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Erschienen in: Pituitary 3/2013

01.09.2013

Single-surgeon fully endoscopic endonasal transsphenoidal surgery: outcomes in three-hundred consecutive cases

verfasst von: Adam N. Mamelak, John Carmichael, Vivien H. Bonert, Odelia Cooper, Shlomo Melmed

Erschienen in: Pituitary | Ausgabe 3/2013

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Abstract

The objective of this study was to evaluate outcomes of endoscopic transsphenoidal surgery using a single-surgeon technique as an alternative to the more commonly employed two-surgeon, three-hand method. Three hundred consecutive endoscopic transsphenoidal procedures performed over a 5 year period from 2006 to 2011 were reviewed. All procedures were performed via a binasal approach utilizing a single surgeon two handed technique with a pneumatic endoscope holder. Expanded enodnansal cases were excluded. Surgical technique, biochemical and surgical outcomes, and complications were analyzed. 276 patients underwent 300 consecutive surgeries with a mean follow-up period of 37 ± 22 months. Non-functioning pituitary adenoma (NFPA) was the most common pathology (n = 152), followed by growth hormone secreting tumors (n = 41) and Rathke’s cleft cysts (n = 30). Initial gross total cyst drainage based on radiologic criteria was obtained in 28 cases of Rathke’s cleft cyst, with 5 recurrences. For NFPA and other pathologies (n = 173) gross total resection was obtained in 137 cases, with a 92 % concordance rate between observed and expected extent of resection. For functional adenoma, remission rates were 30/41 (73 %) for GH-secreting, 12/12 (100 %) for ACTH-secreting, and 8/17 (47 %) for prolactin-secreting tumors. Post-operative complications included transient (11 %) and permanent (1.4 %) diabetes insipidus, hyponatremia (13 %), and new anterior pituitary hormonal deficits (1.4 %). CSF leak occurred in 42 cases (15 %), and four patients required surgical repair. Two carotid artery injuries occurred, both early in the series. Epistaxis and other rhinological complications were noted in 10 % of patients, most of which were minor and diminished as surgical experience increased. Fully endoscopic single surgeon transsphenoidal surgery utilizing a binasal approach and a pneumatic endoscope holder yields outcomes comparable to those reported with a two-surgeon method. Endoscopic outcomes appear to be better than those reported in microscope-based series, regardless of a one or two surgeon technique.
Literatur
1.
Zurück zum Zitat de Divitiis E, Cappabianca P, Cavallo LM (2002) Endoscopic transsphenoidal approach: adaptability of the procedure to different sellar lesions. Neurosurgery 51:699–705 (discussion 705–697)PubMed de Divitiis E, Cappabianca P, Cavallo LM (2002) Endoscopic transsphenoidal approach: adaptability of the procedure to different sellar lesions. Neurosurgery 51:699–705 (discussion 705–697)PubMed
3.
Zurück zum Zitat Spencer WR, Das K, Nwagu C, Wenk E, Schaefer SD, Moscatello A et al (1999) Approaches to the sellar and parasellar region: anatomic comparison of the microscope versus endoscope. Laryngoscope 109:791–794CrossRefPubMed Spencer WR, Das K, Nwagu C, Wenk E, Schaefer SD, Moscatello A et al (1999) Approaches to the sellar and parasellar region: anatomic comparison of the microscope versus endoscope. Laryngoscope 109:791–794CrossRefPubMed
4.
Zurück zum Zitat Kassam A, Snyderman CH, Mintz A, Gardner P, Carrau RL (2005) Expanded endonasal approach: the rostrocaudal axis. Part I. Crista galli to the sella turcica. Neurosurg Focus 19:E3PubMed Kassam A, Snyderman CH, Mintz A, Gardner P, Carrau RL (2005) Expanded endonasal approach: the rostrocaudal axis. Part I. Crista galli to the sella turcica. Neurosurg Focus 19:E3PubMed
5.
Zurück zum Zitat 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 104:419–425CrossRefPubMed 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 104:419–425CrossRefPubMed
6.
Zurück zum Zitat de Divitiis E, Cavallo LM, Cappabianca P, Esposito F (2007) Extended endoscopic endonasal transsphenoidal approach for the removal of suprasellar tumors: part 2. Neurosurgery 60:46–58 (discussion 58–49)CrossRefPubMed de Divitiis E, Cavallo LM, Cappabianca P, Esposito F (2007) Extended endoscopic endonasal transsphenoidal approach for the removal of suprasellar tumors: part 2. Neurosurgery 60:46–58 (discussion 58–49)CrossRefPubMed
7.
