Department of Clinical Neurosciences, Neurosurgery Service and Gamma Knife Center, Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland.
Faculty of Biology and Medicine (FBM), University of Lausanne (UNIL), Lausanne, Switzerland.
Acta Neurochir (Wien). 2024 Jun 19;166(1):273. doi: 10.1007/s00701-024-06168-x.
Invasion of the CS is one of the limiting factors for total resection for PitNet tumors with cure rates less than 30%. Extended approaches may be considered in selective and well-studied cases of secreting adenomas.
We describe the key steps of the endoscopic transcavernous approach for functional pituitary adenomas with a video illustration. The surgical anatomy is described along with the advantages and limitations of this approach.
A detailed knowledge of CS anatomy and familiarity with this surgical approach acquired in the laboratory is essential. Proper instrumentation is critical to decrease the risks of vascular injury.
海绵窦（CS）侵犯是影响颅咽管瘤（PitNet）肿瘤全切除的限制因素之一，其治愈率低于 30%。对于分泌性腺瘤，在经过选择且研究充分的情况下，可以考虑采用扩展入路。
我们通过视频演示描述了经蝶窦内镜入路治疗功能性垂体腺瘤的关键步骤，同时描述了该手术入路的解剖学特点及优缺点。
详细了解 CS 的解剖结构，并在实验室中熟悉这种手术方法是非常重要的。适当的器械是降低血管损伤风险的关键。
