Perspectives on endoscopic transsphenoidal surgery

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Sellar tumors are most commonly approached through the transsphenoidal corridor, and tumor resection is most often performed using the operating microscope. More recently the endoscope has been introduced for use either as an adjunct to or in lieu of the microscope. Both the microscopic and endoscopic transsphenoidal approaches to sellar tumors allow safe and effective tumor resection. The authors describe their current endoscopic technique and elucidate the advantages and disadvantages of the pure endoscopic adenomectomy compared with the standard microscopic approach.

Abbreviations used in this paper:CSF = cerebrospinal fluid; ENT = ear, nose, and throat.

Sellar tumors are most commonly approached through the transsphenoidal corridor, and tumor resection is most often performed using the operating microscope. More recently the endoscope has been introduced for use either as an adjunct to or in lieu of the microscope. Both the microscopic and endoscopic transsphenoidal approaches to sellar tumors allow safe and effective tumor resection. The authors describe their current endoscopic technique and elucidate the advantages and disadvantages of the pure endoscopic adenomectomy compared with the standard microscopic approach.

Abbreviations used in this paper:CSF = cerebrospinal fluid; ENT = ear, nose, and throat.

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Address reprint requests to: John A. Jane Jr., M.D., Department of Neurological Surgery, Box 800212, University of Virginia Health System, Charlottesville, Virginia 22908. email: johnjanejr@virginia.edu
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