An endoscopic modification of the simultaneous ‘above and below’ approach to large pituitary adenomas

@article{Leung2011AnEM,
  title={An endoscopic modification of the simultaneous ‘above and below’ approach to large pituitary adenomas},
  author={Gilberto Ka-Kit Leung and Michelle Mae Ann Yuen and Wing S. Chow and Philip Yat Hang Tse and Wai Man Lui},
  journal={Pituitary},
  year={2011},
  volume={15},
  pages={237-241}
}
Surgical resections of large-to-giant pituitary adenomas (PA) are technically challenging procedures. Tumors with a fibrous consistency or ‘hour-glass’ configurations are particularly difficult to remove completely and safely through the transsphenoidal route alone. Although the transcranial approach can facilitate the removal of a large suprasellar mass, it may be associated with significant bleeding within the intradural space. A simultaneous microscopic transcranial and transsphenoidal… CONTINUE READING

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