Endoscope-assisted transsphenoidal approach for middle and lower clival extension of pituitary adenomas
- VernacularTitle:神经内镜辅助经蝶显微手术切除侵犯中下斜坡的垂体腺瘤
- Author:
Haijun WANG
;
Mingzhen CHEN
;
Heng ZHANG
- Publication Type:Journal Article
- Keywords:
Pituitary adenomas;
Clivus;
Endoscope;
Microsurgery
- From:
Chinese Journal of Microsurgery
2000;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the microsurgical skills and clinical value of endoscope-assisted transsphenoidal approach for middle and lower clival extension of pituitary adenomas. Methods The sublabial transseptal,transsphenoidal approach assisted by endoscope were applied in 16 cases which invasive middle and lower clivus.CT or/and MRI and pituitary hormones were detected after microsurgery. Results The tumor was achieved approximately total removal in 13 cases and subtotal removal in 3 cases.There were 8 functioning pituitary adenomas and the pituitary hormones decreased to normal level in 3 cases.PRL level decreased more than 80% in 4 cases and less than 80% in 1 cases. Conclusion Endoscope-assisted transsphenoidal approach for middle and lower clival extension of pituitary adenomas can achieve satisfactory effect.