Zurück zum Zitat de Divitiis E, Cavallo LM, Esposito F, Stella L, Messina A (2008) Extended endoscopic transsphenoidal approach for tuberculum sellae meningiomas. Neurosurgery 62:1192–1201PubMed de Divitiis E, Cavallo LM, Esposito F, Stella L, Messina A (2008) Extended endoscopic transsphenoidal approach for tuberculum sellae meningiomas. Neurosurgery 62:1192–1201PubMed
8.
Zurück zum Zitat Frank G, Pasquini E, Doglietto F, Mazzatenta D, Sciarretta V, Farneti G et al (2006) The endoscopic extended transsphenoidal approach for craniopharyngiomas. Neurosurgery 59:ONS75–ONS83PubMed Frank G, Pasquini E, Doglietto F, Mazzatenta D, Sciarretta V, Farneti G et al (2006) The endoscopic extended transsphenoidal approach for craniopharyngiomas. Neurosurgery 59:ONS75–ONS83PubMed
9.
Zurück zum Zitat Frank G, Pasquini E, Farneti G, Mazzatenta D, Sciarretta V, Grasso V et al (2006) The endoscopic versus the traditional approach in pituitary surgery. Neuroendocrinology 83:240–248CrossRefPubMed Frank G, Pasquini E, Farneti G, Mazzatenta D, Sciarretta V, Grasso V et al (2006) The endoscopic versus the traditional approach in pituitary surgery. Neuroendocrinology 83:240–248CrossRefPubMed
10.
Zurück zum Zitat Kassam A, Snyderman CH, Mintz A, Gardner P, Carrau RL (2005) Expanded endonasal approach: the rostrocaudal axis. Part II. Posterior clinoids to the foramen magnum. Neurosurg Focus 19:E4PubMed Kassam A, Snyderman CH, Mintz A, Gardner P, Carrau RL (2005) Expanded endonasal approach: the rostrocaudal axis. Part II. Posterior clinoids to the foramen magnum. Neurosurg Focus 19:E4PubMed
11.
Zurück zum Zitat Netea-Maier RT, van Lindert EJ, den Heijer M, van der Eerden A, Pieters GF, Sweep CG et al (2006) Transsphenoidal pituitary surgery via the endoscopic technique: results in 35 consecutive patients with Cushing’s disease. Eur J Endocrinol 154:675–684CrossRefPubMed Netea-Maier RT, van Lindert EJ, den Heijer M, van der Eerden A, Pieters GF, Sweep CG et al (2006) Transsphenoidal pituitary surgery via the endoscopic technique: results in 35 consecutive patients with Cushing’s disease. Eur J Endocrinol 154:675–684CrossRefPubMed
12.
Zurück zum Zitat Yano S, Kawano T, Kudo M, Makino K, Nakamura H, Kai Y et al (2009) Endoscopic endonasal transsphenoidal approach through the bilateral nostrils for pituitary adenomas. Neurol Med Chir (Tokyo) 49:1–7CrossRef Yano S, Kawano T, Kudo M, Makino K, Nakamura H, Kai Y et al (2009) Endoscopic endonasal transsphenoidal approach through the bilateral nostrils for pituitary adenomas. Neurol Med Chir (Tokyo) 49:1–7CrossRef
13.
Zurück zum Zitat Cappabianca P, Cavallo LM, Colao A (2002) Del Basso De Caro M, Esposito F, Cirillo S, et al. Endoscopic endonasal transsphenoidal approach: outcome analysis of 100 consecutive procedures. Minim Invasive Neurosurg 45:193–200CrossRefPubMed Cappabianca P, Cavallo LM, Colao A (2002) Del Basso De Caro M, Esposito F, Cirillo S, et al. Endoscopic endonasal transsphenoidal approach: outcome analysis of 100 consecutive procedures. Minim Invasive Neurosurg 45:193–200CrossRefPubMed
14.
Zurück zum Zitat Carrau RL, Jho HD, Ko Y (1996) Transnasal-transsphenoidal endoscopic surgery of the pituitary gland. Laryngoscope 106:914–918CrossRefPubMed Carrau RL, Jho HD, Ko Y (1996) Transnasal-transsphenoidal endoscopic surgery of the pituitary gland. Laryngoscope 106:914–918CrossRefPubMed
15.
Zurück zum Zitat Cusimano MD, Fenton RS (1996) The technique for endoscopic pituitary tumor removal. Neurosurg Focus 1:e1 (discussion 1p following e3)CrossRefPubMed Cusimano MD, Fenton RS (1996) The technique for endoscopic pituitary tumor removal. Neurosurg Focus 1:e1 (discussion 1p following e3)CrossRefPubMed
16.
