Endoscopic endonasal versus microscopic transsphenoidal surgery for recurrent and/or residual pituitary adenomas

Highlights • Endoscopic re-operation for recurrent or residual adenomas is a safe and effective treatment option. • The use of the endoscope to re-operate on residual or recurrent adenomas leads to a modest increase in resection rates. • Endoscopic approach is associated to an improvement of the vis...

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Veröffentlicht in:	World neurosurgery 2017-05, Vol.101, p.186-195
Hauptverfasser:	Esquenazi, Yoshua, M.D, Essayed, Walid I., M.D, Singh, Harminder, M.D, Mauer, Elizabeth, MS, Ahmed, Mudassir, M.D, Christos, Paul J., Dr.P.H, Schwartz, Theodore H., M.D
Format:	Artikel
Sprache:	eng
Schlagworte:	Adenoma - diagnostic imaging Adenoma - surgery Endonasal endoscopic Humans Microscopic Microsurgery - methods Microsurgery - standards Nasal Cavity - diagnostic imaging Nasal Cavity - surgery Neoplasm Recurrence, Local - diagnostic imaging Neoplasm Recurrence, Local - surgery Neuroendoscopy - methods Neuroendoscopy - standards Neurosurgery Pituitary adenoma Pituitary Neoplasms - diagnostic imaging Pituitary Neoplasms - surgery Pituitary surgery Recurrent Skull base Sphenoid Bone - diagnostic imaging Sphenoid Bone - surgery Transsphenoidal
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Beschreibung
Zusammenfassung:	Highlights • Endoscopic re-operation for recurrent or residual adenomas is a safe and effective treatment option. • The use of the endoscope to re-operate on residual or recurrent adenomas leads to a modest increase in resection rates. • Endoscopic approach is associated to an improvement of the visual outcome.; Abbreviation list: CS : Cavernous sinus. , CSF : Cerebrospinal fluid. , DI : Diabetes insipidus. , GTR : Gross total resection.
ISSN:	1878-8750 1878-8769
DOI:	10.1016/j.wneu.2017.01.110