Endoscopic Endonasal Transsphenoidal Approach in the Management of Sellar and Parasellar Lesions
Transsphenoidal approaches have been used for a century for the resection of pituitary and other sellar tumors. In the past decade, however, the endoscopic endonasal transsphenoidal approach has been proposed as a minimally invasive procedure for the treatment of pathologies of the sellar region. Th...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
London Academic Publishing
2010-03-01
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| Series: | Romanian Neurosurgery |
| Subjects: | |
| Online Access: | https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/437 |
| _version_ | 1828351654443876352 |
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| author | Ligia Tataranu M. R. Gorgan V. Ciubotaru Adriana Dediu B. Ene D. Paunescu Anica Dricu V. Pruna |
| author_facet | Ligia Tataranu M. R. Gorgan V. Ciubotaru Adriana Dediu B. Ene D. Paunescu Anica Dricu V. Pruna |
| author_sort | Ligia Tataranu |
| collection | DOAJ |
| description | Transsphenoidal approaches have been used for a century for the resection of pituitary and other sellar tumors. In the past decade, however, the endoscopic endonasal transsphenoidal approach has been proposed as a minimally invasive procedure for the treatment of pathologies of the sellar region. This procedure introduces various advantages compared with the transsphenoidal microsurgical approach, such as an improved vision of the surgical field, less traumatism of the nasal structures and reduced complications. Patients’ quick recovery, short hospital stays and minimal postoperative discomfort have been observed. More recently, the standard endoscopic endonasal technique has been extended to provide access to parasellar lesions. This expansion carries significant potential for the resection of skull base lesions. In this article, the authors review the indications of the endoscopic endonasal transsphenoidal approach and define the main phases of the standard surgical technique. Preoperative evaluation, equipment, preoperative and postoperative care are presented. Endoscopic endonasal technique is a safe and effective method for removal of most sellar and some parasellar masses, providing more complete lesion excision and reducing complications. |
| first_indexed | 2024-04-14T01:42:28Z |
| format | Article |
| id | doaj.art-9a3dd6d7c79e4d3a96fabceac883e061 |
| institution | Directory Open Access Journal |
| issn | 1220-8841 2344-4959 |
| language | English |
| last_indexed | 2024-04-14T01:42:28Z |
| publishDate | 2010-03-01 |
| publisher | London Academic Publishing |
| record_format | Article |
| series | Romanian Neurosurgery |
| spelling | doaj.art-9a3dd6d7c79e4d3a96fabceac883e0612022-12-22T02:19:41ZengLondon Academic PublishingRomanian Neurosurgery1220-88412344-49592010-03-01171Endoscopic Endonasal Transsphenoidal Approach in the Management of Sellar and Parasellar LesionsLigia TataranuM. R. GorganV. CiubotaruAdriana DediuB. EneD. PaunescuAnica DricuV. PrunaTranssphenoidal approaches have been used for a century for the resection of pituitary and other sellar tumors. In the past decade, however, the endoscopic endonasal transsphenoidal approach has been proposed as a minimally invasive procedure for the treatment of pathologies of the sellar region. This procedure introduces various advantages compared with the transsphenoidal microsurgical approach, such as an improved vision of the surgical field, less traumatism of the nasal structures and reduced complications. Patients’ quick recovery, short hospital stays and minimal postoperative discomfort have been observed. More recently, the standard endoscopic endonasal technique has been extended to provide access to parasellar lesions. This expansion carries significant potential for the resection of skull base lesions. In this article, the authors review the indications of the endoscopic endonasal transsphenoidal approach and define the main phases of the standard surgical technique. Preoperative evaluation, equipment, preoperative and postoperative care are presented. Endoscopic endonasal technique is a safe and effective method for removal of most sellar and some parasellar masses, providing more complete lesion excision and reducing complications.https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/437endoscopyminimally invasive surgeryparasellar lesionpituitary tumorsellar lesiontranssphenoidal surgery |
| spellingShingle | Ligia Tataranu M. R. Gorgan V. Ciubotaru Adriana Dediu B. Ene D. Paunescu Anica Dricu V. Pruna Endoscopic Endonasal Transsphenoidal Approach in the Management of Sellar and Parasellar Lesions Romanian Neurosurgery endoscopy minimally invasive surgery parasellar lesion pituitary tumor sellar lesion transsphenoidal surgery |
| title | Endoscopic Endonasal Transsphenoidal Approach in the Management of Sellar and Parasellar Lesions |
| title_full | Endoscopic Endonasal Transsphenoidal Approach in the Management of Sellar and Parasellar Lesions |
| title_fullStr | Endoscopic Endonasal Transsphenoidal Approach in the Management of Sellar and Parasellar Lesions |
| title_full_unstemmed | Endoscopic Endonasal Transsphenoidal Approach in the Management of Sellar and Parasellar Lesions |
| title_short | Endoscopic Endonasal Transsphenoidal Approach in the Management of Sellar and Parasellar Lesions |
| title_sort | endoscopic endonasal transsphenoidal approach in the management of sellar and parasellar lesions |
| topic | endoscopy minimally invasive surgery parasellar lesion pituitary tumor sellar lesion transsphenoidal surgery |
| url | https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/437 |
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