Skip to main content
Top
Published in: Neurosurgical Review 2/2010

01-04-2010 | Original Article

A technical note on endonasal combined microscopic endoscopic with free head navigation technique of removal of pituitary adenomas

Authors: Ossama Al-Mefty, Svetlana Pravdenkova, Cristian Gragnaniello

Published in: Neurosurgical Review | Issue 2/2010

Login to get access

Abstract

Pituitary surgery exemplifies the continuous refinement of surgical techniques. The transsphenoidal approach is the approach of choice to treat most pituitary adenomas. We report here, as a technical note, an operative nuance that represents an encompassment of various technical steps that we utilize in our current surgery, including the corroboration of navigation system on a free head with combined use of endoscope and microscope techniques.
Appendix
Available only for authorised users
Literature
1.
go back to reference Apuzzo ML, Heifetz MD, Weiss MH, Kurze T (1977) Neurosurgical endoscopy using the side-viewing telescope. J Neurosurg 46:398–400CrossRefPubMed Apuzzo ML, Heifetz MD, Weiss MH, Kurze T (1977) Neurosurgical endoscopy using the side-viewing telescope. J Neurosurg 46:398–400CrossRefPubMed
2.
3.
go back to reference Batay F, Vural E, Karasu A, Al-Mefty O (2002) Comparison of the exposure obtained by endoscope and microscope in the extended trans-sphenoidal approach. Skull Base 12:119–124CrossRefPubMed Batay F, Vural E, Karasu A, Al-Mefty O (2002) Comparison of the exposure obtained by endoscope and microscope in the extended trans-sphenoidal approach. Skull Base 12:119–124CrossRefPubMed
4.
go back to reference Bushe KA, Halves E (1978) Modifizierte technik bei transnasaler operation der hypophysengeschwulste. Acta Neurochir 41(1–3):163–175CrossRef Bushe KA, Halves E (1978) Modifizierte technik bei transnasaler operation der hypophysengeschwulste. Acta Neurochir 41(1–3):163–175CrossRef
5.
go back to reference Cappabianca P, Cavallo LM, de Divitiis E (2004) Endoscopic endonasal transsphenoidal surgery. Neurosurgery 55:933–940CrossRefPubMed Cappabianca P, Cavallo LM, de Divitiis E (2004) Endoscopic endonasal transsphenoidal surgery. Neurosurgery 55:933–940CrossRefPubMed
6.
go back to reference Catapano D, Sloffer CA, Frank G, Pasquini E, D'Angelo VA, Lanzino G (2006) Comparison between the microscope and endoscope in the direct endonasal extended transsphenoidal approach: anatomical study. J Neurosurg 104(3):419–425CrossRefPubMed Catapano D, Sloffer CA, Frank G, Pasquini E, D'Angelo VA, Lanzino G (2006) Comparison between the microscope and endoscope in the direct endonasal extended transsphenoidal approach: anatomical study. J Neurosurg 104(3):419–425CrossRefPubMed
7.
8.
go back to reference Couldwell WT (2004) Transsphenoidal and transcranial surgery for pituitary adenomas. J Neurooncol 69(1–3):237–256CrossRefPubMed Couldwell WT (2004) Transsphenoidal and transcranial surgery for pituitary adenomas. J Neurooncol 69(1–3):237–256CrossRefPubMed
9.
go back to reference Cushing H (1912) Transsphenoidal methods of access. In: Cushing H (ed) The Pituitary Body and its Disorders: Clinical States Produced by Disorders of the Hypophysis Cerebri. JB Lippincott, Philadelphia, pp 296–303 Cushing H (1912) Transsphenoidal methods of access. In: Cushing H (ed) The Pituitary Body and its Disorders: Clinical States Produced by Disorders of the Hypophysis Cerebri. JB Lippincott, Philadelphia, pp 296–303
10.
