Image-Guided Endoscopic Transsphenoidal Removal of Pituitary Tumours

Javer, Amin R.; Marglani, Osama; Lee, Andrew; Matishak, Mark; Genoway, Krista A.
August 2008
Journal of Otolaryngology -- Head & Neck Surgery;Aug2008, Vol. 37 Issue 4, p474
Academic Journal
Background: With continuing advancements in minimally invasive endoscopic nasal and sinus surgical techniques, image-guided endoscopic transsphenoidal approaches to the pituitary gland and anterior skull base have progressively become more popular. Methods: Clinical records were reviewed retrospectively from 2001 to 2006. Twenty-nine consecutive patients with pituitary tumours underwent transnasal endoscopic surgery. Results: We outlined our endoscopic surgical technique with the use of image guidance. The duration of surgery, complications, and hospital stay were also reviewed. Conclusions: image guidance can be applied during transnasal transsphenoidal endoscopic surgery and requires a minimal amount of time. It can reduce morbidity and allow for a more complete and safer operation with minimal postoperative discomfort. It can significantly reduce postoperative hospital stay, resulting in a reduced cost to the medical system.


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