Zurück zum Zitat de Divitiis E, Cavallo LM, Esposito F, Stella L, Messina A (2007) Extended endoscopic transsphenoidal approach for tuberculum sellae meningiomas. Neurosurgery 61:229–237 (discussion 237–228)CrossRefPubMed de Divitiis E, Cavallo LM, Esposito F, Stella L, Messina A (2007) Extended endoscopic transsphenoidal approach for tuberculum sellae meningiomas. Neurosurgery 61:229–237 (discussion 237–228)CrossRefPubMed
17.
Zurück zum Zitat Gardner PA, Kassam AB, Snyderman CH, Carrau RL, Mintz AH, Grahovac S et al (2008) Outcomes following endoscopic, expanded endonasal resection of suprasellar craniopharyngiomas: a case series. J Neurosurg 109:6–16CrossRefPubMed Gardner PA, Kassam AB, Snyderman CH, Carrau RL, Mintz AH, Grahovac S et al (2008) Outcomes following endoscopic, expanded endonasal resection of suprasellar craniopharyngiomas: a case series. J Neurosurg 109:6–16CrossRefPubMed
18.
Zurück zum Zitat Kassam A, Carrau RL, Snyderman CH, Gardner P, Mintz A (2005) Evolution of reconstructive techniques following endoscopic expanded endonasal approaches. Neurosurg Focus 19:E8PubMed Kassam A, Carrau RL, Snyderman CH, Gardner P, Mintz A (2005) Evolution of reconstructive techniques following endoscopic expanded endonasal approaches. Neurosurg Focus 19:E8PubMed
19.
Zurück zum Zitat Raymond J, Hardy J, Czepko R, Roy D (1997) Arterial injuries in transsphenoidal surgery for pituitary adenoma; the role of angiography and endovascular treatment. AJNR Am J Neuroradiol 18:655–665PubMed Raymond J, Hardy J, Czepko R, Roy D (1997) Arterial injuries in transsphenoidal surgery for pituitary adenoma; the role of angiography and endovascular treatment. AJNR Am J Neuroradiol 18:655–665PubMed
20.
Zurück zum Zitat Zanation AM, Snyderman CH, Carrau RL, Gardner PA, Prevedello DM, Kassam AB (2009) Endoscopic endonasal surgery for petrous apex lesions. Laryngoscope 119:19–25CrossRefPubMed Zanation AM, Snyderman CH, Carrau RL, Gardner PA, Prevedello DM, Kassam AB (2009) Endoscopic endonasal surgery for petrous apex lesions. Laryngoscope 119:19–25CrossRefPubMed
21.
Zurück zum Zitat Castelnuova P, Locatelli D (2007) The endoscopic surgical technique: “two nostrils-four hands”. Endo-Press, Tuttlingen Castelnuova P, Locatelli D (2007) The endoscopic surgical technique: “two nostrils-four hands”. Endo-Press, Tuttlingen
22.
Zurück zum Zitat Fortes FS, Carrau RL, Snyderman CH, Prevedello D, Vescan A, Mintz A et al (2007) The posterior pedicle inferior turbinate flap: a new vascularized flap for skull base reconstruction. Laryngoscope 117:1329–1332CrossRefPubMed Fortes FS, Carrau RL, Snyderman CH, Prevedello D, Vescan A, Mintz A et al (2007) The posterior pedicle inferior turbinate flap: a new vascularized flap for skull base reconstruction. Laryngoscope 117:1329–1332CrossRefPubMed
23.
Zurück zum Zitat Fortes FS, Carrau RL, Snyderman CH, Kassam A, Prevedello D, Vescan A et al (2007) Transpterygoid transposition of a temporoparietal fascia flap: a new method for skull base reconstruction after endoscopic expanded endonasal approaches. Laryngoscope 117:970–976CrossRefPubMed Fortes FS, Carrau RL, Snyderman CH, Kassam A, Prevedello D, Vescan A et al (2007) Transpterygoid transposition of a temporoparietal fascia flap: a new method for skull base reconstruction after endoscopic expanded endonasal approaches. Laryngoscope 117:970–976CrossRefPubMed
24.
