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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
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Mononostril endoscopic endonasal approach for pituitary surgery
Bertrand Baussart1, Agnes Declerck2, Stephan Gaillard3
1Department of Neurosurgery, Foch Hospital, 40 rue Worth, 92150, Suresnes, France. b.baussart@hopital-foch.org.
Acta Neurochirurgica
|August 31, 2020
Summary
Endoscopic endonasal approach is the gold standard for pituitary surgery. This technique, involving nasal corridor preservation and tailored bone resection, ensures safe and minimally invasive removal of pituitary adenomas.
Area of Science:
- Neurosurgery
- Endoscopic Surgery
- Otolaryngology
Background:
- Endoscopic transsphenoidal surgery is widely regarded as the gold standard for pituitary surgery.
- Pituitary adenomas are typically benign and necessitate minimally invasive treatment approaches.
Purpose of the Study:
- To describe the detailed surgical technique of the mononostril endoscopic endonasal approach for pituitary adenomas.
- To highlight critical steps for safe and effective tumor resection.
Main Methods:
- A retrospective analysis of 2835 patients treated between 2006 and 2020 at Foch Hospital.
- Detailed description of the nasal, sphenoidal, and sellar phases of the mononostril endoscopic endonasal approach.
Main Results:
- The mononostril endoscopic endonasal approach was utilized for treating a large cohort of pituitary adenoma patients.
- The study outlines specific technical elements crucial for successful outcomes.
Conclusions:
- Complete preservation of the nasal corridor is vital for endoscopic pituitary surgery.
- Judicious luxation of the nasal septum and precise sellar bone resection are key elements for safe pituitary adenoma resection.
