Surgical Considerations in Endoscopic Pituitary Dissection for the Neurosurgeon

Many surgical considerations exist for an endoscopic approach for pituitary surgery for a neurosurgeon. The neurosurgical approach to endoscopic pituitary dissection requires proper surgical planning and identification of relevant anatomic structures. With the introduction of endoscopic transsphenoidal pituitary surgery, better visualization and more intricate surgical resections are achieved. Whether performing this surgery solo or with an otolaryngologist, the neurosurgeon must consider multiple aspects for this surgical approach. This article focuses on the surgical considerations involving the anatomic regions of the sphenoid sinus and sellar region for endoscopic pituitary dissections.