Skip to main content
SpringerLink
Log in

Evolution of Transsphenoidal Surgery

  • Chapter
Endoscopic Endonasal Transsphenoidal Surgery

Abstract

The transsphenoidal route is the dominant approach to the pituitary and sellar area and is utilized for more than 95% of the surgical indications in this region. Pituitary adenomas represent the third most common primary intracranial tumor after gliomas and meningiomas, with a percentage of more than 15% in most series reported in the literature and are found in 20% of cases at routine autopsies for patients who do not die for pituitary disease. If we also consider the other lesions in this same area and the recently proposed extended transsphenoidal approaches [12, 24, 32, 33, 35 – 37, 40, 41, 43, 44, 48, 61], we should not be surprised by the figure reported by Jane Jr. et al. [30], indicating that 19% of primary brain tumors treated in academic centers in the United States are operated upon transsphenoidally.

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 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 169.99
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. Artico M, Pastore FS, Fraioli B, Giuffre R (1998) The contribution of Davide Giordano (1864-1954) to pituitary surgery: the transglabellar-nasal approach. Neurosurgery 42: 909–912

    Article  PubMed  CAS  Google Scholar 

  2. Bushe KA, Halves E (1978) Modifizierte Technik bei transnasaler Operation der Hypophysengeschwulste. Acta Neurochir (Wien) 41: 163–175

    Article  CAS  Google Scholar 

  3. Cappabianca P, Alfieri A, de Divitiis E (1998) Endoscopic endonasal transsphenoidal approach to the sella: towards Functional Endoscopic Pituitary Surgery (FEPS). Minin Invasive Neurosurg 41: 66–73

    Article  CAS  Google Scholar 

  4. Cooke RS, Jones RAC (1994) Experience with the direct transnasal approach to the pituitary fossa. Br J Neurosurg 8: 193–196

    Article  PubMed  CAS  Google Scholar 

  5. Cushing H (1912) The pituitary body and its disorders: clinical states produced by disorders of the hypophysis cerebri. Philadelphia, JB Lippincott, pp 296–305

    Google Scholar 

  6. Cushing H (1914) The Weir Mitchell Lecture. Surgical experiences with pituitary disorders. JAMA 63: 1515–1525

    Google Scholar 

  7. Cusimano MD, Fenton RS (1996) A technique for endoscopic pituitary tumor removal. Neurosurgical Focus 1(1): 1–7

    Article  Google Scholar 

  8. de Divitiis E, Cappabianca P (2002) Endoscopic endonasal transsphenoidal surgery. In: Pickard JD (ed) Advances and technical standards in neurosurgery. Springer, Wien New York, 27, pp 137–177

    Chapter  Google Scholar 

  9. de Divitiis E, Cappabianca P, Cavallo LM (2002) Endoscopic transsphenoidal approach: adaptability of the procedure to different sellar lesions. Neurosurgery 51: 699–707

    PubMed  Google Scholar 

  10. Dott NM, Bailey P (1925) A consideration of the hypophyseal adenomata. Br J Surg 13: 314–366

    Article  Google Scholar 

  11. Fahlbusch R, Heigl T, Huk W, Steinmeier R (1996) The role of endoscopy and intraoperative MRI in transsphenoidal pituitary surgery. In: Werder von K, Fahlbusch R (eds) Pituitary Adenomas: from basic research to diagnosis and therapy. Elsevier, Amsterdam, pp 237–241

    Google Scholar 

  12. Fraioli B, Esposito V, Santoro A, Iannetti G, Giuffrè R, Cantore G (1995) Transmaxillosphenoidal approach to tumors invading the medial compartment of the cavernous sinus. J Neurosurg 82: 63–69

    Article  PubMed  CAS  Google Scholar 

  13. Fries G, Perneczky A (1998) Endoscope-assisted brain surgery: part 2-Analysis of 380 procedures. Neurosurgery 42: 226–232

