
Journal
Acta neurochirurgica
ISSN: 0942-0940
Titre abrégé: Acta Neurochir (Wien)
Pays: Austria
ID NLM: 0151000
Informations de publication
Date de publication:
09 2020
09 2020
Historique:
received:
07
02
2020
accepted:
21
04
2020
pubmed:
8
5
2020
medline:
5
2
2021
entrez:
8
5
2020
Statut:
ppublish
Résumé
The endoscopic diving technique (EDT) is a procedure utilized in endonasal endoscopy, which consists of irrigating the surgical cavity during tumor removal, with a continuous flow of pressurized saline solution. The authors provide a detailed step-by-step description of the technique, shedding light on surgical tips and pitfalls. Advantages, disadvantages, and the most useful application of the technique are clarified and showed with a high-quality endoscopic video. EDT represents an effective and safe procedure. It allows a wide exploration of the surgical cavity, providing tumor hydro-dissection, assisting in bleeding control, and optimizing the efficacy of endoscopic transsphenoidal surgery.
Sections du résumé
BACKGROUND
The endoscopic diving technique (EDT) is a procedure utilized in endonasal endoscopy, which consists of irrigating the surgical cavity during tumor removal, with a continuous flow of pressurized saline solution.
METHODS
The authors provide a detailed step-by-step description of the technique, shedding light on surgical tips and pitfalls. Advantages, disadvantages, and the most useful application of the technique are clarified and showed with a high-quality endoscopic video.
CONCLUSION
EDT represents an effective and safe procedure. It allows a wide exploration of the surgical cavity, providing tumor hydro-dissection, assisting in bleeding control, and optimizing the efficacy of endoscopic transsphenoidal surgery.
Identifiants
pubmed: 32377949
doi: 10.1007/s00701-020-04369-8
pii: 10.1007/s00701-020-04369-8
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2111-2114Commentaires et corrections
Type : CommentIn
Type : CommentIn
Références
Bin GH, Wang LQ, Zhou JY, Sun W (2018) Investigating the application of diving endoscopic technique in determining the extent of pituitary adenoma resection via the trans-nasal-sphenoidal approach. Exp Ther Med 15(4):3815–3819
Cappabianca P, Cavallo LM, Divitiis O, Solari D, Esposito F, Colao S (2008) Endoscopic pituitary surgery. Pituitary 11(4):385–390
doi: 10.1007/s11102-008-0087-5
Cappabianca P, Cavallo LM, Esposito F, De Divitiis O, Messina A, De Divitiis E (2008) Extended endoscopic endonasal approach to the midline skull base: the evolving role of transsphenoidal surgery. Adv Tech Stand Neurosurg 33:151–199
doi: 10.1007/978-3-211-72283-1_4
Ceraudo M, Anania P, Prior A, Criminelli D, Zona G (2019) Modified endoscopic diving technique without the traditional irrigation system in endoscopic cranial base surgery: technical note. World Neurosurg 127:146–149
doi: 10.1016/j.wneu.2019.03.276
Locatelli D, Canevari FR, Acchiardi I, Castelnuovo P (2010) The endoscopic diving technique in pituitary and cranial base surgery. Neurosurgery 66(2):E400–E401
doi: 10.1227/01.NEU.0000363746.84763.A5
Locatelli D, Pozzi F, Agresta G, Padovan S, Karligkiotis A, Castelnuovo P (2018) Extended endoscopic endonasal approach for suprasellar craniopharyngioma. J Neurol Surg B Skull Base 79(2):S196–S198
pubmed: 29404249
pmcid: 5796833
Locatelli D, Veiceschi P, Castelnuovo P (2019) Letter to the editor regarding “Modified endoscopic diving technique without the traditional irrigation system in endoscopic cranial base surgery: technical note”. World Neurosurg 128:634–635
doi: 10.1016/j.wneu.2019.04.159
Senior BA, Dubin MG, Sonnenburg RE, Melroy CT, Ewend MG (2005) Increased role of the otolaryngologist in endoscopic pituitary surgery: endoscopic hydroscopy of the sella. Am J Rhinol 19(2):181–184
doi: 10.1177/194589240501900211
Vaezi A, Cardenas E, Pinheiro-Neto C, Paluzzi A, Branstetter BF, Gardner PA, Snyderman CH, Fernandez-Miranda JC (2015) Classification of sphenoid sinus pneumatization: relevance for endoscopic skull base surgery. Laryngoscope 125(3):577–581
doi: 10.1002/lary.24989