Postural Change Assists Surgical Maneuverability During Endoscopic Transsphenoidal Surgery for Pituitary Macroadenoma

被引：0
作者：
Kim, Yeong Jin
Kim, In-Young [1 ]
Park, Sue Jee
Jung, Tae-Young
Moon, Kyung-Sub
Jung, Shin
机构：
[1] Chonnam Natl Univ, Chonnam Natl Univ Hwasun Hosp, Res Inst Med Sci, Dept Neurosurg, Kwangju, South Korea
来源：
WORLD NEUROSURGERY | 2024年 / 192卷
关键词：
Endoscopic transsphenoidal surgery; Pituitary macroadenoma; Diaphragma sellae; DIAPHRAGMA SELLAE; RETRACTOR; PRESSURE;
D O I：
10.1016/j.wneu.2024.09.079
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
<black square> BACKGROUND: In endoscopic transsphenoidal surgery for pituitary adenoma with suprasellar extension, the prolapse of the stretched floppy diaphragma sellae can obstruct the surgical corridor, posing challenges during pituitary surgery. We introduce a simple postural change technique to mitigate this issue and share our clinical experience. <black square> METHODS: Pituitary surgery is performed on an operating table where the patient's position can be adjusted. During transsphenoidal pituitary surgery, raising the patient's head to a Fowler position causes the diaphragma sellae to move upward, whereas lowering the head to a supine position causes it to descend. This simple adjustment minimizes hindrance from the floppy diaphragma sellae during surgery. <black square> RESULTS: We illustrate this technique in pituitary surgery, where diaphragm sellae relocation is necessary. <black square> CONCLUSIONS: A simple postural change technique effectively manages prolapsed floppy diaphragma sellae, enhancing visualization and surgical accessibility during endoscopic transsphenoidal pituitary surgery.
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收藏
页码：212 / 215.e1
页数：5
相关论文
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