Endoscopic endonasal transsphenoidal surgery: procedure, endoscopic equipment and instrumentation

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
Paolo CappabiancaEnrico de Divitiis

Abstract

In the last 10 years the endoscopic endonasal transsphenoidal approach has been proposed as a minimally invasive procedure for the treatment of pathologies of the sellar region. This procedure introduces various advantages compared with the transsphenoidal microsurgical approach such as a wider vision of the surgical field, less traumatism of the nasal structures, greater facility in the treatment of possible recurrences, and reduced complications. Nevertheless, as for any new procedure, there is an initial learning curve that is somewhat steep, due to the necessity of acquiring the specific endoscopic skills. It is equally essential to be supplied with dedicated endoscopic equipment and appropriate surgical instrumentation, in order to optimize the different stages of the operation. Therefore, after our extensive experience with over 250 patients treated by means of the endoscopic endonasal transsphenoidal approach for pathologies of the sellar region, we describe herein the characteristics of the proper endoscopic instrumentation, as well as a set of surgical instruments intentionally conceived to respond to the specific characteristics of this new procedure.

References

Jul 1, 1997·Journal of Neurosurgery·H D Jho, R L Carrau
Jul 4, 1998·Minimally Invasive Neurosurgery : MIN·P CappabiancaE de Divitiis
Aug 17, 1999·Neurosurgery·P CappabiancaE de Divitiis
May 4, 2000·Minimally Invasive Neurosurgery : MIN·P CappabiancaE de Divitiis
Feb 7, 2002·Minimally Invasive Neurosurgery : MIN·H D Jho
Mar 13, 2002·Advances and Technical Standards in Neurosurgery·E de Divitiis, P Cappabianca
Aug 17, 2002·Neurosurgery·Giovanni LasioGiovanni Broggi
Aug 21, 2002·Journal of Neurosurgery·Paolo CappabiancaEnrico de Divitiis
Aug 22, 2002·Neurosurgery·Enrico de DivitiisLuigi Maria Cavallo
Nov 26, 2002·Neurosurgery·Paolo CappabiancaEnrico De Divitiis
Dec 18, 2002·Neurosurgery·Enrico de Divitiis, Paolo Cappabianca
Dec 21, 2002·Minimally Invasive Neurosurgery : MIN·P CappabiancaE de Divitiis

❮ Previous
Next ❯

Citations

Jul 21, 2007·Journal of Neurosurgery·Daniel M PrevedelloEdward R Laws
Nov 16, 2013·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Resha S SoniJames K Liu
Feb 21, 2008·Pituitary·Paolo CappabiancaAnnamaria Colao
Aug 13, 2011·Acta neurochirurgica·Julie DubourgMahmoud Messerer
Nov 18, 2005·Expert Review of Medical Devices·Giuseppe CinalliEnrico de Divitiis
Nov 28, 2012·World Neurosurgery·Nusrat ChoudhuryRolando Del Maestro
Nov 29, 2011·World Neurosurgery·John A Jane
Nov 29, 2011·World Neurosurgery·Manfred Tschabitscher, Antonio Di Ieva
Sep 11, 2010·International Journal of Pediatric Otorhinolaryngology·Davide LocatelliConcezio Di Rocco
Jan 22, 2008·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Xiang ZhangShao-jun Song
Mar 14, 2007·Surgical Neurology·Luigi M CavalloPaolo Cappabianca
Feb 14, 2015·Neurosurgical Review·Yudo IshiiAkira Matsuno
Mar 17, 2017·World Neurosurgery·Tasneem ShikaryLee A Zimmer
Jan 1, 2012·Surgical Neurology International·Pablo AjlerAntonio Carrizo
Jun 30, 2011·American Journal of Rhinology & Allergy·Jens ConradJoachim Oertel
Feb 10, 2006·Current Opinion in Otolaryngology & Head and Neck Surgery·Marc R RosenWilliam M Keane
Mar 23, 2006·Current Opinion in Otolaryngology & Head and Neck Surgery·Patrick J Bradley
Oct 16, 2010·Neurosurgery Clinics of North America·Isaac YangMarvin Bergsneider

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.