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.
MeSH terms
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Endoscopy / methods*
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Endoscopy / trends
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Humans
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Intraoperative Complications / prevention & control
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Microscopy / methods
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Microscopy / trends
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Microsurgery / methods
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Microsurgery / trends
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Neurosurgical Procedures / instrumentation*
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Neurosurgical Procedures / methods*
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Neurosurgical Procedures / trends
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Pituitary Gland / pathology
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Pituitary Gland / physiopathology
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Pituitary Gland / surgery*
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Pituitary Neoplasms / pathology
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Pituitary Neoplasms / physiopathology
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Pituitary Neoplasms / surgery*
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Sella Turcica / pathology
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Sella Turcica / surgery
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Sphenoid Bone / pathology
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Sphenoid Bone / surgery*
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Treatment Outcome