Endoscopic endonasal pituitary surgery: How we do it. Consensus statement on behalf of the EANS skull base section

Ilaria Bove*, Domenico Solari, Michaël Bruneau, Moncef Berhouma, Emmanuel Jouanneau, Jan Frederick Cornelius, Mahmoud Messerer, Roy Thomas Daniel, Sebastien Froelich, Diego Mazzatenta, Torstein Meling, Dimitrios Paraskevopoulos, Pierre Hugues Roche, Henry W.S. Schoeder, Idoya Zazpe, Massimiliano Visocchi, Ekkehard Kasper, Marcos Tatagiba, Luigi Maria Cavallo

*Corresponding author af dette arbejde


Introduction and research question: The use of an endoscope in skull base surgery provides a panoramic close-up view over the intracranial structures from multiple angles with excellent illumination, thus permitting greater extent of resection of tumors arising at sellar area, mostly represented by PitNet - Pituitary neuroendocrine tumors, with higher likelihood of preserving vital/intact gland tissue. For this refined specialty of neurosurgery, unique skills need to be acquired along a steep learning curve. Material and methods: EANS (European Association of Neurosurgical Societies) skull base section panelists were enrolled and 11 completed the survey: the goal was to provide a consensus statement of the endoscopic endonasal approach for pituitary adenoma surgery. Results: The survey consisted of 44 questions covering demographics data (i.e., academic/non-academic center, case load, years of experience), surgical techniques (i.e., use of neuronavigation, preoperative imaging), and follow-up management. Discussion and conclusions: In this paper we identified a series of tips and tricks at different phases of an endoscopic endonasal pituitary surgery procedure to underline the crucial steps to perform successful surgery and reduce complications: we took in consideration the principles of the surgical technique, the knowledge of the anatomy and its variations, and finally the importance of adjoining specialties experts.

TidsskriftBrain and Spine
StatusUdgivet - jan. 2023


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