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Resection of pituitary tumors: endoscopic versus microscopic.

TitleResection of pituitary tumors: endoscopic versus microscopic.
Publication TypeJournal Article
Year of Publication2016
AuthorsSingh H, Essayed WI, Cohen-Gadol A, Zada G, Schwartz TH
JournalJ Neurooncol
Volume130
Issue2
Pagination309-317
Date Published2016 11
ISSN1573-7373
KeywordsHumans, Microsurgery, Natural Orifice Endoscopic Surgery, Neurosurgical Procedures, Pituitary Neoplasms, Postoperative Complications, Treatment Outcome
Abstract

Transsphenoidal microscopic pituitary surgery has long been considered the gold standard in surgical treatment of pituitary tumors. Endonasal endoscopic pituitary surgery has come into prominence over the last two decades as an alternative to microscopic surgery. In this review, we use recent literature to discuss the advantages and disadvantages of each approach. Our review shows that for small intrasellar tumors, both approaches appear equally effective in experienced hands. For larger tumors with extrasellar extension, the endoscopic approach offers several advantages and may improve outcomes associated with the extent of resection and postoperative complications.

DOI10.1007/s11060-016-2124-y
Alternate JournalJ Neurooncol
PubMed ID27161249