Zurück zum Zitat Hadad G, Bassagasteguy L, Carrau RL, Mataza JC, Kassam A, Snyderman CH et al (2006) A novel reconstructive technique after endoscopic expanded endonasal approaches: vascular pedicle nasoseptal flap. Laryngoscope 116:1882–1886CrossRefPubMed Hadad G, Bassagasteguy L, Carrau RL, Mataza JC, Kassam A, Snyderman CH et al (2006) A novel reconstructive technique after endoscopic expanded endonasal approaches: vascular pedicle nasoseptal flap. Laryngoscope 116:1882–1886CrossRefPubMed
25.
Zurück zum Zitat Cavallo LM, Prevedello DM, Solari D, Gardner PA, Esposito F, Snyderman CH et al (2009) Extended endoscopic endonasal transsphenoidal approach for residual or recurrent craniopharyngiomas. J Neurosurg 111:578–589CrossRefPubMed Cavallo LM, Prevedello DM, Solari D, Gardner PA, Esposito F, Snyderman CH et al (2009) Extended endoscopic endonasal transsphenoidal approach for residual or recurrent craniopharyngiomas. J Neurosurg 111:578–589CrossRefPubMed
26.
Zurück zum Zitat Eskandari R, Amini A, Yonemura KS, Couldwell WT (2008) The use of the Olympus EndoArm for spinal and skull-based transsphenoidal neurosurgery. Minim Invasive Neurosurg 51:370–372CrossRefPubMed Eskandari R, Amini A, Yonemura KS, Couldwell WT (2008) The use of the Olympus EndoArm for spinal and skull-based transsphenoidal neurosurgery. Minim Invasive Neurosurg 51:370–372CrossRefPubMed
27.
Zurück zum Zitat Jane JA Jr, Starke RM, Elzoghby MA, Reames DL, Payne SC, Thorner MO et al (2011) Endoscopic transsphenoidal surgery for acromegaly: remission using modern criteria, complications, and predictors of outcome. J Clin Endocrinol Metab 96:2732–2740 Jane JA Jr, Starke RM, Elzoghby MA, Reames DL, Payne SC, Thorner MO et al (2011) Endoscopic transsphenoidal surgery for acromegaly: remission using modern criteria, complications, and predictors of outcome. J Clin Endocrinol Metab 96:2732–2740
28.
Zurück zum Zitat Cappabianca P, Cavallo LM, Colao A, de Divitiis E (2002) Surgical complications associated with the endoscopic endonasal transsphenoidal approach for pituitary adenomas. J Neurosurg 97:293–298CrossRefPubMed Cappabianca P, Cavallo LM, Colao A, de Divitiis E (2002) Surgical complications associated with the endoscopic endonasal transsphenoidal approach for pituitary adenomas. J Neurosurg 97:293–298CrossRefPubMed
29.
Zurück zum Zitat Charalampaki P, Ayyad A, Kockro RA, Perneczky A (2009) Surgical complications after endoscopic transsphenoidal pituitary surgery. J Clin Neurosci 16:786–789CrossRefPubMed Charalampaki P, Ayyad A, Kockro RA, Perneczky A (2009) Surgical complications after endoscopic transsphenoidal pituitary surgery. J Clin Neurosci 16:786–789CrossRefPubMed
30.
Zurück zum Zitat Choe JH, Lee KS, Jeun SS, Cho JH, Hong YK (2008) Endocrine outcome of endoscopic endonasal transsphenoidal surgery in functioning pituitary adenomas. J Korean Neurosurg Soc 44:151–155CrossRefPubMed Choe JH, Lee KS, Jeun SS, Cho JH, Hong YK (2008) Endocrine outcome of endoscopic endonasal transsphenoidal surgery in functioning pituitary adenomas. J Korean Neurosurg Soc 44:151–155CrossRefPubMed
31.
Zurück zum Zitat Dehdashti AR, Ganna A, Karabatsou K, Gentili F (2008) Pure endoscopic endonasal approach for pituitary adenomas: early surgical results in 200 patients and comparison with previous microsurgical series. Neurosurgery 62:1006–1015 (discussion 1015–1007)CrossRefPubMed Dehdashti AR, Ganna A, Karabatsou K, Gentili F (2008) Pure endoscopic endonasal approach for pituitary adenomas: early surgical results in 200 patients and comparison with previous microsurgical series. Neurosurgery 62:1006–1015 (discussion 1015–1007)CrossRefPubMed
32.
Zurück zum Zitat Frank G, Sciarretta V, Mazzatenta D, Farneti G, Modugno GC, Pasquini E (2005) Transsphenoidal endoscopic approach in the treatment of Rathke’s cleft cyst. Neurosurgery 56:124–128 (discussion 129)PubMed Frank G, Sciarretta V, Mazzatenta D, Farneti G, Modugno GC, Pasquini E (2005) Transsphenoidal endoscopic approach in the treatment of Rathke’s cleft cyst. Neurosurgery 56:124–128 (discussion 129)PubMed
33.
