The use of the rigid endoscope in trans-sphenoidal pituitary surgery

The use of the rigid endoscope has been evaluated during transsphenoidal microsurgery of 10 pituitary adenomas: three were prolactin-secreting adenomas; five growth hormone (GH)-secreting adenomas; and two without evidence of known endocrine activity. The use of the endoscope allowed close inspectio...

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Bibliographic Details
Published in:Journal of laryngology and otology 1994-01, Vol.108 (1), p.19-22
Main Authors: Gamea, A., Fathi, M., El-Guindy, A.
Format: Article
Language:English
Subjects:
adenoma
Adenoma - diagnostic imaging
Adenoma - pathology
Adenoma - surgery
Biological and medical sciences
Endoscopy - methods
Humans
Hypophysectomy
Hypophysectomy - methods
Main Articles
Medical sciences
Microsurgery - methods
Pituitary Gland - diagnostic imaging
Pituitary Gland - pathology
Pituitary neoplasms
Pituitary Neoplasms - diagnostic imaging
Pituitary Neoplasms - pathology
Pituitary Neoplasms - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of endocrine glands
Tomography, X-Ray Computed
trans-sphenoidal
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Summary:The use of the rigid endoscope has been evaluated during transsphenoidal microsurgery of 10 pituitary adenomas: three were prolactin-secreting adenomas; five growth hormone (GH)-secreting adenomas; and two without evidence of known endocrine activity. The use of the endoscope allowed close inspection and differentiation between tumour tissue and glandular remains. This resulted in microdissection of the tumour with maximum preservation of pituitary function. The angled view of the telescope helped total gross removal of tumour tissue from the less accessible supra- and para-sella extensions. More cases and a longer period of follow-up are necessary to provide long-term results.
ISSN:0022-2151
1748-5460
DOI:10.1017/S0022215100125721