Transsphenoidal Adenomectomy

McEwen, Donna R.

doi:10.1016/s0001-2092(06)63885-4

Cited by 2 publications

(2 citation statements)

References 7 publications

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“…The endoscopic endonasal transsphenoidal approach has a better outcome prediction then the endoscopic transnasal transsphenoidal one [40]. Contraindications for the transsphenoidal approach: anterior or medium cranial fossa extensions, lesions with intense vascularization, lesions extended above the sella turcica, recurrent tumors, and the anatomical variability of the internal carotid artery [4].…”

Section: Main Surgical Approachesmentioning

confidence: 99%

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Surgical approaches in pituitary neuroendocrine tumors

Croitoru,

Andronachi,

Visnevschi

et al. 2024

MJHS

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Introduction. Pituitary neuroendocrine tumors account for 3.9-7.4/100.000 of central nervous system tumors in the Western world. They are particularly noteworthy, comprising 10-15% of all cases, with a higher prevalence in the 75-79 age group. In the Republic of Moldova, these tumors account for 34% of cases in postmortem examinations while remain an actual theme of discussion in the ENDO WHO congress and are regarded as a factor, which may influence the quality of life (QOL). Material and methods. We have critically revised 66 literary sources, which were selected using the PubMed library after introducing the keywords “pituitary adenoma surgical approach”. Results. The main surgical approaches were the transsphenoidal (transnasal, sublabial and endonasal) and transcranial (subfrontal unilateral/bilateral, fronto-lateral, fronto-temporal and median basilar) while the additional surgical approaches were designed for complicated and unusual pituitary neuroendocrine tumors and included combined versions, multiple surgeries or extended approaches. Numerous factors were influential for the selection of a surgical approach concerning the pituitary neuroendocrine tumors. They are not sensible for a type of pituitary neuroendocrine tumor according to the WHO classification while the size of a tumor may dictate its surgical approach. Conclusion. Each surgical intervention requires a personalized approach and the critical thinking of the surgical team but most of them can be systematically considered before confronting the tumor in an intraoperatory environment because most of the preoperatory investigations are proven unreliable. There is no established superior surgical approach for each surgical intervention.

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Section: Main Surgical Approachesmentioning

confidence: 99%

“…The rate of this pathoanatomical structure was of 60% in Romania and of 34% in the Republic of Moldova in a study poll collected during necropsy [3]. The weight of a normal pituitary gland is approximately 0.5-1 g and its diameter of up to 1 cm [4].…”

Section: Introductionmentioning

confidence: 99%