Value of endoscopy for maximizing tumor removal in endonasal transsphenoidal pituitary adenoma surgery

摘要: Object Endoscopy as a visual aid (endoscope assisted) or the sole method (fully endoscopic) is increasingly used in pituitary adenoma surgery. Authors of this study assessed value endoscopic visualization for finding and removing residual after initial microscopic removal. Methods Consecutive patients who underwent endoscope-assisted microsurgical removal were included study. The utility endoscope not visualized by microscope was noted intraoperatively. After maximal tumor under visualization, surgeries categorized to whether additional removed via endoscopy. Tumor remission rates also noted. Patients undergoing fully during same period excluded from Results Over 3 years, 140 (41% women, mean age 50 years) 30 endocrine-active microadenomas 11...