Perspectives on endoscopic transsphenoidal surgery.
John A. Jane,Joseph K. Han,Daniel M. Prevedello,Jay Jagannathan,Aaron S. Dumont,Edward R. Laws +5 more
TL;DR: The authors describe the current endoscopic technique and elucidate the advantages and disadvantages of the pure endoscopic adenomectomy compared with the standard microscopic approach to sellar tumors.
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Abstract: Sellar tumors are most commonly approached through the transsphenoidal corridor, and tumor resection is most often performed using the operating microscope. More recently the endoscope has been introduced for use either as an adjunct to or in lieu of the microscope. Both the microscopic and endoscopic transsphenoidal approaches to sellar tumors allow safe and effective tumor resection. The authors describe their current endoscopic technique and elucidate the advantages and disadvantages of the pure endoscopic adenomectomy compared with the standard microscopic approach.
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Citations
Endoscopic endonasal skull base surgery: analysis of complications in the authors' initial 800 patients
Amin B. Kassam,Daniel M. Prevedello,Ricardo L. Carrau,Carl H. Snyderman,Ajith J. Thomas,Paul A. Gardner,Adam M. Zanation,Bulent Duz,S. Tonya Stefko,Karin E. Byers,Michael B. Horowitz +10 more
TL;DR: With the incremental acquisition of skills and experience, endoscopic endonasal approaches have an acceptable safety profile in select patients presenting with various skull base pathologies.
596
Extended endoscopic endonasal approach to the midline skull base: the evolving role of transsphenoidal surgery.
Paolo Cappabianca,Luigi Maria Cavallo,Felice Esposito,O. de Divitiis,Andrea Messina,E. de Divitiis +5 more
TL;DR: The current knowledge of the endoscopic anatomy of the midline skull base as seen from the endonasal perspective is reported, to describe the surgical path and structures whose knowledge is useful during the operation and the step-by-step surgical technique to access the different compartments.
Endoscopic transsphenoidal surgery for acromegaly: remission using modern criteria, complications, and predictors of outcome.
John A. Jane,Robert M. Starke,Mohamed A. Elzoghby,Mohamed A. Elzoghby,Davis L. Reames,Spencer C. Payne,Michael O. Thorner,John C. Marshall,Edward R. Laws,Mary Lee Vance +9 more
TL;DR: ETSS for GH adenomas is associated with high rates of remission and a low incidence of new endocrinopathy, and preoperative variables predictive of remission included Knosp score, IGF-I, and GH levels.
Endonasal versus supraorbital keyhole removal of craniopharyngiomas and tuberculum sellae meningiomas
TL;DR: The endonasal route is preferred for removal of most retrochiasmal craniopharyngiomas, whereas the supraorbital route is recommended for meningiomas larger than 30 to 35 mm or with growth beyond the supraclinoid carotid arteries.
278
History of endoscopic skull base surgery: its evolution and current reality.
Daniel M. Prevedello,Francesco Doglietto,John A. Jane,Jay Jagannathan,Joseph K. Han,Edward R. Laws +5 more
TL;DR: The collaboration between otorhinolaryngologists and neurosurgeons has produced a new subspecialty of "endoscopic skull base surgery," and a great deal of progress still to be made in developing skills, instruments, and improving skull base repair.
213
References
Endoscopic endonasal transsphenoidal surgery: experience with 50 patients.
Hae-Dong Jho,Ricardo L. Carrau +1 more
TL;DR: Postoperatively, all patients who had undergone endonasal endoscopic surgery had unobstructed nasal airways with minimal discomfort and more than half of the patients required only an overnight hospitalization.
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Expanded endonasal approach: the rostrocaudal axis. Part I. Crista galli to the sella turcica
TL;DR: Endoscopic, expanded endonasal approaches to rostral anterior skull base lesions are feasible and hold great potential for decreased morbidity.
Expanded endonasal approach: the rostrocaudal axis. Part II. Posterior clinoids to the foramen magnum.
TL;DR: Endoscopic expanded endonasal approaches to caudally located midline anterior skull base and cervicomedullary lesions are feasible and hold great potential for decreased morbidity.
Surgical complications associated with the endoscopic endonasal transsphenoidal approach for pituitary adenomas
TL;DR: Overall, a decreased incidence of complications has been observed, compared with large historical series of the traditional microsurgical transsphenoidal approach, likely because of the overview inside the anatomy facilitated by the endoscope, and the decreased surgical trauma.
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