Endoscopic endonasal transsphenoidal surgery. Before scrubbing in: tips and tricks

Area of Science:

• Neurosurgery
• Endoscopic Surgery

Background:

• Growing interest in endoscopic endonasal transsphenoidal surgery for sellar/perisellar lesions.
• Endoscopes offer wider, detailed views, appealing for minimally invasive procedures.
• Transitioning from microsurgery to endoscopy presents challenges for many neurosurgeons.

Purpose of the Study:

• To provide practical tips for neurosurgeons learning endoscopic endonasal transsphenoidal surgery.
• To address common difficulties encountered during the initial phases of the procedure.

Main Methods:

• Focus on familiarization with endoscopic equipment.
• Detailed review of transsphenoidal anatomy from an endoscopic perspective.
• Emphasis on developing essential endoscopic surgical skills.

Main Results:

• Neurosurgeons can overcome initial challenges with endoscopic techniques.
• Improved understanding of anatomy and equipment leads to better surgical performance.

Conclusions:

• Following recommendations facilitates safe and efficient endoscopic endonasal transsphenoidal surgery.
• Endoscopic approach enhances treatment of sellar and perisellar lesions.