The Role of Three-Dimensional Endoscopy in Pituitary Adenoma Surgery

Kumar Vasudevan; Hassan Saad; Nelson M Oyesiku

doi:10.1016/j.nec.2019.05.012

The Role of Three-Dimensional Endoscopy in Pituitary Adenoma Surgery

Neurosurg Clin N Am. 2019 Oct;30(4):421-432. doi: 10.1016/j.nec.2019.05.012. Epub 2019 Jul 18.

Authors

Kumar Vasudevan¹, Hassan Saad², Nelson M Oyesiku²

Affiliations

¹ Department of Neurosurgery, Emory University, 1365-B Clifton Road, 6th Floor, Atlanta, GA 30322, USA. Electronic address: KVasud2@emory.edu.
² Department of Neurosurgery, Emory University, 1365-B Clifton Road, 6th Floor, Atlanta, GA 30322, USA.

PMID: 31471049
DOI: 10.1016/j.nec.2019.05.012

Abstract

Endoscopic endonasal transsphenoidal approach to the sella (EES) for pituitary adenomas has become standard of care because of its promising outcomes, minimal invasiveness, and popularity among surgeons. Three-dimensional (3D) endoscope technology represents the next step in improving visualization and understanding of surgical anatomy, allowing surgeons to mirror the view offered by a traditional 3D microscope. This article discusses the history and development of 3D endoscopes, addresses theoretic advantages and disadvantages of using these devices for EES, reviews recent studies of EES for adenoma outcomes using 3D endoscopes, examines possible implications for neurosurgical training, and discusses personal experience with 3D devices.

Keywords: 3D endoscopy; Endoscopic endonasal surgery; Pituitary adenoma surgery.

Publication types

Review

MeSH terms

Adenoma / surgery*
Humans
Imaging, Three-Dimensional / methods*
Natural Orifice Endoscopic Surgery / methods
Neuroendoscopy / methods*
Pituitary Neoplasms / surgery*
Treatment Outcome