go back to reference Elias WJ, Laws ER Jr (2000) Transsphenoidal approaches to lesions of the sella. In: Schmidek HH (ed) Operative Neurosurgical Techniques: Indications, Methods and Results. WB Saunders, Philadelphia, pp 373–384 Elias WJ, Laws ER Jr (2000) Transsphenoidal approaches to lesions of the sella. In: Schmidek HH (ed) Operative Neurosurgical Techniques: Indications, Methods and Results. WB Saunders, Philadelphia, pp 373–384
11.
go back to reference Fatemi N, Dusick JR, de Paiva Neto MA, Kelly DF (2008) The endonasal microscopic approach for pituitary adenomas and other parasellar tumors: a 10-year experience. Neurosurgery 63(4 Suppl 2):244–256CrossRefPubMed Fatemi N, Dusick JR, de Paiva Neto MA, Kelly DF (2008) The endonasal microscopic approach for pituitary adenomas and other parasellar tumors: a 10-year experience. Neurosurgery 63(4 Suppl 2):244–256CrossRefPubMed
12.
go back to reference Griffith HB, Veerapen R (1987) A direct transnasal approach to the sphenoid sinus. Technical note. J Neurosurg 66:140–142CrossRefPubMed Griffith HB, Veerapen R (1987) A direct transnasal approach to the sphenoid sinus. Technical note. J Neurosurg 66:140–142CrossRefPubMed
13.
go back to reference Guiot G, Bouche J, Hertzog E, Vourc’h G, Hardy J (1963) Hypophysectomy by trans-sphenoidal route. Ann Radiol (Paris) 6:187–192 Guiot G, Bouche J, Hertzog E, Vourc’h G, Hardy J (1963) Hypophysectomy by trans-sphenoidal route. Ann Radiol (Paris) 6:187–192
14.
go back to reference Hardy J (1962) Excision of pituitary adenomas by trans-sphenoidal approach. Union Med Can 91:933–945PubMed Hardy J (1962) Excision of pituitary adenomas by trans-sphenoidal approach. Union Med Can 91:933–945PubMed
15.
go back to reference Jane JA Jr, Han J, Prevedello DM, Jagannathan J, Dumont AS, Laws ER Jr (2005) Perspectives on endoscopic transsphenoidal surgery. Neurosurg Focus 19(6):E2CrossRefPubMed Jane JA Jr, Han J, Prevedello DM, Jagannathan J, Dumont AS, Laws ER Jr (2005) Perspectives on endoscopic transsphenoidal surgery. Neurosurg Focus 19(6):E2CrossRefPubMed
16.
go back to reference Jane JA Jr, Thapar K, Kaptain GJ, Maartens N, Laws ER Jr (2002) Pituitary surgery: transsphenoidal approach. Neurosurgery 51:435–442CrossRefPubMed Jane JA Jr, Thapar K, Kaptain GJ, Maartens N, Laws ER Jr (2002) Pituitary surgery: transsphenoidal approach. Neurosurgery 51:435–442CrossRefPubMed
18.
go back to reference Krisht AF (2006) Transsphenoidal approach and its variants. In: Sekhar LN, Fessler RG (eds) Atlas of Neurosurgical Techniques: Brain. Thieme, New York, pp 654–660 Krisht AF (2006) Transsphenoidal approach and its variants. In: Sekhar LN, Fessler RG (eds) Atlas of Neurosurgical Techniques: Brain. Thieme, New York, pp 654–660
19.
go back to reference Liu JK, Das K, Weiss MH, Laws ER Jr, Couldwell WT (2001) The history and evolution of transsphenoidal surgery. J Neurosurg 95(6):1083–1096CrossRefPubMed Liu JK, Das K, Weiss MH, Laws ER Jr, Couldwell WT (2001) The history and evolution of transsphenoidal surgery. J Neurosurg 95(6):1083–1096CrossRefPubMed
20.
go back to reference Liu JK, Weiss MH, Couldwell WT (2003) Surgical approaches to pituitary tumors. Neurosurg Clin N Am 14:93–107CrossRefPubMed Liu JK, Weiss MH, Couldwell WT (2003) Surgical approaches to pituitary tumors. Neurosurg Clin N Am 14:93–107CrossRefPubMed
21.
go back to reference Nejadkazem M, Samii A, Fahlbusch R, Bidadi S (2008) A simplified direct endonasal approach for transsphenoidal surgery. Minim Invasive Neurosurg 51(5):272–274CrossRefPubMed Nejadkazem M, Samii A, Fahlbusch R, Bidadi S (2008) A simplified direct endonasal approach for transsphenoidal surgery. Minim Invasive Neurosurg 51(5):272–274CrossRefPubMed
22.
