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

File Download Links for fulltext
(May Require Subscription)
Supplementary

  • Basic View
  • Metadata View
  • XML View
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
2011 Impact Factor: 1.83
2011 SCImago Journal Rankings: 0.128
DOIhttp://dx.doi.org/10.1007/s11102-011-0319-y
ReferencesReferences in Scopus
DC Field
Value
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
2011 Impact Factor: 1.83
2011 SCImago Journal Rankings: 0.128
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
Author Affiliations
  1. The University of Hong Kong