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

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

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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 a&d ej-123 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 i want choo 60ml 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.