[Endoscopic Endonasal Surgery for Pediatric Suprasellar Tumors]

Pediatric suprasellar tumors are difficult to treat. Their sellar-suprasellar location frequently results in compression of the adjacent critical neurovascular structures, making them a challenging surgical entity. Our surgical strategy emphasizes on radical resection of the tumor without compromising visual or cognitive functions. In recent years, the endoscopic endonasal approach has been increasingly used for pediatric suprasellar tumors. We have adopted a "4-hand technique by two neurosurgeons" during endoscopic endonasal surgery to resect aggressive tumors safely. Posterior clinoidectomy and upper clivectomy are useful additional procedures to resect intra-3^rd-ventricle and retrochiasmatic suprasellar tumors. Here, we present our surgical management strategy and tips for endonasal resection of pediatric suprasellar tumors.