Sethi Dharambir S, Leong Jern-Lin
Department of Otolaryngology, Singapore General Hospital, Outram Road, Singapore 169609, Republic of Singapore.
Otolaryngol Clin North Am. 2006 Jun;39(3):563-83, x. doi: 10.1016/j.otc.2006.01.011.
Endoscopic pituitary surgery has definite advantages over the traditional method using the operating microscope. Improved visualization, angled view, and a wider panoramic perspective of the important anatomic relationships of the sphenoid and the sella turcica were the obvious advantages. The direct endonasal transsphenoidal approach is the most minimally invasive. Its advantages include wider access, avoidance of a septoplasty, and the ability for two surgeons to work together enabling better instrumentation and more complete and rapid removal of the tumor.
与使用手术显微镜的传统方法相比，内镜垂体手术具有明显优势。改善的可视化效果、角度视野以及对蝶骨和蝶鞍重要解剖关系更广阔的全景视角是其明显优势。直接经鼻蝶窦入路是最微创的。其优势包括更宽的操作通道、避免鼻中隔成形术，以及两名外科医生能够协同工作，从而实现更好的器械操作以及更完整、快速地切除肿瘤。
