Endoscopic Surgery for Pituitary Tumors

Endocrinol Metab Clin North Am. 2020 Sep;49(3):487-503. doi: 10.1016/j.ecl.2020.05.011.

Abstract

Endoscopic transsphenoidal surgery for pituitary adenoma is a safe and highly effective first-line treatment that is well tolerated by patients. Potential complications are plenty, and there is a large variation in complexity of surgery. This article presents the philosophy, surgical techniques, and outcomes of a high-volume pituitary adenoma center. Three surgical videos illustrate some procedures. The experience has reinforced the authors' belief that experience and surgical volume are key to high quality of care.

Keywords: Center of excellence; Endoscopic surgery; Pituitary adenoma; Skull base surgery; Surgical video; Tumor.

Publication types

  • Review
  • Technical Report
  • Video-Audio Media

MeSH terms

  • Adenoma / pathology
  • Adenoma / surgery*
  • Endoscopy / adverse effects
  • Endoscopy / methods*
  • Endoscopy / standards
  • Humans
  • Neurosurgical Procedures / adverse effects
  • Neurosurgical Procedures / methods*
  • Neurosurgical Procedures / standards
  • Pituitary Neoplasms / pathology
  • Pituitary Neoplasms / surgery*
  • Postoperative Complications / etiology
  • Postoperative Complications / therapy