医学
经蝶手术
垂体腺瘤
一致性(知识库)
显微外科
外科
放射科
作者
Gilberto K.K. Leung,Michelle Mae Ann Yuen,Wing Sun Chow,Philip Yat Hang Tse,Wai-Man Lui
出处
期刊:Pituitary
[Springer Nature]
日期:2012-06-01
卷期号:15 (2): 237-241
被引量:18
标识
DOI:10.1007/s11102-011-0319-y
摘要
Surgical resections of large-to-giant pituitary adenomas (PA) are technically challenging procedures. Tumors with a fibrous consistency or 'hour-glass' configurations are particularly difficult to remove completely and safely through the transsphenoidal route alone. Although the transcranial approach can facilitate the removal of a large suprasellar mass, it may be associated with significant bleeding within the intradural space. A simultaneous microscopic transcranial and transsphenoidal approach has been described as an alternative surgical strategy. We have further modified this 'above and below' approach by adopting endoscopic techniques for the transsphenoidal part of the procedure. This modified approach has the advantages of requiring only one operating microscope, and permitting freer maneuvers and easier orientation for both surgical teams. We present two patients successfully treated with this approach. Complete tumor removal was achieved and both patients achieved satisfactory functional recovery.
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