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Endoscopic transseptal transsphenoidal pituitary adenoma microsurgery

MA Jian~1 QIAO Mingzhe~2 LI Lixin~3 HU Weixing~3(~1Department of Otorhinolaryngology,Nanjing First Hospital,Affiliated of Nanjing Medical University,Nanjing,210006,China;~2Department of Otorhinolaryngology,the First Affiliated Hospital of Nanjing Medical University;~3Department of Neurosurgery,the First Affiliated Hospital of Nanjing Medical University)  
Objective:To introduce the approach and technique of endoscopic transseptal transsphenoidal pituitary adenoma microsurgery.Method:Endoscopic transseptal transsphenoidal pituitary adenoma microsurgery were performed in 23 patients.Result:Tumors were total resected in all of the patients.The mean volume of bleeding was 50 ml and there were not any severe complications.Conclution:Compared with transsphenoidal pituitary adenoma microsurgery and endoscopic transsphenoidal pituitary adenoma surgery,endoscopic transseptal transsphenoidal pituitary adenoma microsurgery could combine the benefits of the two approaches.The approach has the benefit of microtrauma,convenience and could resect the tumor thoroughly.We could do best in treating suitable patients with good endoscopic technique.
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