Endoscopic transcavernous approach for functional pituitary adenomas.
Cavernous sinus
Endoscopic approach
PitNet
Pituitary adenomas
Journal
Acta neurochirurgica
ISSN: 0942-0940
Titre abrégé: Acta Neurochir (Wien)
Pays: Austria
ID NLM: 0151000
Informations de publication
Date de publication:
19 Jun 2024
19 Jun 2024
Historique:
received:
09
04
2024
accepted:
08
06
2024
medline:
19
6
2024
pubmed:
19
6
2024
entrez:
18
6
2024
Statut:
epublish
Résumé
Invasion of the CS is one of the limiting factors for total resection for PitNet tumors with cure rates less than 30%. Extended approaches may be considered in selective and well-studied cases of secreting adenomas. We describe the key steps of the endoscopic transcavernous approach for functional pituitary adenomas with a video illustration. The surgical anatomy is described along with the advantages and limitations of this approach. A detailed knowledge of CS anatomy and familiarity with this surgical approach acquired in the laboratory is essential. Proper instrumentation is critical to decrease the risks of vascular injury.
Sections du résumé
BACKGROUND
BACKGROUND
Invasion of the CS is one of the limiting factors for total resection for PitNet tumors with cure rates less than 30%. Extended approaches may be considered in selective and well-studied cases of secreting adenomas.
METHOD
METHODS
We describe the key steps of the endoscopic transcavernous approach for functional pituitary adenomas with a video illustration. The surgical anatomy is described along with the advantages and limitations of this approach.
CONCLUSION
CONCLUSIONS
A detailed knowledge of CS anatomy and familiarity with this surgical approach acquired in the laboratory is essential. Proper instrumentation is critical to decrease the risks of vascular injury.
Identifiants
pubmed: 38890156
doi: 10.1007/s00701-024-06168-x
pii: 10.1007/s00701-024-06168-x
doi:
Types de publication
Journal Article
Video-Audio Media
Langues
eng
Sous-ensembles de citation
IM
Pagination
273Informations de copyright
© 2024. The Author(s).
Références
Berhouma M, Messerer M, Jouanneau E (2012) Occam’s razor in minimally invasive pituitary surgery: tailoring the endoscopic endonasal uninostril trans-sphenoidal approach to sella turcica. Acta Neurochir (Wien) 154:2257–2265. https://doi.org/10.1007/s00701-012-1510-2
doi: 10.1007/s00701-012-1510-2
Cossu G, Atkins T, Hajdu SD, Puccinelli F, Daniel RT, Messerer M (2020) Hemorrhagic direct traumatic carotid-cavernous fistula during endoscopic transsphenoidal surgery: intraoperative management and endovascular treatment. Neurosurg Focus Video 2:V1. https://doi.org/10.3171/2020.4.FocusVid.19918
doi: 10.3171/2020.4.FocusVid.19918
Cossu G, Belouaer A, Kloeckner J, Caliman C, Agri F, Daniel RT, Gaudet JG, Papadakis GE, Messerer M (2023) The enhanced recovery after surgery protocol for the perioperative management of pituitary neuroendocrine tumors/pituitary adenomas. Neurosurg Focus 55:E9. https://doi.org/10.3171/2023.9.FOCUS23529
doi: 10.3171/2023.9.FOCUS23529
de Macedo Filho LJM, Diogenes AVG, Barreto EG, Pahwa B, Samson SL, Chaichana K, Quinones-Hinojosa A, Almeida JP (2022) Endoscopic endonasal resection of the Medial Wall of the cavernous sinus and its impact on outcomes of pituitary surgery: a systematic review and Meta-analysis. Brain Sci 12. https://doi.org/10.3390/brainsci12101354
Fernandez-Miranda JC, Zwagerman NT, Abhinav K, Lieber S, Wang EW, Snyderman CH, Gardner PA (2018) Cavernous sinus compartments from the endoscopic endonasal approach: anatomical considerations and surgical relevance to adenoma surgery. J Neurosurg 129:430–441. https://doi.org/10.3171/2017.2.JNS162214
doi: 10.3171/2017.2.JNS162214
Messerer M, Cossu G, Daniel RT (2019) Endoscopic approach for a delayed post-traumatic ethmoidal mucocele: a technical note. Br J Neurosurg 33:107–109. https://doi.org/10.1080/02688697.2017.1297770
doi: 10.1080/02688697.2017.1297770
Mohyeldin A, Katznelson LJ, Hoffman AR, Asmaro K, Ahmadian SS, Eltobgy MM, Nayak JV, Patel ZM, Hwang PH, Fernandez-Miranda JC (2022) Prospective intraoperative and histologic evaluation of cavernous sinus medial wall invasion by pituitary adenomas and its implications for acromegaly remission outcomes. Sci Rep 12:9919. https://doi.org/10.1038/s41598-022-12980-1
doi: 10.1038/s41598-022-12980-1
Starnoni D, Daniel RT, Marino L, Pitteloud N, Levivier M, Messerer M (2016) Surgical treatment of acromegaly according to the 2010 remission criteria: systematic review and meta-analysis. Acta Neurochir (Wien) 158:2109–2121. https://doi.org/10.1007/s00701-016-2903-4
doi: 10.1007/s00701-016-2903-4
Starnoni D, Cossu G, Messerer M, Daniel RT (2022) Transcavernous Approach to the Anteromedial Triangle for residual functional pituitary adenoma. J Neurol Surg B Skull Base 83:e630–e631. https://doi.org/10.1055/s-0041-1727119
doi: 10.1055/s-0041-1727119
Truong HQ, Lieber S, Najera E, Alves-Belo JT, Gardner PA, Fernandez-Miranda JC (2018) The medial wall of the cavernous sinus. Part 1: Surgical anatomy, ligaments, and surgical technique for its mobilization and/or resection. J Neurosurg 131:122–130. https://doi.org/10.3171/2018.3.JNS18596
doi: 10.3171/2018.3.JNS18596