    Article  PubMed  CAS  Google Scholar 

  14. Gamea A, Fathi M, el-Guindi A (1994) The use of the rigid endoscope in transsphenoidal surgery. J Laryngol Otol 108: 19–22

    Article  PubMed  CAS  Google Scholar 

  15. Giordano D (1911) Compendio di Chirurgia Operativa Italiana. UTET, Torino, pp 100–103

    Google Scholar 

  16. Guiot G (1973) Transsphenoidal approach in surgical treatment of pituitary adenomas: general principles and indications in non-functioning adenomas. In: Kohler PO, Ross GT (eds) Diagnosis and treatment of pituitary tumors. American Elsevier, New York, pp 159–178

    Google Scholar 

  17. Guiot G, Rougerie J, Fourestier M, Fournier A, Comoy C, Vulmiere J, Groux R (1963)Explorations endoscopiques intracrannienes. Press Med 71: 1225–1228

    PubMed  CAS  Google Scholar 

  18. Halstead AE (1910) Remarks on the operative treatment of tumors of the hypophysis. With the report of two cases operated on by an oro-nasal method. Trans Am Surg Assoc 28: 73–93

    Google Scholar 

  19. Hamlin H (1981) Oskar Hirsch. Surg Neurol 16: 391–393

    Article  PubMed  CAS  Google Scholar 

  20. Hardy J (1967) La chirurgie de I’hypophyse par voie transsphenoidale ouverte. Etude comparative de deux modalites techniques. Ann Chir 21: 1011–1022

    PubMed  CAS  Google Scholar 

  21. Hardy J (1969) Transsphenoidal microsurgery of the normal and pathological pituitary. Clin Neurosurg 16: 185–217

    PubMed  CAS  Google Scholar 

  22. Hardy J (1971) Transsphenoidal hypophysectomy. J Neurosurg 34: 582–594

    Article  PubMed  CAS  Google Scholar 

  23. Hardy J (1979) Neurosurgeon of the year: Gerard Guiot. Surg Neurol 11: 1–2

    PubMed  CAS  Google Scholar 

  24. Hashimoto N, Kikuchi H (1990) Transsphenoidal approach to infrasellar tumors involving the cavernous sinus. J Neurosurg 73: 513–517

    Article  PubMed  CAS  Google Scholar 

  25. Hazan A, Roux FX, Levy D, Chevalier E, Pages JC, Peytral C (1998) Utilisation de I’endoscopie dans la chirurgie pituitaire. Neurochirurgie 44: 327–330

    PubMed  CAS  Google Scholar 

  26. Heilman CB, Shucart WA, Rebeiz EE (1997) Endoscopic sphenoidotomy approach to the sella. Neurosurgery 41: 602–607

    PubMed  CAS  Google Scholar 

  27. Helal MZ (1995) Combined micro-endoscopic trans-sphenoid excision of pituitary macroadenomas. Eur Arch Otorhinolaryngol 252: 186–189

    Article  PubMed  CAS  Google Scholar 

  28. Hirsch O (1910) Endonasal method of removal of hypophyseal tumors. With a report of two successful cases. JAMA 55: 772–774

    Google Scholar 

  29. Horwitz NH (1897–1973) Library: historical perspective: Norman M. Dott. Neurosurgery 45: 944–948

    Article  Google Scholar 

  30. Jane JA Jr, Thapar K, Kaptain GJ, Maartens N, Laws ER Jr (2002) Pituitary surgery: transsphenoidal approach. Neurosurgery 51: 435–444

    PubMed  Google Scholar 

  31. Jankowski R, Auque J, Simon C, Marchal JC, Hepner H, Wayoff M (1992) Endoscopic pituitary tumor surgery. Laryngoscope 102: 198–202

    Article  PubMed  CAS  Google Scholar 

  32. Jho HD (2001) The expanding role of endoscopy in skull-base surgery. Indications and instruments. Clin Neurosurg 48: 287–305