Zurück zum Zitat Gondim JA, Almeida JP, de Albuquerque LA, Gomes E, Schops M, Ferraz T (2011) Pure endoscopic transsphenoidal surgery for treatment of acromegaly: results of 67 cases treated in a pituitary center. Neurosurg Focus 29:E7 Gondim JA, Almeida JP, de Albuquerque LA, Gomes E, Schops M, Ferraz T (2011) Pure endoscopic transsphenoidal surgery for treatment of acromegaly: results of 67 cases treated in a pituitary center. Neurosurg Focus 29:E7
34.
Zurück zum Zitat Jho HD, Carrau RL (1997) Endoscopic endonasal transsphenoidal surgery: experience with 50 patients. J Neurosurg 87:44–51CrossRefPubMed Jho HD, Carrau RL (1997) Endoscopic endonasal transsphenoidal surgery: experience with 50 patients. J Neurosurg 87:44–51CrossRefPubMed
35.
Zurück zum Zitat Rudnik A, Kos-Kudla B, Larysz D, Zawadzki T, Bazowski P (2007) Endoscopic transsphenoidal treatment of hormonally active pituitary adenomas. Neuro Endocrinol Lett 28:438–444PubMed Rudnik A, Kos-Kudla B, Larysz D, Zawadzki T, Bazowski P (2007) Endoscopic transsphenoidal treatment of hormonally active pituitary adenomas. Neuro Endocrinol Lett 28:438–444PubMed
36.
Zurück zum Zitat Rudnik A, Zawadzki T, Galuszka-Ignasiak B, Bazowski P, Duda I, Wojtacha M et al (2006) Endoscopic transsphenoidal treatment in recurrent and residual pituitary adenomas–first experience. Minim Invasive Neurosurg 49:10–14CrossRefPubMed Rudnik A, Zawadzki T, Galuszka-Ignasiak B, Bazowski P, Duda I, Wojtacha M et al (2006) Endoscopic transsphenoidal treatment in recurrent and residual pituitary adenomas–first experience. Minim Invasive Neurosurg 49:10–14CrossRefPubMed
37.
Zurück zum Zitat Shah S, Har-El G (2001) Diabetes insipidus after pituitary surgery: incidence after traditional versus endoscopic transsphenoidal approaches. Am J Rhinol 15:377–379PubMed Shah S, Har-El G (2001) Diabetes insipidus after pituitary surgery: incidence after traditional versus endoscopic transsphenoidal approaches. Am J Rhinol 15:377–379PubMed
38.
Zurück zum Zitat Ahmed S, Elsheikh M, Stratton IM, Page RC, Adams CB, Wass JA (1999) Outcome of transphenoidal surgery for acromegaly and its relationship to surgical experience. Clin Endocrinol (Oxf) 50:561–567CrossRef Ahmed S, Elsheikh M, Stratton IM, Page RC, Adams CB, Wass JA (1999) Outcome of transphenoidal surgery for acromegaly and its relationship to surgical experience. Clin Endocrinol (Oxf) 50:561–567CrossRef
39.
Zurück zum Zitat Barker FG 2nd, Klibanski A, Swearingen B (2003) Transsphenoidal surgery for pituitary tumors in the United States, 1996–2000: mortality, morbidity, and the effects of hospital and surgeon volume. J Clin Endocrinol Metab 88:4709–4719CrossRefPubMed Barker FG 2nd, Klibanski A, Swearingen B (2003) Transsphenoidal surgery for pituitary tumors in the United States, 1996–2000: mortality, morbidity, and the effects of hospital and surgeon volume. J Clin Endocrinol Metab 88:4709–4719CrossRefPubMed
40.
Zurück zum Zitat Gittoes NJ, Sheppard MC, Johnson AP, Stewart PM (1999) Outcome of surgery for acromegaly—the experience of a dedicated pituitary surgeon. QJM 92:741–745CrossRefPubMed Gittoes NJ, Sheppard MC, Johnson AP, Stewart PM (1999) Outcome of surgery for acromegaly—the experience of a dedicated pituitary surgeon. QJM 92:741–745CrossRefPubMed
41.
