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Article: An endoscopic modification of the simultaneous 'above and below' approach to large pituitary adenomas

TitleAn endoscopic modification of the simultaneous 'above and below' approach to large pituitary adenomas
Authors
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
Citation
Pituitary, 2012, v. 15 n. 2, p. 237-241 How to Cite?
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.
Persistent Identifierhttp://hdl.handle.net/10722/134736
ISSN
2014 Impact Factor: 3.201
2014 SCImago Journal Rankings: 0.845
ISI Accession Number ID
References
Errata

 

DC FieldValueLanguage
dc.contributor.authorLeung, GKKen_HK
dc.contributor.authorYuen, MMAen_HK
dc.contributor.authorChow, WSen_HK
dc.contributor.authorTse, PYHen_HK
dc.contributor.authorLui, WMen_HK
dc.date.accessioned2011-07-14T01:56:35Z-
dc.date.available2011-07-14T01:56:35Z-
dc.date.issued2012en_HK
dc.identifier.citationPituitary, 2012, v. 15 n. 2, p. 237-241en_HK
dc.identifier.issn1386-341Xen_HK
dc.identifier.urihttp://hdl.handle.net/10722/134736-
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.en_HK
dc.languageeng-
dc.publisherSpringer New York LLC. The Journal's web site is located at http://springerlink.metapress.com/openurl.asp?genre=journal&issn=1386-341Xen_HK
dc.relation.ispartofPituitaryen_HK
dc.rightsThe Author(s)en_US
dc.rightsCreative Commons: Attribution 3.0 Hong Kong Licenseen_US
dc.subjectCraniotomyen_HK
dc.subjectEndoscopyen_HK
dc.subjectPituitary adenomaen_HK
dc.subjectSkull baseen_HK
dc.subjectSurgical approachen_HK
dc.subjectTranssphenoidalen_HK
dc.titleAn endoscopic modification of the simultaneous 'above and below' approach to large pituitary adenomasen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1386-341X&volume=&spage=&epage=&date=2011&atitle=An+endoscopic+modification+of+the+simultaneous+%27above+and+below%27+approach+to+large+pituitary+adenomas-
dc.identifier.emailLeung, GKK: gilberto@hkucc.hku.hken_HK
dc.identifier.authorityLeung, GKK=rp00522en_HK
dc.description.naturepublished_or_final_versionen_US
dc.identifier.doi10.1007/s11102-011-0319-yen_HK
dc.identifier.pmid21638075-
dc.identifier.scopuseid_2-s2.0-84861459665en_HK
dc.identifier.hkuros199978-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-84861459665&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume15en_HK
dc.identifier.issue2en_HK
dc.identifier.spage237en_HK
dc.identifier.epage241en_HK
dc.identifier.eissn1573-7403en_US
dc.identifier.isiWOS:000304405400018-
dc.publisher.placeUnited Statesen_HK
dc.relation.erratumdoi:10.1007/s11102-011-0323-2-
dc.relation.erratumeid:eid_2-s2.0-79959333790-
dc.description.otherSpringer Open Choice, 21 Feb 2012en_US
dc.identifier.scopusauthoridLeung, GKK=35965118200en_HK
dc.identifier.scopusauthoridYuen, MMA=38663744600en_HK
dc.identifier.scopusauthoridChow, WS=7402281153en_HK
dc.identifier.scopusauthoridTse, PYH=38663458300en_HK
dc.identifier.scopusauthoridLui, WM=7101851125en_HK
dc.identifier.citeulike9421002-

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