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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
Extended endoscopic endonasal approach to the skull base.
O L Arbolay1, J G González, R H González
1Department of Neurosurgery, Hermanos Ameijeiras Hospital, La Habana City, Cuba. arbolay@infomed.sld.cu
Minimally Invasive Neurosurgery : MIN
|August 4, 2009
Summary
The extended endoscopic endonasal approach offers a minimally invasive option for skull base lesions. This technique shows promise for treating sellar, parasellar, and clival pathologies.
Area of Science:
- Neurosurgery
- Skull Base Surgery
- Endoscopic Surgery
Background:
- Traditional skull base approaches have limitations.
- The trans-sphenoidal approach can be extended.
- Endoscopic techniques offer new possibilities.
Purpose of the Study:
- To review experience with the extended endoscopic endonasal approach.
- To evaluate outcomes and complications in 12 patients.
- To assess the efficacy for various skull base lesions.
Main Methods:
- Utilized the extended endoscopic endonasal approach.
- Treated 12 patients with diverse skull base lesions.
- Focused on lesion type, surgical technique, outcomes, and complications.
Main Results:
- Successfully treated adenomas, chordomas, craniopharyngiomas, and pituitary adenomas.
- Achieved gross total resection in 66.7% of cases.
- One case of astrocytoma required biopsy and resulted in mortality.
Conclusions:
- The extended endoscopic endonasal approach is a viable minimally invasive option for selected skull base lesions.
- Advancing techniques may establish this as a primary surgical choice.
- Skull base surgeons should consider this approach for complex pathologies.
