段階的内視鏡下手術を行った下垂体腺腫2例 [in Japanese] Two Cases of Large Pituitary Adenomas Operated by Staged Endoscopic Surgery [in Japanese]
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The advantages of endoscopic pituitary surgery include easy reoperation, and based on this, we performed planned staged operation in two cases of large pituitary adenomas extending to the suprasellar lesion using the endoscopic transsphenoidal approach via both nostrils. In the initial operation, the tumor contents were gently removed, but the tumor capsule in the extrasellar lesion remained intact to avoid perioperative injury to the surrounding organs. Four weeks later, the second operation was performed after confirmation of the site of the residual mass by magnetic resonance imaging. The residual mass had descended into the sellar floor and was easily resected with no operative complications. Although planned staged operation requires two operations, we suggest that it is a safe and efficient procedure for the removal of large pituitary tumors.
- Practica Oto-Rhino-Laryngologica
Practica Oto-Rhino-Laryngologica 94(8), 717-721, 2001-08-01
The Society of Practical Otolaryngology