How we do it: the double keyhole micro-endoscopic combined complex pituitary adenoma surgery

Zhicheng Wang; Xiaorong Yan; Changzhen Jiang; Jianping Song

doi:10.1007/s00701-023-05879-x

How we do it: the double keyhole micro-endoscopic combined complex pituitary adenoma surgery

Acta Neurochir (Wien). 2023 Dec;165(12):4143-4148. doi: 10.1007/s00701-023-05879-x. Epub 2023 Nov 10.

Authors

Zhicheng Wang^{1

2}, Xiaorong Yan^{1

2}, Changzhen Jiang^{1

2}, Jianping Song^{3

4

5

6

7

8

9}

Affiliations

¹ Department of Neurosurgery, The First Affiliated Hospital, Fujian Medical University, Fuzhou, 350004, Fujian, China.
² Department of Neurosurgery, National Regional Medical Center, The First Affiliated Hospital Binhai Campus, Fujian Medical University, Fuzhou, 350209, Fujian, China.
³ Department of Neurosurgery, National Center for Neurological Disorders, Huashan Hospital, Fudan University, Shanghai, 200040, China. [email protected].
⁴ Neurosurgical Institute of Fudan University, Shanghai, 200040, China. [email protected].
⁵ Shanghai Clinical Medical Center of Neurosurgery, Shanghai, 200040, China. [email protected].
⁶ Shanghai Key Laboratory of Brain Function Restoration and Neural Regeneration, Shanghai, 200040, China. [email protected].
⁷ Research Unit of New Technologies of Micro-Endoscopy Combination in Skull Base Surgery (2018RU008), Chinese Academy of Medical Sciences (CAMS), Shanghai, 200040, China. [email protected].
⁸ Department of Neurosurgery, National Regional Medical Center, Huashan Hospital Fujian Campus, Fudan University, Fuzhou, 350209, Fujian, China. [email protected].
⁹ Department of Neurosurgery, Huashan Hospital of Fudan University, No. 12 Wulumuqi Zhong Road, Shanghai, 200040, China. [email protected].

PMID: 37945993
DOI: 10.1007/s00701-023-05879-x

Abstract

Background: Surgical removal of complex pituitary adenomas (PA) is a technically challenging procedure. To ensure safe and efficient surgery, we employ the micro-endoscopic combination technique.

Method: In this study, we present our approach to the removal of a complex PA using the micro-endoscopic combination strategy. We describe our surgical setup and workflow in detail.

Conclusion: Our experience with this case highlights the effectiveness of the micro-endoscopic combination technique in the management of complicated skull base surgeries with good teamwork and cooperation.

Keywords: Endoscope; Keyhole; Microsurgery; Pituitary adenoma; Skull base.

MeSH terms

Adenoma* / diagnostic imaging
Adenoma* / surgery
Endoscopy / methods
Humans
Microsurgery / methods
Neurosurgical Procedures / methods
Pituitary Neoplasms* / diagnostic imaging
Pituitary Neoplasms* / surgery
Treatment Outcome