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Related Experiment Video

Updated: Aug 31, 2025

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas

Published on: January 17, 2018

Advances in Pituitary Surgery.

Yoon Hwan Byun¹, Ho Kang¹, Yong Hwy Kim¹

¹Pituitary Center, Department of Neurosurgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.

Endocrinology and Metabolism (Seoul, Korea)

|August 19, 2022

Summary

Endoscopic pituitary surgery offers advanced techniques for accessing and resecting sellar tumors, improving outcomes. Innovations in skull base reconstruction address cerebrospinal fluid leakage, enabling more complex tumor removals.

Keywords:

Cerebrospinal fluid leak Endoscopy Pituitary gland Pituitary neoplasms

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Area of Science:

Neurosurgery
Otolaryngology
Endocrinology

Background:

Pituitary surgery has seen significant advancements.
Endoscopic techniques are increasingly utilized for skull base access.

Purpose of the Study:

To review endoscopic skull base approaches for pituitary tumors.
To discuss surgical techniques and reconstruction methods.

Main Methods:

Review of current endoscopic skull base approaches.
Description of surgical techniques for pituitary adenoma resection.
Overview of skull base reconstruction methods for CSF leakage.

Main Results:

Endoscopic approaches provide versatile access to sellar tumors.
Extracapsular dissection and cavernous sinus exploration enhance tumor resection.
Advanced reconstruction techniques improve management of cerebrospinal fluid (CSF) leakage.

Conclusions:

Endoscopic pituitary surgery enables gross total resection of complex tumors.
Progress in reconstruction techniques facilitates management of postoperative CSF fistulas.