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Resection of pituitary tumors: endoscopic versus microscopic

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Abstract

Transsphenoidal microscopic pituitary surgery has long been considered the gold standard in surgical treatment of pituitary tumors. Endonasal endoscopic pituitary surgery has come into prominence over the last two decades as an alternative to microscopic surgery. In this review, we use recent literature to discuss the advantages and disadvantages of each approach. Our review shows that for small intrasellar tumors, both approaches appear equally effective in experienced hands. For larger tumors with extrasellar extension, the endoscopic approach offers several advantages and may improve outcomes associated with the extent of resection and postoperative complications.

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Abbreviations

ETPS:

Endoscopic trans-sphenoidal pituitary surgery

QOL:

Quality of life

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    Authors and Affiliations

    1. New York Prebyterian - Weill Cornell Medical Center, New York, NY, USA

      Harminder Singh, Walid I. Essayed & Theodore H. Schwartz

    2. Stanford University School of Medicine, Stanford, CA, USA

      Harminder Singh

    3. Goodman Campbell Brain and Spine, Indiana University School of Medicine, Indianapolis, IN, USA

      Aaron Cohen-Gadol

    4. Keck School of Medicine of USC, Los Angeles, CA, USA

      Gabriel Zada

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    1. Harminder Singh
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    Correspondence to Theodore H. Schwartz.

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    Harminder Singh and Walid I. Essayed contributed equally to this work

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    Singh, H., Essayed, W.I., Cohen-Gadol, A. et al. Resection of pituitary tumors: endoscopic versus microscopic. J Neurooncol 130, 309–317 (2016). https://doi.org/10.1007/s11060-016-2124-y

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