%0 Journal Article
%T Endoscopic transcavernous approach for functional pituitary adenomas.
%A Starnoni D
%A Daniel RT
%A Messerer M
%J Acta Neurochir (Wien)
%V 166
%N 1
%D 2024 Jun 19
%M 38890156
%F 2.816
%R 10.1007/s00701-024-06168-x
%X <B>BACKGROUND: </B>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.<BR><B>METHODS: </B>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.<BR><B>CONCLUSIONS: </B>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.