The endoscopic endonasal transsphenoidal approach to sellar lesions allows a high radicality: The benefit of angled optics.

摘要: Abstract Objective The endonasal endoscopic approach is currently under investigation for perisellar tumour surgery. A higher resection rate to be expected, and nasal complications should minimized. Here, the authors report their technique of transnasal neurosurgery with a special reference impact use angled optics. Material methods Two-hundred-and-seventy-one transsphenoidal procedures were performed sellar lesions between January 2000 August 2013. One-hundred-and-twenty-nine patients out them could used analysing endoscopes including completed follow up, MR imaging as control documentation intraoperative benefit Exclusion criteria were: planned incomplete or data set. surgical was carefully analysed; these cases followed prospectively. Results Standard mononostril 0° endoscopes. Angled assessment radicality during at end procedure. In 95 (72%), an endoscope used. Remnant visualized optics in 27 (28%). all cases, remnant tissue subsequently further removed. Complete seen on MRI FU 91 (96%) this subgroup. without application optics, there already sufficient sight via (14/34; 42%), significant bleeding from cavernous sinus made impossible (19/34; 55%). On revealed radical 93% (120/129). subgroup use, reached 88% (30/34) contrast 96% Recurrent growth observed four (3%). Conclusions endscopic has been shown safe successful high only minor complications. various allows look “around corner” resulting potentially