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Updated: Jul 11, 2025

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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
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How we do it: the double keyhole micro-endoscopic combined complex pituitary adenoma surgery
Zhicheng Wang1,2, Xiaorong Yan1,2, Changzhen Jiang1,2
1Department of Neurosurgery, The First Affiliated Hospital, Fujian Medical University, Fuzhou, 350004, Fujian, China.
Acta Neurochirurgica
|November 9, 2023
Summary
The micro-endoscopic combination technique offers a safe and effective approach for surgically removing complex pituitary adenomas (PA). This method enhances surgical efficiency and outcomes in challenging skull base procedures.
Area of Science:
- Neurosurgery
- Endoscopic Surgery
- Skull Base Surgery
Background:
- Surgical removal of complex pituitary adenomas (PA) presents significant technical challenges.
- The micro-endoscopic combination technique is utilized to ensure surgical safety and efficiency.
Purpose of the Study:
- To present a detailed approach for removing complex pituitary adenomas using the micro-endoscopic combination technique.
- To describe the specific surgical setup and workflow employed in this method.
Main Methods:
- Detailed description of the micro-endoscopic combination technique for pituitary adenoma removal.
- Explanation of the surgical setup and step-by-step workflow.
- Emphasis on the importance of teamwork and cooperation in complex skull base surgeries.
Main Results:
- The micro-endoscopic combination technique proved effective in managing a complex pituitary adenoma case.
- The approach facilitated safe and efficient surgical removal.
- Successful management of a complicated skull base surgery was achieved.
Conclusions:
- The micro-endoscopic combination technique is a valuable strategy for complex pituitary adenoma resection.
- Effective teamwork is crucial for successful outcomes in challenging skull base surgeries.
- This technique demonstrates efficacy in managing complicated skull base pathologies.

