Endoscopic endonasal pituitary surgery: How we do it. Consensus statement on behalf of the EANS skull base section.
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2023
- doi: 10.1016/j.bas.2023.102687
- issn: 2772-5294
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info:eu-repo/semantics/altIdentifier/doi/10.1016/j.bas.2023.102687
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info:eu-repo/semantics/altIdentifier/pmid/38021006
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info:eu-repo/semantics/altIdentifier/eissn/2772-5294
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info:eu-repo/semantics/altIdentifier/urn/urn:nbn:ch:serval-BIB_2506E6BA313C2
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Diseases--Surgery Surgery, PrimitiveCiter ce document
I. Bove et al., « Endoscopic endonasal pituitary surgery: How we do it. Consensus statement on behalf of the EANS skull base section. », Serveur académique Lausannois, ID : 10.1016/j.bas.2023.102687
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Résumé
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. 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. 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. 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.
