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Updated: Mar 16, 2026
Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
How I do it - endoscopic endonasal approach for pituitary tumour
N Phillips1, P Nix2
1Department of Neurosurgery, Leeds General Infirmary, Great George Street, Leeds, LS1 3EX, UK. nickphillips@nhs.net.
Background:
Endoscopic endonasal surgery to access the anterior skull base has evolved in many centres worldwide and provides a minimally invasive alternative, with better patient experience, to open techniques.
Method:
We present a basic approach to a midline lesion that is the fundamental starting point for wider access to the skull base.
Conclusion:
The nuances of this technique illustrated here have been developed in many centres to provide a safe procedure that has a low incidence of complications and excellent potential.
