Endoscopic Trans-Sphenoidal Resection of a Giant Pituitary Neuroendocrine Tumor with Third Ventricle Invasion and Obstructive Hydrocephalus: Surgical Anatomy and Two-Dimensional Operative Video

Article Clinical Neurology

Large Pituitary Adenoma: Strategies to Maximize Volumetric Resection Using Endoscopic Endonasal Approaches and an Analysis of Factors Limiting Resection

Biren Khimji Patel et al.

Summary: This study evaluated the utility of extended endoscopic endonasal approaches in the resection of large pituitary adenomas (LPAs). It was found that preoperative tumor volume and Knosp grade were significant factors affecting the extent of tumor resection. The use of multiple endoscopic endonasal corridors increased the extent of resection. The surgery was safe, with 82% of patients experiencing visual improvement and a low rate of postoperative hormonal insufficiency.

WORLD NEUROSURGERY (2022)

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Article Neurosciences

Giant Non-Functioning Pituitary Adenomas: Treatment Considerations

Domenico Solari et al.

Summary: Giant pituitary adenomas present a surgical challenge due to their growth patterns and locations. There is no consensus on the optimal surgical strategy, but transcranial or transsphenoidal approaches are commonly used. Endoscopic endonasal approach is preferred, but transcranial approach is more suitable when the tumor has significant intracranial extension. Accurate preoperative evaluation and individualized treatment plans are crucial for long-term effectiveness.

BRAIN SCIENCES (2022)

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Article Clinical Neurology

Surgical management of giant pituitary neuroendocrine tumors: Meta-analysis and consensus statement on behalf of the EANS skull base section

Giulia Cossu et al.

Summary: This study aimed to optimize the surgical management of giant pituitary neuroendocrine tumors (GPitNETs) and provide a consensus statement based on a systematic review and meta-analysis. The results showed that the endoscopic endonasal approach was the preferred treatment option, with no significant difference observed in gross total resection rates among different surgical techniques. The study also recommended that patients with GPitNETs with a more complex and multilobular structure should be treated in tertiary care centers.

BRAIN AND SPINE (2022)

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Article Clinical Neurology

Extended Endoscopic Endonasal Approach to the Third Ventricle: Multimodal Anatomical Study with Surgical Implications

Luigi Maria Cavallo et al.

WORLD NEUROSURGERY (2015)

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Article Clinical Neurology

Variations on the standard transsphenoidal approach to the sellar region, with emphasis on the extended approaches and parasellar approaches: Surgical experience in 105 cases

WT Couldwell et al.

NEUROSURGERY (2004)

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Endoscopic Trans-Sphenoidal Resection of a Giant Pituitary Neuroendocrine Tumor with Third Ventricle Invasion and Obstructive Hydrocephalus: Surgical Anatomy and Two-Dimensional Operative Video

相关参考文献

Large Pituitary Adenoma: Strategies to Maximize Volumetric Resection Using Endoscopic Endonasal Approaches and an Analysis of Factors Limiting Resection

Giant Non-Functioning Pituitary Adenomas: Treatment Considerations

Surgical management of giant pituitary neuroendocrine tumors: Meta-analysis and consensus statement on behalf of the EANS skull base section

Extended Endoscopic Endonasal Approach to the Third Ventricle: Multimodal Anatomical Study with Surgical Implications

Variations on the standard transsphenoidal approach to the sellar region, with emphasis on the extended approaches and parasellar approaches: Surgical experience in 105 cases

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