Endoscopic endonasal transsphenoidal surgery: a mentoring surgical model

ANZ Journal of Surgery
Joseph Y M YangAgadha Wickremesekera

Abstract

We report the experience of endoscopic endonasal transsphenoidal surgery (EETS) for resection of pituitary region tumours at Wellington, the central regional referral centre for neurosurgery in New Zealand, and discuss the collaborative mentoring surgical model that enhanced the learning experience. Between January 2007 and June 2009, a total of 47 operations on 46 patients were performed and reviewed retrospectively. All patients had perioperative clinical assessment, hormonal profile and magnetic resonance imaging studies for residual/recurrent disease. The collaborative model utilized two neurosurgeons with experience in the microsurgical resection of pituitary tumours: an endoscopic skull base fellowship trained rhinologist and an endoscopic skull base rhinologist with more experience who visited twice a year from Adelaide, Australia. The pathology results included: 30 non-functioning pituitary adenomas, 10 secreting pituitary adenomas, 3 meningiomas, 1 chordoma, 1 anterior skull base adenocarcinoma and 1 clival prostate metastasis. Complete tumour resection was intended and achieved in 38 cases. All 10 patients with secreting adenomas achieved improvement of hormonal profile. Nineteen out of 27 cases demonstrated improveme...Continue Reading

References

Nov 1, 1984·Journal of Neurosurgery·C B Wilson
Jun 8, 2000·The Australian and New Zealand Journal of Surgery·A C WoollonsY R Rajapaske
Jun 21, 2001·Minimally Invasive Neurosurgery : MIN·H D Jho, A Alfieri
Jan 5, 2002·Journal of Neuro-oncology·H D Jho
Aug 21, 2002·Journal of Neurosurgery·Paolo CappabiancaEnrico de Divitiis
Dec 21, 2002·Minimally Invasive Neurosurgery : MIN·P CappabiancaE de Divitiis
Jan 9, 2003·Surgical Neurology·Der-Yang Cho, Wen-Rei Liau
Oct 2, 2004·Neurosurgery·Paolo CappabiancaEnrico de Divitiis
Jan 22, 2008·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Xiang ZhangShao-jun Song
Sep 23, 2008·The Laryngoscope·Brent A SeniorMathew G Ewend
Jan 27, 2009·Neurologia Medico-chirurgica·Shigetoshi YanoJun-ichi Kuratsu

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Citations

Jan 6, 2015·International Forum of Allergy & Rhinology·Vikram PadhyePeter-John Wormald
Sep 12, 2015·The Journal of Craniofacial Surgery·Ye ChengGang Zhao
Jul 5, 2017·Internal Medicine Journal·Timothy M E DavisNeville Knuckey
Jul 16, 2019·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·A J GaudenP J Wormald

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