Zurück zum Zitat Lissett CA, Peacey SR, Laing I, Tetlow L, Davis JR, Shalet SM (1998) The outcome of surgery for acromegaly: the need for a specialist pituitary surgeon for all types of growth hormone (GH) secreting adenoma. Clin Endocrinol (Oxf) 49:653–657CrossRef Lissett CA, Peacey SR, Laing I, Tetlow L, Davis JR, Shalet SM (1998) The outcome of surgery for acromegaly: the need for a specialist pituitary surgeon for all types of growth hormone (GH) secreting adenoma. Clin Endocrinol (Oxf) 49:653–657CrossRef
42.
Zurück zum Zitat Rees DA, Hanna FW, Davies JS, Mills RG, Vafidis J, Scanlon MF (2002) Long-term follow-up results of transsphenoidal surgery for Cushing’s disease in a single centre using strict criteria for remission. Clin Endocrinol (Oxf) 56:541–551CrossRef Rees DA, Hanna FW, Davies JS, Mills RG, Vafidis J, Scanlon MF (2002) Long-term follow-up results of transsphenoidal surgery for Cushing’s disease in a single centre using strict criteria for remission. Clin Endocrinol (Oxf) 56:541–551CrossRef
43.
Zurück zum Zitat Ciric I, Ragin A, Baumgartner C, Pierce D (1997) Complications of transsphenoidal surgery: results of a national survey, review of the literature, and personal experience. Neurosurgery 40:225–236 (discussion 236–227)CrossRefPubMed Ciric I, Ragin A, Baumgartner C, Pierce D (1997) Complications of transsphenoidal surgery: results of a national survey, review of the literature, and personal experience. Neurosurgery 40:225–236 (discussion 236–227)CrossRefPubMed
44.
Zurück zum Zitat Cooke RS, Jones RA (1994) Experience with the direct transnasal transsphenoidal approach to the pituitary fossa. Br J Neurosurg 8:193–196CrossRefPubMed Cooke RS, Jones RA (1994) Experience with the direct transnasal transsphenoidal approach to the pituitary fossa. Br J Neurosurg 8:193–196CrossRefPubMed
45.
Zurück zum Zitat De P, Rees DA, Davies N, John R, Neal J, Mills RG et al (2003) Transsphenoidal surgery for acromegaly in wales: results based on stringent criteria of remission. J Clin Endocrinol Metab 88:3567–3572CrossRefPubMed De P, Rees DA, Davies N, John R, Neal J, Mills RG et al (2003) Transsphenoidal surgery for acromegaly in wales: results based on stringent criteria of remission. J Clin Endocrinol Metab 88:3567–3572CrossRefPubMed
46.
Zurück zum Zitat D’Haens J, Van Rompaey K, Stadnik T, Haentjens P, Poppe K, Velkeniers B (2009) Fully endoscopic transsphenoidal surgery for functioning pituitary adenomas: a retrospective comparison with traditional transsphenoidal microsurgery in the same institution. Surg Neurol 72:336–340CrossRefPubMed D’Haens J, Van Rompaey K, Stadnik T, Haentjens P, Poppe K, Velkeniers B (2009) Fully endoscopic transsphenoidal surgery for functioning pituitary adenomas: a retrospective comparison with traditional transsphenoidal microsurgery in the same institution. Surg Neurol 72:336–340CrossRefPubMed
47.
Zurück zum Zitat Koren I, Hadar T, Rappaport ZH, Yaniv E (1999) Endoscopic transnasal transsphenoidal microsurgery versus the sublabial approach for the treatment of pituitary tumors: endonasal complications. Laryngoscope 109:1838–1840CrossRefPubMed Koren I, Hadar T, Rappaport ZH, Yaniv E (1999) Endoscopic transnasal transsphenoidal microsurgery versus the sublabial approach for the treatment of pituitary tumors: endonasal complications. Laryngoscope 109:1838–1840CrossRefPubMed
48.
Zurück zum Zitat Landolt AM, Zachmann M (1991) Results of transsphenoidal extirpation of craniopharyngiomas and Rathke’s cysts. Neurosurgery 28:410–415CrossRefPubMed Landolt AM, Zachmann M (1991) Results of transsphenoidal extirpation of craniopharyngiomas and Rathke’s cysts. Neurosurgery 28:410–415CrossRefPubMed
49.
Zurück zum Zitat Laws ER, Vance ML, Thapar K (2000) Pituitary surgery for the management of acromegaly. Horm Res 53(Suppl 3):71–75CrossRefPubMed Laws ER, Vance ML, Thapar K (2000) Pituitary surgery for the management of acromegaly. Horm Res 53(Suppl 3):71–75CrossRefPubMed
50.
