Endoscopic endonasal pituitary surgery: evolution of surgical technique and equipment in 150 operations.

摘要: Objective The evolution of the senior author's (HD Jho) surgical experience on endoscopic endonasal transsphenoidal pituitary surgery is reviewed in order to introduce a standardized technique for endoscopy. Methods progressive and development instrumentation endoscopy based upon more than 150 operations performed by author between years 1993 1998. Results An endoscope was used assist visualization during conventional microscopic first four cases (endoscope-assisted microsurgery). Subsequently, via nostril. When route adopted, it eliminated use retractor. vasoconstrictors any form nasal packing discovered be unnecessary. inferior margin middle turbinate such consistent landmark leading sella that an intraoperative fluoroscopic C-arm also eliminated. adoption septal breaker, variously angled suction cannulas suction-coagulators has made operation cleaner, easier faster. As increased, time progressively shortened mucosal trauma became minimal. median patient hospital stay one night postoperative discomfort noted Conclusions reported with description our current technique.