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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
Microscopic versus endoscopic pituitary surgery: a systematic review.
Brian Rotenberg1, Samantha Tam, Won Hyung A Ryu
1Department of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada. brian.rotenberg@sjhc.london.on.ca
The Laryngoscope
|June 26, 2010
Summary
Endoscopic surgery for pituitary adenomas offers advantages over microscopic approaches, reducing operating time, hospital stay, and patient discomfort. Key outcomes like tumor resection and hormone levels remain comparable between methods.
Area of Science:
- Neurosurgery
- Otolaryngology
- Endocrinology
Background:
- Pituitary adenomas are common intracranial tumors.
- Surgical intervention is a primary treatment modality.
- Minimally invasive techniques are increasingly explored.
Purpose of the Study:
- To compare microscopic versus endoscopic surgical techniques for pituitary adenoma treatment.
- To critically review the existing literature on this comparison.
Main Methods:
- Systematic review of English language literature from January 1989 to June 2009.
- Inclusion of studies directly comparing microscopic and endoscopic pituitary adenoma surgery.
- Exclusion of endoscopic-assisted techniques and case reports.
Main Results:
- Eleven studies met inclusion criteria.
- Endoscopic surgery demonstrated reduced operating time, hospital stay, and patient discomfort.
- Comparable rates for tumor resection and hormonal normalization were observed.
Conclusions:
- The endoscopic approach is favored for pituitary adenoma surgery.
- Endoscopic surgery offers significant benefits in terms of efficiency and patient experience.
- Major clinical outcomes are equivalent between the two surgical methods.
