Abstract:BACKGROUND:Technically and ergonomically correct positioning is essential in endoscopic transsphenoidal pituitary surgery.OBJECTIVE:To propose a safe, ergonomic approach to conduct endoscopic endonasal pituitary and skull base surgery in large patients without sacrificing important aspects of current standard practice.METHODS:The patient's right arm is outstretched and secured in a supine position, with the primary surgeon standing in the axillary area. Considerations include maintaining comfort, immobility, a… Show more
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