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Updated: May 2, 2026

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
Precise location of sellar floor of patients with different saddle forms for pituitary surgery through unilateral
Sirui Wang1, Zhuo Wang, Min Liu
1From the *Norman Bethune College of Medicine, Jilin University; †Changchun University of Traditional Chinese Medicine; ‡Department of Neurosurgery, First Affiliated Hospital of Jilin University; and §Department of the Human Anatomy, Norman Bethune College of Medicine, Jilin University, Changchun, China.
Abstract:
Our study aims to illustrate the precise location of sellar floor of patients with different saddle forms for pituitary surgery through unilateral endonasal transsphenoidal approach, by measuring 2 angles and 2 distances. One hundred thirty-three (74 men and 59 women) participated in this study anonymously. Results are as follows: the differences of distances 1, 2, and 3 were statistically significant in comparison of saddle forms (P < 0.05), whereas angles 1 and 2 have no significance. And similar results are also shown in the elderly group and the women. For men, only distance 2 in these parameters was statistically significant. Consequently, we should pay attention to the patients, saddle forms, ages, and sexes, especially for distances 1 and 2 and distance 3 before the surgery, which can help to locate the sellar floor precisely and determine the operable range for patients with different saddle forms.

