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Endonasal surgery for pituitary adenomas: surgical technique, intraoperative and postoperative complications

Year: 2025

Type: article

Abstract: The review provides basic data concerning the anatomical aspects of surgical treatment of pituitary adenomas with maximum preservation of intact gland tissue. Neurosurgeons mainly use endoscopic transnasal access, which provides a wider field of view, high magnification and angular visualization, which gives it an advantage over microscopic access, which has not been used much lately. Only a detailed knowledge of the anatomy and topographic-anatomical relationships of the structures of this area makes it easy to navigate during surgery and plan less invasive interventions. In addition, data on complications in the postoperative period are presented, which are mainly represented by liquorrhea, water-electrolyte disorders, and information on methods of their prevention is analyzed.

Source: Russian journal of neurosurgery

DOI: 10.63769/1683-3295-2025-27-3-152-161

Authors: A. N. Skarubo, V. N. Nikolenko, B. A. Volel, Yu. O. Zharikov, A. A. Ivanchenko, T. S. Zharikova

Institutions: Ministry of Health of the Russian Federation, Burdenko Neurosurgery Institute, Sechenov University, Lomonosov Moscow State University

Language: English

Topic: Pituitary Gland Disorders and Treatments

Subfield: Endocrinology, Diabetes and Metabolism

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

OpenAlex ID: W4415208965

FWCI:

Cites: 22

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