Resumen de Endoscopic Surgery for Pituitary Tumors

Wouter R. van Furth, Friso de Vries, Daniel J. Lobatto, Maarten C. Kleijwegt, Maarten C. Kleijwegt, Pieter J. Schutte, Alberto M. Pereira, Nienke R. Biermasz, Marco J.T. Verstegen

• Endoscopic transsphenoidal surgery for pituitary adenomas is a safe and highly effective first-line treatment that is well tolerated by patients. Reoperations are more complex but generally still well tolerated, but these procedures require optimal preoperative planning and intraoperative risk assessment to maximize chances of success and minimize risks. This article presents the authors’ philosophy, surgical techniques, and outcomes in a high-volume pituitary adenoma center. Three surgical videos illustrate the different procedures. The authors’ experience has reinforced their belief that a multidisciplinary approach, experience, and surgical volume are key to delivering high quality of care.