go back to reference Sanai N, Quinones-Hinojosa A, Narvid J, Kunwar S (2008) Safety and efficacy of the direct endonasal transsphenoidal approach for challenging sellar tumors. J Neurooncol 87(3):317–325CrossRefPubMed Sanai N, Quinones-Hinojosa A, Narvid J, Kunwar S (2008) Safety and efficacy of the direct endonasal transsphenoidal approach for challenging sellar tumors. J Neurooncol 87(3):317–325CrossRefPubMed
23.
go back to reference Sheehan MT, Atkinson JL, Kasperbauer JL, Erickson BJ, Nippoldt TB (1999) Preliminary comparison of the endoscopic transnasal vs the sublabial transseptal approach for clinically nonfunctioning pituitary macroadenomas. Mayo Clin Proc 74:661–670CrossRefPubMed Sheehan MT, Atkinson JL, Kasperbauer JL, Erickson BJ, Nippoldt TB (1999) Preliminary comparison of the endoscopic transnasal vs the sublabial transseptal approach for clinically nonfunctioning pituitary macroadenomas. Mayo Clin Proc 74:661–670CrossRefPubMed
24.
go back to reference Snyderman C, Kassam A, Carrau R, Mintz A, Gardner P, Prevedello DM (2007) Acquisition of surgical skills for endonasal skull base surgery: a training program. Laryngoscope 117(4):699–705CrossRefPubMed Snyderman C, Kassam A, Carrau R, Mintz A, Gardner P, Prevedello DM (2007) Acquisition of surgical skills for endonasal skull base surgery: a training program. Laryngoscope 117(4):699–705CrossRefPubMed
25.
go back to reference Swearingen B (2006) Transsphenoidal approach to pituitary tumors. In: Schmidek HH, Roberts DW (eds) Operative Neurosurgical Techniques: Indications, Methods, and Results, vol 1. Elsevier, Philadelphia, pp 321–331 Swearingen B (2006) Transsphenoidal approach to pituitary tumors. In: Schmidek HH, Roberts DW (eds) Operative Neurosurgical Techniques: Indications, Methods, and Results, vol 1. Elsevier, Philadelphia, pp 321–331
26.
go back to reference Teo C, Nakaji P (2004) Neuro-oncologic applications of endoscopy. Neurosurg Clin N Am 15(1):89–103CrossRefPubMed Teo C, Nakaji P (2004) Neuro-oncologic applications of endoscopy. Neurosurg Clin N Am 15(1):89–103CrossRefPubMed
27.
go back to reference Wilson WR, Laws ER Jr (1992) Transnasal septal displacement approach for secondary transsphenoidal pituitary surgery. Laryngoscope 102:951–953CrossRefPubMed Wilson WR, Laws ER Jr (1992) Transnasal septal displacement approach for secondary transsphenoidal pituitary surgery. Laryngoscope 102:951–953CrossRefPubMed
28.
go back to reference Yaniv E, Rappaport ZH (1997) Endoscopic transseptal transsphenoidal surgery for pituitary tumors. Neurosurgery 40(5):944–946CrossRefPubMed Yaniv E, Rappaport ZH (1997) Endoscopic transseptal transsphenoidal surgery for pituitary tumors. Neurosurgery 40(5):944–946CrossRefPubMed
29.
go back to reference Wilson CB (1979) Neurosurgical management of large and invasive pituitary tumors. In: Tindall GT, Collins WF (eds) Clinical Management of Pituitary Disorders. Raven, New York, pp 335–342 Wilson CB (1979) Neurosurgical management of large and invasive pituitary tumors. In: Tindall GT, Collins WF (eds) Clinical Management of Pituitary Disorders. Raven, New York, pp 335–342
Metadata
Title
A technical note on endonasal combined microscopic endoscopic with free head navigation technique of removal of pituitary adenomas
Authors
Ossama Al-Mefty
Svetlana Pravdenkova
Cristian Gragnaniello
Publication date
01-04-2010
Publisher
Springer-Verlag
Published in
Neurosurgical Review / Issue 2/2010
Print ISSN: 0344-5607
Electronic ISSN: 1437-2320
DOI
https://doi.org/10.1007/s10143-010-0241-1

Other articles of this Issue 2/2010

Neurosurgical Review 2/2010 Go to the issue