Zurück zum Zitat Mampalam TJ, Tyrrell JB, Wilson CB (1988) Transsphenoidal microsurgery for Cushing disease. A report of 216 cases. Ann Intern Med 109:487–493CrossRefPubMed Mampalam TJ, Tyrrell JB, Wilson CB (1988) Transsphenoidal microsurgery for Cushing disease. A report of 216 cases. Ann Intern Med 109:487–493CrossRefPubMed
51.
Zurück zum Zitat Atkinson JL, Young WF Jr, Meyer FB, Davis DH, Nippoldt TB, Erickson D et al (2008) Sublabial transseptal vs transnasal combined endoscopic microsurgery in patients with Cushing disease and MRI-depicted microadenomas. Mayo Clin Proc 83:550–553PubMed Atkinson JL, Young WF Jr, Meyer FB, Davis DH, Nippoldt TB, Erickson D et al (2008) Sublabial transseptal vs transnasal combined endoscopic microsurgery in patients with Cushing disease and MRI-depicted microadenomas. Mayo Clin Proc 83:550–553PubMed
52.
Zurück zum Zitat Harris PE, Afshar F, Coates P, Doniach I, Wass JA, Besser GM et al (1989) The effects of transsphenoidal surgery on endocrine function and visual fields in patients with functionless pituitary tumours. Q J Med 71:417–427PubMed Harris PE, Afshar F, Coates P, Doniach I, Wass JA, Besser GM et al (1989) The effects of transsphenoidal surgery on endocrine function and visual fields in patients with functionless pituitary tumours. Q J Med 71:417–427PubMed
53.
Zurück zum Zitat Kennedy DW, Cohn ES, Papel ID, Holliday MJ (1984) Transsphenoidal approach to the sella: the Johns Hopkins experience. Laryngoscope 94:1066–1074CrossRefPubMed Kennedy DW, Cohn ES, Papel ID, Holliday MJ (1984) Transsphenoidal approach to the sella: the Johns Hopkins experience. Laryngoscope 94:1066–1074CrossRefPubMed
54.
Zurück zum Zitat Ross DA, Wilson CB (1988) Results of transsphenoidal microsurgery for growth hormone-secreting pituitary adenoma in a series of 214 patients. J Neurosurg 68:854–867CrossRefPubMed Ross DA, Wilson CB (1988) Results of transsphenoidal microsurgery for growth hormone-secreting pituitary adenoma in a series of 214 patients. J Neurosurg 68:854–867CrossRefPubMed
55.
Zurück zum Zitat Wilson CB, Dempsey LC (1978) Transsphenoidal microsurgical removal of 250 pituitary adenomas. J Neurosurg 48:13–22CrossRefPubMed Wilson CB, Dempsey LC (1978) Transsphenoidal microsurgical removal of 250 pituitary adenomas. J Neurosurg 48:13–22CrossRefPubMed
56.
Zurück zum Zitat Lasio G, Ferroli P, Felisati G, Broggi G (2002) Image-guided endoscopic transnasal removal of recurrent pituitary adenomas. Neurosurgery 51:132–136 (discussion 136–137)CrossRefPubMed Lasio G, Ferroli P, Felisati G, Broggi G (2002) Image-guided endoscopic transnasal removal of recurrent pituitary adenomas. Neurosurgery 51:132–136 (discussion 136–137)CrossRefPubMed
57.
Zurück zum Zitat White DR, Sonnenburg RE, Ewend MG, Senior BA (2004) Safety of minimally invasive pituitary surgery (MIPS) compared with a traditional approach. Laryngoscope 114:1945–1948CrossRefPubMed White DR, Sonnenburg RE, Ewend MG, Senior BA (2004) Safety of minimally invasive pituitary surgery (MIPS) compared with a traditional approach. Laryngoscope 114:1945–1948CrossRefPubMed
58.
Zurück zum Zitat de Divitiis E, Cappabianca P, Cavallo LM, Esposito F, de Divitiis O, Messina A (2007) Extended endoscopic transsphenoidal approach for extrasellar craniopharyngiomas. Neurosurgery 61:219–227 (discussion 228)CrossRefPubMed de Divitiis E, Cappabianca P, Cavallo LM, Esposito F, de Divitiis O, Messina A (2007) Extended endoscopic transsphenoidal approach for extrasellar craniopharyngiomas. Neurosurgery 61:219–227 (discussion 228)CrossRefPubMed
59.
