Microscopic Transsphenoidal Surgery in the Era of Endoscopy: Are There Any Advantages?

Adenoma / surgery Endoscopy / methods Humans Microscopy Microsurgery / methods Pituitary Neoplasms / surgery
Endoscope Microscope Pituitary surgery Transsphenoidal

Journal

Otolaryngologic clinics of North America
ISSN: 1557-8259
Titre abrégé: Otolaryngol Clin North Am
Pays: United States
ID NLM: 0144042

Informations de publication

Date de publication:
Apr 2022
Historique:
entrez: 2 4 2022
pubmed: 3 4 2022
medline: 6 4 2022
Statut: ppublish

Résumé

Developed over 50 years ago, the microscopic transsphenoidal approach is a simple, efficient technique with proven efficacy for the surgical treatment of an array of sellar and parasellar diseases. Although utilization of fully endoscopic transsphenoidal approaches has dramatically increased recently because it offers enhanced visualization, current outcomes data do not clearly favor either approach. Potential advantages of the microscope that persist in the endoscopic era include decreased operative time; preservation of a single-surgeon, unobstructed, twohanded microsurgical technique; and limited disruption of the nasal mucosa. Endoscope-assisted microsurgical approaches can also be used to overcome limitations in visualization while preserving the aforementioned advantages.

Identifiants

DOI: 10.1016/j.otc.2021.12.010 PMID: 35365314
pubmed: 35365314
pii: S0030-6665(21)00246-2
doi: 10.1016/j.otc.2021.12.010
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

411-420

Informations de copyright

Copyright © 2021 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Disclosure The authors have nothing to disclose.

Auteurs

Robert C Rennert (RC)

Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, 175 N Medical Drive East, Salt Lake City, UT 84132, USA.

Vance L Fredrickson (VL)

Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, 175 N Medical Drive East, Salt Lake City, UT 84132, USA.

William T Couldwell (WT)

Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, 175 N Medical Drive East, Salt Lake City, UT 84132, USA. Electronic address: neuropub@hsc.utah.edu.

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Classifications MeSH

questionsmedicales.fr › Tumeurs › Tumeurs par type histologique › Tumeurs épithéliales épidermoïdes et glandulaires › Adénomes › Microscopic Transsphenoidal Surgery in the Era...
questionsmedicales.fr › Procédures de chirurgie opératoire › Interventions chirurgicales mini-invasives › Endoscopie › Microscopic Transsphenoidal Surgery in the Era...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Microscopic Transsphenoidal Surgery in the Era...
questionsmedicales.fr › Disciplines des sciences naturelles › Physique › Microscopie › Microscopic Transsphenoidal Surgery in the Era...
questionsmedicales.fr › Techniques d'investigation › Micromanipulation › Microchirurgie › Microscopic Transsphenoidal Surgery in the Era...
questionsmedicales.fr › Maladies endocriniennes › Maladies de l'hypophyse › Tumeurs de l'hypophyse › Microscopic Transsphenoidal Surgery in the Era...