Skip to main content

Efficacy of Microsurgical Sublabial Approach (MSA) Versus Endoscopic Endonasal Approach (EEA) for the Treatment of Pituitary Adenomas Based on Radiological and Hormonal Outcome

  • Conference paper
Trends in Reconstructive Neurosurgery

Part of the book series: Acta Neurochirurgica Supplement ((NEUROCHIRURGICA,volume 124))

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
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

References

  1. Atkinson JL, Young WF Jr, Meyer FB, Davis DH, Nippoldt TB, Erickson D, Vella A, Natt N, Abboud CF, Carpenter PC (2008) Sublabial transseptal vs transnasal combined endoscopic microsurgery in patients with Cushing disease and MRI-depicted microadenomas. Mayo Clin Proc 83(5):550–553

    Article  PubMed  Google Scholar 

  2. Carrau RL, Jho HD, Ko Y (1996) Transnasal–transsphenoidal endoscopic surgery of the pituitary gland. Laryngoscope 106:914–918

    Article  CAS  PubMed  Google Scholar 

  3. Cheng RX, Tian HL, Gao WW, Li ZQ (2011) A comparison between endoscopic trans-sphenoidal surgery and traditional trans-sphenoidal microsurgery for functioning pituitary adenomas. J Int Med Res 39(5):1985–1993

    Article  PubMed  Google Scholar 

  4. Cho DY, Liau WR (2002) Comparison of endonasal endoscopic surgery and sublabial microsurgery for prolactinomas. Surg Neurol 58:371–375

    Article  PubMed  Google Scholar 

  5. Comer BT, Young AB, Gal TJ (2011) Impact of endoscopic surgical techniques on efficiency in pituitary surgery. Otolaryngol Head Neck Surg 145(5):732–736

    Article  PubMed  Google Scholar 

  6. Cushing H (1932) Intracranial tumors: notes upon a series of two- thousand verified cases with surgical mortality percentages pertaining thereto. Charles C Thomas, Springfield

    Google Scholar 

  7. Cushing H (1912) Transsphenoidal methods of access. In: Cushing H (ed) The pituitary body and its disorders. JB Lippincott, Philadelphia, pp 296–303

    Google Scholar 

  8. Doglietto F, Prevedello DM, Jane JA Jr, Han J, Laws ER Jr (2005) Brief history of endoscopic transsphenoidal surgery noidal surgery—from Phillip Bozzini to the First World Congress of Endoscopic Skull Base Surgery. Neurosurg Focus 19:E3

    Article  PubMed  Google Scholar 

  9. Esposito V, Santoro A, Minniti G, Salvati M, Innocenzi G, Lanzetta G, Cantore G (2004) Transsphenoidal adenomectomy for GH-, PRL- and ACTH-secreting pituitary tumours: outcome analysis in a series of 125 patients. Neurol Sci 25:251–256

    Article  CAS  PubMed  Google Scholar 

  10. Felisati G, Lenzi R, Pipolo C, Maccari A, Messina F, Revay M, Lania A, Cardia A, Lasio G (2013) Endoscopic expanded endonasal approach: preliminary experience with the new 3D endoscope. Acta Otorhinolaryngol Ital 33(2):102–106

    CAS  PubMed  PubMed Central  Google Scholar 

  11. Gamea A, Fathi M, el-Guindy A (1994) The use of the rigid endoscope in trans-sphenoidal pituitary surgery. J Laryngol Otol 108(1):19–22

    Article  CAS  PubMed  Google Scholar 

  12. Gao Y, Zhong C, Wang Y, Xu S, Guo Y, Dai C, Zheng Y, Wang Y, Luo Q, Jiang J (2014) Endoscopic versus microscopic transsphenoidal pituitary adenoma surgery: a meta-analysis. World J Surg Oncol 11:12–94

    CAS  Google Scholar 

  13. Goudakos JK, Markou KD, Georgalas C (2011) Endoscopic versus microscopic trans-sphenoidal pituitary surgery: a systematic review and meta-analysis. Clin Otolaryngol 36(3):212–220

    Article  CAS  PubMed  Google Scholar 

  14. Hardy J, Vezina JL (1976) Transsphenoidal neurosurgery of intracranial neoplasm. In: Tompson RA, Green JR (eds) Advances in neurology. Raven, New York, pp 261–275

    Google Scholar 

  15. Hardy J, Wigser SM (1965) Trans-sphenoidal surgery of pituitary fossa tumors with televised radiofluoroscopic control. J Neurosurg 23:612–619

    Article  CAS  PubMed  Google Scholar 

  16. Higgins TS, Courtemanche C, Karakla D, Strasnick B, Singh RV, Koen JL, Han JK (2008) Analysis of transnasal endoscopic versus transseptal microscopic approach for excision of pituitary tumors. Am J Rhinol 22:649–652

    Article  PubMed  Google Scholar 

  17. Hirsch O (1956) Pituitary tumors - a borderland between cranial and trans-sphenoidal surgery. N Engl J Med 254:937–939

    Article  CAS  PubMed  Google Scholar 

  18. Jain AK, Gupta AK, Pathak A, Bhansali A, Bapuraj JR (2007) Excision of pituitary adenomas: randomized comparison of surgical modalities. Br J Neurosurg 21(4):328–331

    Article  CAS  PubMed  Google Scholar 

  19. Jho HD, Carrau RL (1997) Endoscopic endonasal transsphenoidal surgery: experience with 50 patients. J Neurosurg 87:44–51

    Article  CAS  PubMed  Google Scholar 

  20. Kanavel AB (1909) The removal of tumors of the pituitary body by an infranasal route: a proposed operation with description of the technique. JAMA 53:1704–1707

    Article  Google Scholar 

  21. Kawamata T, Iseki H, Ishizaki R, Hori T (2002) Minimally invasive endoscope-assisted endonasal trans-sphenoidal microsurgery for pituitary tumors: experience with 215 cases comparing with sublabial trans-sphenoidal approach. Neurol Res 24(3):259–265

    Article  PubMed  Google Scholar 

  22. Knosp E, Steiner E, Kitz K, Matula C (1993) Pituitary adenomas with invasion of the cavernous sinus space: a magnetic resonance imaging classification compared with surgical findings. Neurosurgery 33(4):610–617; discussion 617–618

    Article  CAS  PubMed  Google Scholar 

  23. Massimi L, Rigante M, D'Angelo L, Paternoster G, Leonardi P, Paludetti G, Di Rocco C (2011) Quality of postoperative course in children: endoscopic endonasal surgery versus sublabial microsurgery. Acta Neurochir (Wien) 153(4):843–849

    Article  Google Scholar 

  24. McLaughlin N, Eisenberg AA, Cohan P, Chaloner CB, Kelly DF (2013) Value of endoscopy for maximizing tumor removal in endonasal transsphenoidal pituitary adenoma surgery. J Neurosurg 118(3):613–620

    Article  PubMed  Google Scholar 

  25. Mortini P, Losa M, Barzaghi R, Boari N, Giovanelli M (2005) Results of transsphenoidal surgery in a large series of patients with pituitary adenoma. Neurosurgery 56:1222–1233

    Article  PubMed  Google Scholar 

  26. Mortini P (2014) Cons: endoscopic endonasal transsphenoidal pituitary surgery is not superior to microscopic transsphenoidal surgery for pituitary adenomas. Endocrine 47(2):415–420

    Article  CAS  PubMed  Google Scholar 

  27. Razak AA, Horridge M, Connolly DJ, Warren DJ, Mirza S, Muraleedharan V, Sinha S (2013) Comparison of endoscopic and microscopic trans-sphenoidal pituitary surgery: early results in a single centre. Br J Neurosurg 27(1):40–43

    Article  PubMed  Google Scholar 

  28. Rotenberg B, Tam S, Ryu WH, Duggal N (2010) Microscopic versus endoscopic pituitary surgery: a systematic review. Laryngoscope 120(7):1292–1297

    Article  PubMed  Google Scholar 

  29. Rudmik L, Starreveld YP, Vandergrift WA, Banglawala SM, Soler ZM (2015) Cost-effectiveness of the endoscopic versus microscopic approach for pituitary adenoma resection. Laryngoscope 125(1):16–24

    Article  PubMed  Google Scholar 

  30. Schaberg MR, Anand VK, Schwartz TH, Cobb W (2010) Microscopic versus endoscopic transnasal pituitary surgery. Curr Opin Otolaryngol Head Neck Surg 18(1):8–14

    Article  PubMed  Google Scholar 

  31. Schloffer H (1907) Erfolgreiche Operation eines Hypophysentumorsauf nasalen Wege. Wien Klin Woch 20:621–624

    Google Scholar 

  32. Sheehan MT, Atkinson JLD, Kasperbauer JL, Erickson BJ, Nippoldt TB (1999) Preliminary comparison of the endoscopic transnasal vs. the sublabial transseptal approach for clinically nonfunctioning pituitary macroadenomas. Mayo Clin Proc 74:661–670

    Article  CAS  PubMed  Google Scholar 

  33. Starke RM, Raper DM, Payne SC, Vance ML, Oldfield EH, Jane JA Jr (2013) Endoscopic vs microsurgical transsphenoidal surgery for acromegaly: outcomes in a concurrent series of patients using modern criteria for remission. J Clin Endocrinol Metab 98(8):3190–3198

    Article  CAS  PubMed  Google Scholar 

  34. Yang I, Wang MB, Bergsneider M (2010) Making the transition from microsurgery to endoscopic trans-sphenoidal pituitary neurosurgery. Neurosurg Clin N Am 21(4):643–651, vi

    Article  PubMed  Google Scholar 

Download references

Conflict of Interest Statement

We declare that we have no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Pier Paolo Mattogno MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing Switzerland

About this paper

Cite this paper

Mattogno, P.P., Mangiola, A., Lofrese, G., Vigo, V., Anile, C. (2017). Efficacy of Microsurgical Sublabial Approach (MSA) Versus Endoscopic Endonasal Approach (EEA) for the Treatment of Pituitary Adenomas Based on Radiological and Hormonal Outcome. In: Visocchi, M., Mehdorn, H.M., Katayama, Y., von Wild, K.R.H. (eds) Trends in Reconstructive Neurosurgery. Acta Neurochirurgica Supplement, vol 124. Springer, Cham. https://doi.org/10.1007/978-3-319-39546-3_16

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-39546-3_16

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-39545-6

  • Online ISBN: 978-3-319-39546-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics