Endonasal Endoscopic Approach For A Gigantic Pituitary Adenoma Youtube Results: 555 patients underwent an eea for removal of a pituitary adenoma. the mean follow up was 3.1 years (range 3 months to 9.5 years); 36 were lost to follow up. ninety one (17.5%) harbored recurrent adenomas. an expanded approach to reach the supra , para and infra sellar spaces was employed in 290 patients (55.9%). This video depicts a minimally invasive endonasal endoscopic approach to remove a gigantic pituitary adenoma by uc san francisco surgeons, drs. eze goldschmi.
Endonasal Endoscopic Approach For A Pituitary Adenoma Youtube Introduction and research question. the use of an endoscope in skull base surgery provides a panoramic close up view over the intracranial structures from multiple angles with excellent illumination, thus permitting greater extent of resection of tumors arising at sellar area, mostly represented by pitnet pituitary neuroendocrine tumors, with higher likelihood of preserving vital intact. We present the results of a single stage extended endoscopic approach for managing giant pituitary adenomas (gpas) occupying the entire third ventricle. methods: a retrospective study of all gpas occupying the entire third ventricle operated on via the endoscopic endonasal approach between january 2016 and december 2020 was performed. A single surgeon endoscopic endonasal transsphenoidal surgery with two hand one and half nostril approach is an effective and safe procedure for removal of large pituitary tumors. introduction in the past 20 years, neurosurgeons have used the endoscope to perform transsphenoidal surgery for pituitary tumors resection [ 1 – 5 ]. The modern techniques of endoscopic endonasal approach (eea) pituitary adenoma resection had been developed in the past several decades and developed rapidly in the past 10 years. [ 1 – 5 ] compared with the traditional microscopic trans sphenoidal approach (mta) pituitary adenoma resection, eea can provide better visualization and wider.
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