PDF(Pubmed)
Abstract：
BACKGROUND: Invasion of the CS is one of the limiting factors for total resection for PitNet tumors with cure rates less than 30%. Extended approaches may be considered in selective and well-studied cases of secreting adenomas.
METHODS: We describe the key steps of the endoscopic transcavernous approach for functional pituitary adenomas with a video illustration. The surgical anatomy is described along with the advantages and limitations of this approach.
CONCLUSIONS: A detailed knowledge of CS anatomy and familiarity with this surgical approach acquired in the laboratory is essential. Proper instrumentation is critical to decrease the risks of vascular injury.
METHODS: We describe the key steps of the endoscopic transcavernous approach for functional pituitary adenomas with a video illustration. The surgical anatomy is described along with the advantages and limitations of this approach.
CONCLUSIONS: A detailed knowledge of CS anatomy and familiarity with this surgical approach acquired in the laboratory is essential. Proper instrumentation is critical to decrease the risks of vascular injury.
摘要：
背景：CS的侵袭是治愈率低于30%的PitNet肿瘤全切除的限制因素之一。在选择性和经过充分研究的分泌腺瘤病例中，可以考虑扩展方法。
方法：我们用视频插图描述了内镜下经海绵体入路治疗功能性垂体腺瘤的关键步骤。描述了手术解剖结构以及这种方法的优点和局限性。
结论：在实验室中获得对CS解剖学的详细了解和对这种手术方法的熟悉是必不可少的。正确的仪器是降低血管损伤风险的关键。
方法：我们用视频插图描述了内镜下经海绵体入路治疗功能性垂体腺瘤的关键步骤。描述了手术解剖结构以及这种方法的优点和局限性。
结论：在实验室中获得对CS解剖学的详细了解和对这种手术方法的熟悉是必不可少的。正确的仪器是降低血管损伤风险的关键。