    CAS  Google Scholar 

  33. Jho HD (2001) Endoscopic endonasal approach to the optic nerve: a technical note. Minim Invas Neurosurg 44: 190–193

    Article  CAS  Google Scholar 

  34. Jho HD, Carrau RL, Ko Y (1996) Endoscopic pituitary surgery. In: Wilkins RH, Rengachary SS (eds) Neurosurgical operative atlas. American Association of Neurological Surgeons, Park Ridge, III. 5, pp 1–12

    Google Scholar 

  35. Jho HD, Carrau RL, Mc Laughlin ML, Somaza SC (1997) Endoscopic transsphenoidal resection of a large chordoma in the posterior fossa. Acta Neurochir (Wien) 139: 343–348

    Article  CAS  Google Scholar 

  36. Kaptain GJ, Vincent DA, Sheehan JP, Laws ER Jr (2001) Transsphenoidal approaches for extracapsular resection of midline suprasellar and anterior cranial base lesions. Neurosurgery 49: 94–101

    PubMed  CAS  Google Scholar 

  37. Kato T, Sawamura J, Abe H, Nagashima M (1998) Transsphenoidal-transtuberculum sellae approach for supradiaphragmatic tumours: technical note. Acta Neurochir (Wien) 140: 715–719

    Article  CAS  Google Scholar 

  38. Kennedy DW (1985) Functional endoscopic sinus surgery technique. Arch Otolaryngol III: 643–649

    Google Scholar 

  39. Kennedy DW, Zinreich SJ, Rosenbaum AE, Johns ME (1985) Functional endoscopic sinus surgery. Theory and diagnostic evaluation. Arch Otolaryngol III: 576–582

    Google Scholar 

  40. Kim J, Choe I, Bak K, Kim C, Kim N, Yang Y (2000) Transsphenoidal supradiaphragmatic intradural approach: technical note. Minim Invasive Neurosurg 43: 33–37

    Article  PubMed  CAS  Google Scholar 

  41. Kitano M, Taneda M (2001) Extended transsphenoidal approach with submucosal posterior ethmoidectomy for parasellar tumors. Technical note. J Neurosurg 94: 999–1004

    CAS  Google Scholar 

  42. Kocher T (1909) Ein Fall von Hypophysis Tumor mit operativer Heilung. Dtsch Z Chir 100: 13–37

    Article  Google Scholar 

  43. Kouri JG, Chen MY, Watson JC, Odfield EH (2000) Resection of suprasellar tumors by using a modified transsphenoidal approach. J Neurosurg 92: 1028–1035

    Article  PubMed  CAS  Google Scholar 

  44. Lalwani AK, Kaplan MJ, Gutin PH (1992) The transsphenoethmoid approach to the sphenoid sinus and clivus. Neurosurgery 31: 1008–1014

    Article  PubMed  CAS  Google Scholar 

  45. Lanzino G, Laws ER Jr (2001) Pioneers in the development of transsphenoidal surgery: Theodor Kocher, Oskar Hirsch, and Norman Dott. J Neurosurg 95: 1083–1096

    Article  Google Scholar 

  46. Liston SL, Siegel LG, Thienprasit P, Gregory R (1987) Nasal endoscopes in hypophysectomy. J Neurosurg 66: 155 (letter)

    PubMed  CAS  Google Scholar 

  47. Liu JK, Das K, Weiss M.H., Laws ER Jr, Couldwell WT (2001) The history and evolution of transsphenoidal surgery. J Neurosurg 95: 1097–1103

    Article  Google Scholar 

  48. Mason RB, Nieman LK, Doppman JL, Oldfield EH (1997) Selective excision of adenomas originating in or extending into the pituitary stalk with preservation of pituitary function. J Neurosurg 87: 343–351

    Article  PubMed  CAS  Google Scholar 

  49. Mc Donald TJ, Laws ER Jr (1982) Historical aspects of the management of pituitary disorders with emphasis on transsphenoidal surgery. In: Laws ER Jr, Randall RV, Kern EB, Abboud CF (eds) Management of pituitary adenomas and related lesions with emphasis on transsphenoidal microsurgery. Appleton-Century-Crofts, New York, pp 1–13

    Google Scholar 

  50. Messerklinger W (1994) Background and evolution of endoscopic sinus surgery. Ear Nose Throat J 73: 449–450

    PubMed  CAS  Google Scholar 

  51. Rodziewicz GS, Kelley RT, Kellman RM, Smith MV (1996) Transnasal endoscopic surgery of the pituitary gland: technical note. Neurosurgery 39: 189–193

    Article  PubMed  CAS  Google Scholar 

  52. Schloffer H (1906) Zur Frage der Operationen an der Hypophyse. Beitr Klin Chir 50: 767–817

    Google Scholar 

  53. Schloffer H (1907) Erfolgreiche Operation eines Hypophysentumors auf nasalem Wege. Wien Klin Wachenschr 20: 621–624

    Google Scholar 

  54. Senior BA, Kennedy DW, Tanabodee J, Kroger H, Hassab M, Lanza D (1998) Long-term results of functional endoscopic sinus surgery. Laryngoscope 108: 151–157

    Article  PubMed  CAS  Google Scholar 

  55. Sethi DS, Pillay PK (1995) Endoscopic management of lesions of the sella turcica. J Laryngol Otol 109: 956–962

    PubMed  CAS  Google Scholar 

  56. Sethi DS, Pillay PK (1996) Endoscopic surgery for pituitary tumors. Op Tech Otolaryngol Head Neck Surg 7: 264–268

    Article  Google Scholar 

  57. Shikani AH, Kelly JH (1993) Endoscopic debulking of a pituitary tumor. Am J Otolaryngol 14: 254–256

    Article  PubMed  CAS  Google Scholar 

  58. Stammberger H (1986) Endoscopic endonasal surgery: concepts in treatment of recurring rhinosinusitis, part I: anatomic and pathologic considerations. Otolaryngol Head Neck Surg 94: 143–146

    PubMed  CAS  Google Scholar 

  59. Stammberger H (1986) Endoscopic endonasal surgery: concepts in treatment of recurring rhinosinusitis, part II: surgical technique. Otolaryngol Head Neck Surg 94: 147–156

    PubMed  CAS  Google Scholar 

  60. Stammberger H, Posawetz W (1990) Functional endoscopic sinus surgery. Concepts, indications and results of the Messerklinger technique. Eur Arch Otorhinolaryngol 247: 63–76

    Article  PubMed  CAS  Google Scholar 

  61. Weiss M.H. (1987) Transnasal transsphenoidal approach. In: Apuzzo MLJ (ed) Surgery of the third ventricle. Williams & Wilkins, Baltimore, pp 476–494

    Google Scholar 

  62. Wurster CF, Smith DE (1994) The endoscopic approach to the pituitary gland. Arch Otolaryngol Head Neck Surg 120: 674 (letter)

    Article  PubMed  CAS  Google Scholar 

  63. Yaniv E, Rappaport ZH (1997) Endoscopic transseptal transsphenoidal surgery for pituitary tumors. Neurosurgery 40: 944–946

    Article  PubMed  CAS  Google Scholar 

  64. Zervas NT (1980) Reflections on the surgery of the pituitary. Clin Neurosurg 27: 124–132

    PubMed  CAS  Google Scholar 

Download references

Authors
  1. P. Cappabianca
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. O. de Divitiis
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. F. Maiuri
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Neurosurgery, University „Federico II“, Naples, Italy

    Enrico de Divitiis  & Paolo Cappabianca  & 

Rights and permissions

Reprints and permissions

Copyright information

© 2003 Springer-Verlag Wien

About this chapter

Cite this chapter

Cappabianca, P., de Divitiis, O., Maiuri, F. (2003). Evolution of Transsphenoidal Surgery. In: de Divitiis, E., Cappabianca, P. (eds) Endoscopic Endonasal Transsphenoidal Surgery. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6084-8_1

Download citation

  • DOI: https://doi.org/10.1007/978-3-7091-6084-8_1

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-7225-4

  • Online ISBN: 978-3-7091-6084-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation