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Article: An endoscopic modification of the simultaneous 'above and below' approach to large pituitary adenomas
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TitleAn endoscopic modification of the simultaneous 'above and below' approach to large pituitary adenomas
 
AuthorsLeung, GKK1
Yuen, MMA1
Chow, WS1
Tse, PYH1
Lui, WM1
 
KeywordsCraniotomy
Endoscopy
Pituitary adenoma
Skull base
Surgical approach
Transsphenoidal
 
Issue Date2012
 
PublisherSpringer New York LLC. The Journal's web site is located at http://springerlink.metapress.com/openurl.asp?genre=journal&issn=1386-341X
 
CitationPituitary, 2012, v. 15 n. 2, p. 237-241 [How to Cite?]
DOI: http://dx.doi.org/10.1007/s11102-011-0319-y
 
AbstractSurgical resections of large-To-giant pituitary adenomas (PA) are technically challenging procedures. Tumors with a fibrous consistency or 'hour-glass' configurations are particularly difficult to remove completely and safely through the transsphenoidal route alone. Although the transcranial approach can facilitate the removal of a large suprasellar mass, it may be associated with significant bleeding within the intradural space. A simultaneous microscopic transcranial and transsphenoidal approach has been described as an alternative surgical strategy. We have further modified this 'above and below' approach by adopting endoscopic techniques for the transsphenoidal part of the procedure. This modified approach has the advantages of requiring only one operating microscope, and permitting freer maneuvers and easier orientation for both surgical teams. We present two patients successfully treated with this approach. Complete tumor removal was achieved and both patients achieved satisfactory functional recovery. © Springer Science+Business Media, LLC 2012.
 
ISSN1386-341X
2013 Impact Factor: 2.222
 
DOIhttp://dx.doi.org/10.1007/s11102-011-0319-y
 
ISI Accession Number IDWOS:000304405400018
 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorLeung, GKK
 
dc.contributor.authorYuen, MMA
 
dc.contributor.authorChow, WS
 
dc.contributor.authorTse, PYH
 
dc.contributor.authorLui, WM
 
dc.date.accessioned2011-07-14T01:56:35Z
 
dc.date.available2011-07-14T01:56:35Z
 
dc.date.issued2012
 
dc.description.abstractSurgical resections of large-To-giant pituitary adenomas (PA) are technically challenging procedures. Tumors with a fibrous consistency or 'hour-glass' configurations are particularly difficult to remove completely and safely through the transsphenoidal route alone. Although the transcranial approach can facilitate the removal of a large suprasellar mass, it may be associated with significant bleeding within the intradural space. A simultaneous microscopic transcranial and transsphenoidal approach has been described as an alternative surgical strategy. We have further modified this 'above and below' approach by adopting endoscopic techniques for the transsphenoidal part of the procedure. This modified approach has the advantages of requiring only one operating microscope, and permitting freer maneuvers and easier orientation for both surgical teams. We present two patients successfully treated with this approach. Complete tumor removal was achieved and both patients achieved satisfactory functional recovery. © Springer Science+Business Media, LLC 2012.
 
dc.description.naturepublished_or_final_version
 
dc.description.otherSpringer Open Choice, 21 Feb 2012
 
dc.identifier.citationPituitary, 2012, v. 15 n. 2, p. 237-241 [How to Cite?]
DOI: http://dx.doi.org/10.1007/s11102-011-0319-y
 
dc.identifier.citeulike9421002
 
dc.identifier.doihttp://dx.doi.org/10.1007/s11102-011-0319-y
 
dc.identifier.eissn1573-7403
 
dc.identifier.epage241
 
dc.identifier.hkuros199978
 
dc.identifier.isiWOS:000304405400018
 
dc.identifier.issn1386-341X
2013 Impact Factor: 2.222
 
dc.identifier.issue2
 
dc.identifier.openurl
 
dc.identifier.pmid21638075
 
dc.identifier.scopuseid_2-s2.0-84861459665
 
dc.identifier.spage237
 
dc.identifier.urihttp://hdl.handle.net/10722/134736
 
dc.identifier.volume15
 
dc.languageeng
 
dc.publisherSpringer New York LLC. The Journal's web site is located at http://springerlink.metapress.com/openurl.asp?genre=journal&issn=1386-341X
 
dc.publisher.placeUnited States
 
dc.relation.ispartofPituitary
 
dc.relation.referencesReferences in Scopus
 
dc.rightsThe Author(s)
 
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License
 
dc.subjectCraniotomy
 
dc.subjectEndoscopy
 
dc.subjectPituitary adenoma
 
dc.subjectSkull base
 
dc.subjectSurgical approach
 
dc.subjectTranssphenoidal
 
dc.titleAn endoscopic modification of the simultaneous 'above and below' approach to large pituitary adenomas
 
dc.typeArticle
 
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Author Affiliations
  1. The University of Hong Kong