Skip to main content
SpringerLink
Log in

Pituitary Surgery: Techniques

  • Chapter
Diagnosis and Management of Pituitary Disorders

Part of the book series: Contemporary Endocrinology ((COE))

  • 1694 Accesses

Summary

This chapter discusses the surgical techniques used in the management of pituitary tumors and other forms of sellar disease, with an emphasis on the transsphenoidal approach. Potential complications are described. Alternative techniques and their relative merits are presented.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 249.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Griffith HB, Veerapen R. A direct transnasal approach to the sphenoid sinus. Technical note. J Neurosurg 1987;66:140–2

    PubMed  CAS  Google Scholar 

  2. Cooke RS, Jones RA. Experience with the direct transnasal transsphenoidal approach to the pituitary fossa. Br J Neurosurg 1994;8:193–6

    Article  PubMed  CAS  Google Scholar 

  3. Jho HS, Carrau RL. Endoscopy assisted transsphenoidal surgery for pituitary adenoma. Acta Neurochir (Weien) 1996;138:1416–25

    Article  CAS  Google Scholar 

  4. Hirsch O. Endonasal method of removal of hypophyseal tumors. JAMA 1910;55:772–4

    Google Scholar 

  5. Chandler WF. Transsphenoidal surgical treatment of Cushing’s disease. In: Rengachary SS, Wilkins RH, editors., Neurosurgical Operative Atlas, vol. 4, , Park Ridge: American Association of Neurological Surgeons; 1995. p. 165–72

    Google Scholar 

  6. Jho, H. Endoscopic endonasal approach to the optic nerve: a technical note. Minim Invasive Neurosurg 2001;44(4):190–3

    Article  PubMed  CAS  Google Scholar 

  7. Dusick JR, Esposito. F., Kelly DF, et al. The extended direct endonasal transsphenoidal approach for nonadenomatous suprasellar tumors. J Neurosurg 2005;102(5):825–7.

    Article  Google Scholar 

  8. Mason RB, Nieman LK, Doppman JL, Oldfield EH. Selective excision of adenomas originating in or extending into the pituitary stalk with preservation of pituitary function. J Neurosurg 1997;87:343–51.

    PubMed  CAS  Google Scholar 

  9. Dumont AS, Kanter. AS., Jane JA Jr, Laws ER Jr. Extended transsphenoidal approach. Front Horm Res. 2006;34:29–45.

    PubMed  Google Scholar 

  10. Horsley V. On the technique of operations on the central nervous system. Br Med J 1906;2:411–23

    Google Scholar 

  11. Krause F. Freilegung der hypophyse. In: Krause F, editor. Die Allgemeine Chirurgie der Gehirnkrankheiten, Part II, Stuttgart: Ferdinand Enke, 1914. p. 465–70

    Google Scholar 

  12. McArthur LL. An aseptic surgical approach to the pituitary body and its neighborhood. JAMA 1912;58:2009–11

    Google Scholar 

  13. Frazier CH. Lesions of the hypophysis from the viewpoint of the surgeon. SurgGynObst 1913;17:724–36

    Google Scholar 

  14. Heuer GJ. Surgical experiences with an intracranial approach to chiasmal lesions. Arch Surg 1920;1:368–381

    Google Scholar 

  15. Symon, L. Surgical technique: transcranial approach. In: Landolt AM, Vance ML, Reilly PL, editors. Pituitary Adenomas. New York: Churchill Livingstone; 1996. p. 295–306.

    Google Scholar 

  16. Oldfield EH, Chrousos GP, Schulte HM, et al. Preoperative lateralization of ACTH-secreting pituitary microadenomas by bilateral and simultaneous inferior petrosal venous sinus sampling. N Eng J Med 1985;312:100–3.

    Article  CAS  Google Scholar 

  17. Park P, Chandler WF, Barkan AL, et al. The role of radiation therapy after surgical resection of nonfunctional pituitary macroadenomas. Neurosurgery 2004;55(1):100–7.

    Article  PubMed  Google Scholar 

Download references

Authors
  1. William F. Chandler MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. andAriel L. Barkan MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Neurosurgery Massachusetts, General Hospital Harvard Medical School, Boston, MA, USA

    Brooke Swearingen MD

  2. Neuroendocrine Unit Department of Medicine, Massachusetts General Hospital Harvard Medical School, Boston, MA, USA

    Beverly M. K. Biller MD

Rights and permissions

Reprints and permissions

Copyright information

© 2008 Humana Press, Totowa, NJ

About this chapter

Cite this chapter

Chandler, W.F., Barkan, a.L. (2008). Pituitary Surgery: Techniques . In: Swearingen, B., Biller, B.M. (eds) Diagnosis and Management of Pituitary Disorders. Contemporary Endocrinology. Humana Press. https://doi.org/10.1007/978-1-59745-264-9_15

Download citation

  • DOI: https://doi.org/10.1007/978-1-59745-264-9_15

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-922-2

  • Online ISBN: 978-1-59745-264-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation