Abstract
The transsphenoidal approach represents the gold standard for surgical excision of pituitary tumors. Over the last few decades the endoscopic endonasal transsphenoidal approach has become widely accepted, with angled-endoscopes providing excellent visualization of the operative field and possibly allowing for a greater likelihood of complete resection. On the other hand, there are limitations of this technique, especially concerning potential rhinological side effects and the 2D vision offered by standard endoscopes.
Transoral robotic surgery (TORS) with the da Vinci system is now commonly used in head and neck cancers, and has been demonstrated to be safe and effective. Here, we describe an innovative TORS approach to the sella to remove pituitary tumors, from cadaveric studies to clinical proof of concept.
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Acknowledgments
We thank Pr Lot for his general support regarding this project from the beginning to the last patients. We also thank Antoine Missistrano whose surgical assistance was precious and Wendy Gold for English corrections.
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Chauvet, D., Hans, S. (2021). Robot-Assisted Pituitary Surgery. In: Marcus, H.J., Payne, C.J. (eds) Neurosurgical Robotics. Neuromethods, vol 162. Humana, New York, NY. https://doi.org/10.1007/978-1-0716-0993-4_11
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DOI: https://doi.org/10.1007/978-1-0716-0993-4_11
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