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Updated: Aug 16, 2026
Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
[Transnasal-sphenoided endosurgical and microsurgical technique of pituitary adenometomies]
Zhisen Shen1, Zhinan Jiang, Kan Zhao
1Department of Otolaryngology, Lihuili Hospital, Medical Center of Ningbo, Ningbo 315400, China. szs688@sohu.com
Objective:
To evaluate the surgical technique of pituitary adenomas by naso-sphenoid way and the prevention of complication.
Method:
The pituitary adenomas in 19 cases were removed under endoscope and microscope by the transnasosphenoided way. Sphenoid-saddle base was restructed with lip-tendon-membrane and the nasal separate bone.
Result:
Seventeen cases had entire resection in the 19 patients. Two cases had subtotal resection. The symptoms were improved with no sever complications in 19 cases during the period of 3-36 months follow-up and no recovery in 17 cases.
Conclusion:
lt is a effective surgical technique that the pituitary neoplasms are removed by nasosphenoidal way under the endoscope and microscope with the alcohol for preventing the tumor recovery and with the lip-tendon-membrane and nasal separate bone for restructing the saddle base.