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Updated: Jun 26, 2026
Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
Image-guided endoscopic transsphenoidal removal of pituitary tumours
Amin R Javer1, Osama Marglani, Andrew Lee
1St Paul's Sinus Centre, St Paul's Hospital, Vancouver, British Columbia. sinussurgeon@drjaver.com
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.