Zurück zum Zitat de Divitiis E, Cappabianca P, Gangemi M, Cavallo LM (2000) The role of the endoscopic transsphenoidal approach in pediatric neurosurgery. Childs Nerv Syst 16:692–696CrossRefPubMed de Divitiis E, Cappabianca P, Gangemi M, Cavallo LM (2000) The role of the endoscopic transsphenoidal approach in pediatric neurosurgery. Childs Nerv Syst 16:692–696CrossRefPubMed
60.
Zurück zum Zitat Laufer I, Anand VK, Schwartz TH (2007) Endoscopic, endonasal extended transsphenoidal, transplanum transtuberculum approach for resection of suprasellar lesions. J Neurosurg 106:400–406CrossRefPubMed Laufer I, Anand VK, Schwartz TH (2007) Endoscopic, endonasal extended transsphenoidal, transplanum transtuberculum approach for resection of suprasellar lesions. J Neurosurg 106:400–406CrossRefPubMed
61.
Zurück zum Zitat Mamelak AN, King W, Mukherjee D (eds) (2011) Survery of surgical preferences for trasnssphenoidal surgery among members of the International Society of Pituitary Surgeons. International Society of Pituitary Surgeons Bi-Annual Meeting, 2010 October 9–10, Napa Mamelak AN, King W, Mukherjee D (eds) (2011) Survery of surgical preferences for trasnssphenoidal surgery among members of the International Society of Pituitary Surgeons. International Society of Pituitary Surgeons Bi-Annual Meeting, 2010 October 9–10, Napa
62.
Zurück zum Zitat Jarrahy R, Berci G, Shahinian HK (2000) Assessment of the efficacy of endoscopy in pituitary adenoma resection. Arch Otolaryngol Head Neck Surg 126:1487–1490CrossRefPubMed Jarrahy R, Berci G, Shahinian HK (2000) Assessment of the efficacy of endoscopy in pituitary adenoma resection. Arch Otolaryngol Head Neck Surg 126:1487–1490CrossRefPubMed
63.
Zurück zum Zitat Koc K, Anik I, Ozdamar D, Cabuk B, Keskin G, Ceylan S (2006) The learning curve in endoscopic pituitary surgery and our experience. Neurosurg Rev 29:298–305 (discussion 305)CrossRefPubMed Koc K, Anik I, Ozdamar D, Cabuk B, Keskin G, Ceylan S (2006) The learning curve in endoscopic pituitary surgery and our experience. Neurosurg Rev 29:298–305 (discussion 305)CrossRefPubMed
64.
Zurück zum Zitat Leach P, Abou-Zeid AH, Kearney T, Davis J, Trainer PJ, Gnanalingham KK (2010) Endoscopic transsphenoidal pituitary surgery: evidence of an operative learning curve. Neurosurgery 67:1205–1212 Leach P, Abou-Zeid AH, Kearney T, Davis J, Trainer PJ, Gnanalingham KK (2010) Endoscopic transsphenoidal pituitary surgery: evidence of an operative learning curve. Neurosurgery 67:1205–1212
65.
Zurück zum Zitat Kassam AB, Mintz AH, Gardner PA, Horowitz MB, Carrau RL, Snyderman CH (2006) The expanded endonasal approach for an endoscopic transnasal clipping and aneurysmorrhaphy of a large vertebral artery aneurysm: technical case report. Neurosurgery 59:ONSE162–ONSE165CrossRefPubMed Kassam AB, Mintz AH, Gardner PA, Horowitz MB, Carrau RL, Snyderman CH (2006) The expanded endonasal approach for an endoscopic transnasal clipping and aneurysmorrhaphy of a large vertebral artery aneurysm: technical case report. Neurosurgery 59:ONSE162–ONSE165CrossRefPubMed
66.
Zurück zum Zitat Peter M, De Tribolet N (1995) Visual outcome after transsphenoidal surgery for pituitary adenomas. Br J Neurosurg 9:151–157CrossRefPubMed Peter M, De Tribolet N (1995) Visual outcome after transsphenoidal surgery for pituitary adenomas. Br J Neurosurg 9:151–157CrossRefPubMed
Metadaten
Titel
Single-surgeon fully endoscopic endonasal transsphenoidal surgery: outcomes in three-hundred consecutive cases
verfasst von
Adam N. Mamelak
John Carmichael
Vivien H. Bonert
Odelia Cooper
Shlomo Melmed
Publikationsdatum
01.09.2013
Verlag
Springer US
Erschienen in
Pituitary / Ausgabe 3/2013
Print ISSN: 1386-341X
Elektronische ISSN: 1573-7403
DOI
https://doi.org/10.1007/s11102-012-0437-1

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